54P-82226-78047

4 vaccinations 12 coded responses 41 check-ins 12 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 339 / FL
Registered: 2021-03-15

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

2021-03-15
Registered in v-safe
2021-03-15
Dose 1 — Moderna
2021-03-15
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good · Muscle or body aches

Free text: Legs only are achy, as they were yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Feeling abnormal — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Feeling very low-energy and mentally foggy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-29
Survey response — day 14, dose 1
MedDRA: Peripheral swelling, Pruritus — Feeling: Good

Free text: Vaccine arm intensely itched and was slightly swollen.

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

Adult check-in
2021-04-12
Dose 2 — Moderna
2021-04-12
Health check-in — day 0, dose 2
Feeling: Fair · Site: Itching · Fatigue or tiredness

Adult check-in
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Diarrhoea — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Nausea

Free text: Loose stools

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling, Itching · None

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-19
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-11
Survey response — 6 months, dose 2
MedDRA: Dysmenorrhoea, Heavy menstrual bleeding — Feeling: Good · Be unable to do your normal daily activities

Free text: More painful, heavier, and longer-lasting menstrual periods without taking contraceptive pills.

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Dose 3 — Moderna
2022-04-12
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-17
Dose 4 — Moderna
2022-05-18
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school

Free text: Lymph node in armpit swollen

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Survey response — days 1–6 daily, dose 4
MedDRA: Decreased appetite — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Muscle or body aches, Fatigue or tiredness

Free text: Lack of appetite

MedDRA releases: 2024-11 · check-in free text available
2022-05-20
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Large swollen lymph node in armpit of arm I got the vaccine

MedDRA releases: 2024-11 · check-in free text available
2022-05-21
Survey response — days 1–6 daily, dose 4
MedDRA: Hyperhidrosis — Feeling: Fair · Site: Swelling, Itching · Fever

Free text: Sweating a lot

MedDRA releases: 2024-11 · check-in free text available
2022-05-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-24
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-31
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-07
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-14
Survey response — day 28, dose 4
MedDRA: Asthenia, Oropharyngeal pain, Pain, Paranasal sinus hypersecretion, Sputum discoloured — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Achy, sore throat, thick yellow mucus behind nose, less energy than normal

MedDRA releases: 2024-11 · check-in free text available
2022-06-21
Survey response — day 35, dose 4
MedDRA: Conjunctivitis, Feeling cold, Influenza, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Flu and child-like symptoms; pink eye in both eyes. I've taken two at-home Covid tests a week apart (yesterday and last Monday) and they were both negative.

MedDRA releases: 2024-11 · check-in free text available
2022-06-21
Report sent to call center — day 35, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-06-22
Call 1 — Left Voicemail
2022-06-28
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-16
Survey response — 3 months, dose 4
MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Diagnosed with COVID-19 on 7-28-22.

MedDRA releases: 2024-11 · check-in free text available
2022-08-16
Report sent to call center — 3 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-08-17
Call 2 — Left Voicemail
2022-08-17
Call 1 — Left Voicemail
2022-11-15
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-05-19
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-15	Moderna
2	2021-04-12	Moderna
3	2021-11-22	Moderna	No
4	2022-05-17	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-18

Systemic reaction (other): Legs only are achy, as they were yesterday

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Feeling very low-energy and mentally foggy

Release 6 — day 14, dose 1

2021-03-29

Symptoms: Vaccine arm intensely itched and was slightly swollen.

Release 7 — days 1–6 daily, dose 2

2021-04-13

Systemic reaction (other): Loose stools

Release 10 — 6 months, dose 2

2021-10-11

Symptoms: More painful, heavier, and longer-lasting menstrual periods without taking contraceptive pills.

Release 11 — days 1–6 daily, dose 4

2022-05-18

Systemic reaction (other): Lymph node in armpit swollen

2022-05-19

Systemic reaction (other): Lack of appetite

2022-05-20

Systemic reaction (other): Large swollen lymph node in armpit of arm I got the vaccine

2022-05-21

Systemic reaction (other): Sweating a lot

Release 12 — day 28, dose 4

2022-06-14

Symptoms: Achy, sore throat, thick yellow mucus behind nose, less energy than normal

Release 12 — day 35, dose 4

2022-06-21

Symptoms: Flu and child-like symptoms; pink eye in both eyes. I've taken two at-home Covid tests a week apart (yesterday and last Monday) and they were both negative.

Release 12 — 3 months, dose 4

2022-08-16

Symptoms: Diagnosed with COVID-19 on 7-28-22.

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	Asthenia	·	·	✓
SD	Conjunctivitis	·	·	✓
SD	COVID-19	·	·	✓
SD	Dysmenorrhoea	·	·	✓
SD	Feeling cold	·	·	✓
SD	Heavy menstrual bleeding	·	·	✓
SD	Influenza	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Paranasal sinus hypersecretion	·	·	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sputum discoloured	·	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Decreased appetite	·	·	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Hyperhidrosis	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Pain in extremity	✓	✓	✓

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