56J-20571-54963

3 vaccinations 7 coded responses 39 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 488 / MI
Registered: 2021-04-08

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

Registered dependents

GA5-25642-46103 Child or adolescent in my care · Female · 2022-01-07

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-04-08
Registered in v-safe
2021-04-08
Dose 1 — Moderna
2021-04-08
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling, Itching · Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-04-15
Health check-in — day 7, dose 1
Feeling: Good · Headache, Diarrhea

Adult check-in
2021-04-22
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Pain, Tenderness — Feeling: Good

Free text: On the 9th day post vaccine, the area where my injection was administered turned bright red, became very firm and swollen and was extremely itchy. I took a Zyrtec pill and in 24 hours it was mostly back to normal (had some tenderness and mild pain).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-06
Dose 2 — Moderna
2021-05-06
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-05-07
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, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains

Adult check-in
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains

Adult check-in
2021-05-13
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Joint pains

Adult check-in
2021-05-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-05
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-06
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-11
Dose 3 — Moderna
2022-01-11
Survey response — day 0, dose 3
MedDRA: Chest discomfort, Pre-existing disease — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Chest tightness, but likely related to high bp

MedDRA releases: 2024-11 · check-in free text available
2022-01-12
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-01-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-01-14
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Swelling, Itching · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2022-01-15
Survey response — days 1–6 daily, dose 3
MedDRA: Cough — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Deep cough in chest

MedDRA releases: 2024-11 · check-in free text available
2022-01-16
Survey response — days 1–6 daily, dose 3
MedDRA: Cough — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Severe cough

MedDRA releases: 2024-11 · check-in free text available
2022-01-17
Survey response — days 1–6 daily, dose 3
MedDRA: Chest discomfort, Cough — Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Severe cough and tightness in chest

MedDRA releases: 2024-11 · check-in free text available
2022-01-18
Survey response — day 7, dose 3
MedDRA: Cough, Oropharyngeal pain — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Severe cough and sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-01-25
Survey response — day 14, dose 3
MedDRA: Ageusia, Anosmia, Arthralgia, Chills, Diarrhoea, Fatigue, Headache, Myalgia, Nausea, Pain, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fever, chills, joint/muscle/body aches, nausea, diarrhea, severe headache, loss of taste/smell, severe fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-02-01
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-08
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-15
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-22
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-12
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-08	Moderna
2	2021-05-06	Moderna
3	2022-01-11	Moderna	No

Free text

Release 7 — day 14, dose 1

2021-04-22

Symptoms: On the 9th day post vaccine, the area where my injection was administered turned bright red, became very firm and swollen and was extremely itchy. I took a Zyrtec pill and in 24 hours it was mostly back to normal (had some tenderness and mild pain). cut off by CDC

Release 10 — day 0, dose 3

2022-01-11

Systemic reaction (other): Chest tightness, but likely related to high bp

Release 10 — days 1–6 daily, dose 3

2022-01-15

Systemic reaction (other): Deep cough in chest

2022-01-16

Systemic reaction (other): Severe cough

2022-01-17

Systemic reaction (other): Severe cough and tightness in chest

Release 10 — day 7, dose 3

2022-01-18

Systemic reaction (other): Severe cough and sore throat

Release 11 — day 14, dose 3

2022-01-25

Symptoms: Fever, chills, joint/muscle/body aches, nausea, diarrhea, severe headache, loss of taste/smell, severe fatigue

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	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	Arthralgia	·	·	✓
SD	Chills	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Injection site erythema	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Nausea	·	·	✓
SD	Pain	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Tenderness	✓	✓	✓
SRO	Chest discomfort	·	·	✓
SRO	Cough	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pre-existing disease	·	·	✓

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