4XF-13442-34171

4 vaccinations 8 coded responses 49 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 21-25
ZIP prefix: 855 / AZ
Registered: 2021-02-27

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-27
Registered in v-safe
2021-02-27
Dose 1 — Moderna
2021-02-27
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Swelling · Chills, Joint pains, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-04
Survey response — days 1–6 daily, dose 1
MedDRA: Impaired healing — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: My hearing was temporarily vibrato last night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Survey response — day 14, dose 1
MedDRA: Injection site pruritus, Injection site rash, Rash pruritic, Self-medication — Feeling: Good

Free text: A small, itchy, rash formed at the injection site on Monday, March 1st. I treated it with Benadryl cream and it was gone by the next day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-27
Dose 2 — Moderna
2021-03-27
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Fatigue or tiredness

Adult check-in
2021-04-03
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-17
Survey response — day 21, dose 2
MedDRA: Cough, Hypersensitivity, Wheezing — Feeling: Good

Free text: Developed an allergy to apricots in a very short timespan. Coughing and wheezing when I eat dried apricots.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-10
Survey response — day 42, dose 2
MedDRA: Injection site pruritus — Feeling: Good

Free text: Itching at the injection site continues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-02
Dose 3 — Moderna
2021-12-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-12-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-09
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-18
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-24
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-30
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-07
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-13
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-03
Survey response — 3 months, dose 3
MedDRA: Dysmenorrhoea, Heavy menstrual bleeding, Menstrual clots, Menstrual disorder — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I just forgot to ever mention it but since my first vaccine a year ago, my period has gotten much worse. Heavier flow, darker color, chunkier, much more pain.

MedDRA releases: 2024-11 · check-in free text available
2022-06-02
Survey response — 6 months, dose 3
MedDRA: Headache, Pre-existing disease, Vertigo — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Severe allergies that cause vertigo and headaches

MedDRA releases: 2024-11 · check-in free text available
2022-10-07
Dose 4 — Moderna
Co-administered: Flu
2022-10-10
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Headache, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-10-11
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-12
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-13
Survey response — days 1–6 daily, dose 4
MedDRA: Nausea — Feeling: Poor · Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: I was nauseous yesterday morning, as well, but it passed quickly and I didn't think much of it

MedDRA releases: 2024-11 · check-in free text available
2022-10-14
Health check-in — day 7, dose 4
Feeling: Fair · Fatigue or tiredness, Abdominal pain

Adult check-in
2022-10-21
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-10-28
Survey response — day 21, dose 4
MedDRA: Abdominal distension, Abdominal pain upper, Nausea, SARS-CoV-2 test negative, Vomiting — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: On Saturday, upper abdominal pain bloating and nausea returned with additional vomiting. Was fine Sun-Wednesday. Thursday/Friday slight abdominal pain and bloating returned. Thursday took an at home covid test results were negative

MedDRA releases: 2024-11 · check-in free text available
2022-11-04
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-11
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-18
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-08
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-07
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-27	Moderna
2	2021-03-27	Moderna
3	2021-12-02	Moderna	No
4	2022-10-07	Moderna	Flu

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-04

Systemic reaction (other): My hearing was temporarily vibrato last night

Release 5 — day 14, dose 1

2021-03-13

Symptoms: A small, itchy, rash formed at the injection site on Monday, March 1st. I treated it with Benadryl cream and it was gone by the next day.

Release 7 — day 21, dose 2

2021-04-17

Symptoms: Developed an allergy to apricots in a very short timespan. Coughing and wheezing when I eat dried apricots.

Release 8 — day 42, dose 2

2021-05-10

Symptoms: Itching at the injection site continues

Release 11 — 3 months, dose 3

2022-03-03

Symptoms: I just forgot to ever mention it but since my first vaccine a year ago, my period has gotten much worse. Heavier flow, darker color, chunkier, much more pain.

Release 11 — 6 months, dose 3

2022-06-02

Symptoms: Severe allergies that cause vertigo and headaches

Release 12 — days 1–6 daily, dose 4

2022-10-13

Systemic reaction (other): I was nauseous yesterday morning, as well, but it passed quickly and I didn't think much of it

Release 12 — day 21, dose 4

2022-10-28

Symptoms: On Saturday, upper abdominal pain bloating and nausea returned with additional vomiting. Was fine Sun-Wednesday. Thursday/Friday slight abdominal pain and bloating returned. Thursday took an at home covid test results were negative

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
SD	Abdominal distension	·	·	✓
SD	Abdominal pain upper	·	·	✓
SD	Cough	✓	✓	✓
SD	Dysmenorrhoea	·	·	✓
SD	Headache	·	·	✓
SD	Heavy menstrual bleeding	·	·	✓
SD	Hypersensitivity	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Menstrual clots	·	·	✓
SD	Menstrual disorder	·	·	✓
SD	Nausea	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rash pruritic	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Self-medication	✓	✓	✓
SD	Vertigo	·	·	✓
SD	Vomiting	·	·	✓
SD	Wheezing	✓	✓	✓
SRO	Impaired healing	✓	✓	✓
SRO	Nausea	·	·	✓

✓ active code · ○ coded but marked inactive · blank = not in that release