4XV-23512-49773

3 vaccinations 8 coded responses 26 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 240 / VA
Registered: 2021-02-25

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

Registered dependents

SHB-31935-84238 Child or adolescent in my care · Male · 2022-04-30

Timeline

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

2021-02-25
Registered in v-safe
2021-02-25
Dose 1 — Moderna
2021-02-25
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-26
Survey response — days 1–6 daily, dose 1
MedDRA: Breast feeding — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Free text: Breast feeding is going great!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 1
MedDRA: Breast feeding — Feeling: Fair · Site: Pain · Nausea, Vomiting

Free text: Breastfeeding is still going great. The nausea is very sudden and passes really quickly

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain

Free text: The lymph node under my left armpit is swollen and very tender.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Headache · Be unable to work

Adult check-in
2021-03-03
Survey response — days 1–6 daily, dose 1
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good

Free text: Lymph nodes under injection arm is really sore and swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — day 7, dose 1
MedDRA: Oedema peripheral — Feeling: Good

Free text: Swollen arm pit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-25
Dose 2 — Moderna
2021-03-25
Health check-in — day 0, dose 2
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Pyrexia — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Fever broke last night and now I feel mostly normal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness

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 — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-24
Survey response — 3 months, dose 2
MedDRA: Nasopharyngitis, Office visit, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: My kids gave me a nasty cold with sore throat and serious thick congestion · Healthcare visit (other): My pcp

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-30
Call 1 — Left Voicemail
2021-09-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-05
Dose 3 — Moderna
Co-administered: Flu
2022-03-25
Survey response — 12 months, dose 2
MedDRA: Office visit, Systemic lupus erythematosus — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Lupus · Healthcare visit (other): Dr office

MedDRA releases: 2024-11 · check-in free text available
2022-03-25
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-28
Call 1 — Left Voicemail
2022-03-28
Callback requested for
2pm
2022-05-06
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-25	Moderna
2	2021-03-25	Moderna
3	2021-11-05	Moderna	Flu

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-26

Systemic reaction (other): Breast feeding is going great!

2021-02-27

Systemic reaction (other): Breastfeeding is still going great. The nausea is very sudden and passes really quickly

2021-03-01

Systemic reaction (other): The lymph node under my left armpit is swollen and very tender.

2021-03-03

Systemic reaction (other): Lymph nodes under injection arm is really sore and swollen

Release 5 — day 7, dose 1

2021-03-04

Systemic reaction (other): Swollen arm pit

Release 6 — days 1–6 daily, dose 2

2021-03-27

Systemic reaction (other): Fever broke last night and now I feel mostly normal

Release 9 — 3 months, dose 2

2021-06-24

Symptoms: My kids gave me a nasty cold with sore throat and serious thick congestion

Healthcare visit (other): My pcp

Release 11 — 12 months, dose 2

2022-03-25

Symptoms: Lupus

Healthcare visit (other): Dr office

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
HCVO	Office visit	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Systemic lupus erythematosus	·	·	✓
SRO	Breast feeding	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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