4ZF-27136-80421

2 vaccinations 8 coded responses 24 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 554 / MN
Registered: 2021-04-18

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

Timeline

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

2021-04-18
Registered in v-safe
2021-04-18
Dose 1 — Moderna
2021-04-18
Health check-in — day 0, dose 1
Feeling: Fair · None

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-04-25
Health check-in — day 7, dose 1
Feeling: Poor · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-02
Survey response — day 14, dose 1
MedDRA: Axillary pain, Fatigue, Injection site pain, Injection site pruritus, Injection site rash, Injection site swelling — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: Shortly after I completed my last check-in: Return of severe fatigue for ~2 days. Shortly after that: Pain, rash, swelling, some itching at & around injection site. As that got better, some pain under arm (same arm) that is now almost gone.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — day 21, dose 1
MedDRA: Dizziness, Fatigue — Feeling: Good

Free text: Somewhat fatigued and mildly lightheaded for about half a day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Dose 2 — Moderna
2021-05-17
Survey response — days 1–6 daily, dose 2
MedDRA: Respiratory tract congestion — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches

Free text: Congestion (possibly due to pollen allergy, but it was before I was outdoors)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Survey response — days 1–6 daily, dose 2
MedDRA: Respiratory tract congestion — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Fatigue — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Lightheaded, a bit dizzy. This all started yesterday but I was so tired I missed v-safe checkin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-23
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-31
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-07
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-14
Survey response — day 28, dose 2
MedDRA: Dizziness, Fatigue, Headache, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Lightheaded. Fatigued. Congestion. Headache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-27
Survey response — day 42, dose 2
MedDRA: Seasonal allergy — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Severe seasonal allergies.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-17
Survey response — 3 months, dose 2
MedDRA: Dermatitis allergic, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Severe seasonal allergies and allergic dermatitis (allergic reaction on skin). Working with dermatologist to determine cause.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-17
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-24
Call 1 — Left Voicemail
2021-11-14
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-05-16
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-18	Moderna
2	2021-05-16	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 8 — day 14, dose 1

2021-05-02

Symptoms: Shortly after I completed my last check-in: Return of severe fatigue for ~2 days. Shortly after that: Pain, rash, swelling, some itching at & around injection site. As that got better, some pain under arm (same arm) that is now almost gone.

Release 8 — day 21, dose 1

2021-05-10

Symptoms: Somewhat fatigued and mildly lightheaded for about half a day.

Release 8 — days 1–6 daily, dose 2

2021-05-17

Systemic reaction (other): Congestion (possibly due to pollen allergy, but it was before I was outdoors)

2021-05-18

Systemic reaction (other): Congestion

2021-05-20

Systemic reaction (other): Lightheaded, a bit dizzy. This all started yesterday but I was so tired I missed v-safe checkin

Release 9 — day 28, dose 2

2021-06-14

Symptoms: Lightheaded. Fatigued. Congestion. Headache.

Release 9 — day 42, dose 2

2021-06-27

Symptoms: Severe seasonal allergies.

Release 9 — 3 months, dose 2

2021-08-17

Symptoms: Severe seasonal allergies and allergic dermatitis (allergic reaction on skin). Working with dermatologist to determine cause.

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	Axillary pain	✓	✓	✓
SD	Dermatitis allergic	✓	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Office visit	✓	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Seasonal allergy	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓

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