53C-29607-65977

2 vaccinations 8 coded responses 24 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 207 / MD
Registered: 2021-03-22

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

2021-03-22
Registered in v-safe
2021-03-22
Dose 1 — Moderna
2021-03-22
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Diarrhoea, Erythema of eyelid, Pruritus, Skin burning sensation, Swelling of eyelid — Feeling: Fair · Site: Pain

Free text: Had some loose stools. I also noticed an area under my left eye thats a little swollen, red and itchy. The skin burns a little. Not sure exactly what that is from.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — days 1–6 daily, dose 1
MedDRA: Eye pain, Eye swelling — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Still some swelling under my left eye And still feeling a little off in general. But nothing extreme.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Periorbital swelling — Feeling: Good

Free text: Just red puffiness under my left eye

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-29
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-05
Survey response — day 14, dose 1
MedDRA: Injection site swelling, Injection site urticaria, Injection site warmth — Feeling: Good

Free text: Raised hot welt on arm where I received injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-19
Dose 2 — Moderna
2021-04-19
Health check-in — day 0, dose 2
Feeling: Good · Site: Redness · Fatigue or tiredness

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, 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 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-26
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-03
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-10
Survey response — day 21, dose 2
MedDRA: Gastrointestinal disorder — Feeling: Fair

Free text: Continued stomach issues and datigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-24
Survey response — day 35, dose 2
MedDRA: Abdominal discomfort, Diarrhoea, Fatigue, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Still tired , occasional nausea, and stomach irritation/ diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Survey response — day 42, dose 2
MedDRA: Fatigue, Nausea — Feeling: Fair

Free text: Still get nauseous feeling in my stomach from time to time and still get tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-19
Survey response — 3 months, dose 2
MedDRA: Fatigue, Flank pain — Feeling: Good

Free text: Sensitive in my right front side area near waist and continue to be tired

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-21
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-22	Moderna
2	2021-04-19	Moderna

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-24

Systemic reaction (other): Had some loose stools. I also noticed an area under my left eye thats a little swollen, red and itchy. The skin burns a little. Not sure exactly what that is from.

2021-03-25

Systemic reaction (other): Still some swelling under my left eye And still feeling a little off in general. But nothing extreme.

2021-03-26

Systemic reaction (other): Just red puffiness under my left eye

Release 6 — day 14, dose 1

2021-04-05

Symptoms: Raised hot welt on arm where I received injection

Release 8 — day 21, dose 2

2021-05-10

Symptoms: Continued stomach issues and datigue

Release 8 — day 35, dose 2

2021-05-24

Symptoms: Still tired , occasional nausea, and stomach irritation/ diarrhea

Release 8 — day 42, dose 2

2021-05-31

Symptoms: Still get nauseous feeling in my stomach from time to time and still get tired

Release 9 — 3 months, dose 2

2021-07-19

Symptoms: Sensitive in my right front side area near waist and continue to be tired

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 discomfort	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Flank pain	·	·	✓
SD	Gastrointestinal disorder	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Injection site urticaria	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SD	Nausea	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Erythema of eyelid	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Eye swelling	✓	✓	✓
SRO	Periorbital swelling	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Skin burning sensation	✓	✓	✓
SRO	Swelling of eyelid	✓	✓	✓

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