57F-43473-84156

3 vaccinations 11 coded responses 31 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 480 / MI
Registered: 2021-04-03

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

Registered dependents

CRT-40901-89360 Child or adolescent in my care · Female · 2021-11-15

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-04-01
Dose 1 — Moderna
2021-04-03
Registered in v-safe
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Chills, Joint pains, Muscle or body aches

Adult check-in
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site mass — Feeling: Good · Site: Pain, Redness, Swelling, Itching

Free text: Large hard lump at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-04-15
Survey response — day 14, dose 1
MedDRA: Menstrual disorder — Feeling: Good

Free text: Period which is always very normal started 7 days early.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 21, dose 1
MedDRA: Nausea — Feeling: Good

Free text: Ive been sort of nauseous since a day or two after first dose. Not sure if its from the shot or if its something else not related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Dose 2 — Moderna
2021-04-29
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache

Adult check-in
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Flushing — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Hot facial flushing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Muscle or body aches, Fatigue or tiredness

Free text: Sweating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Free text: Sweating. Unusual for me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-05-06
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-13
Survey response — day 14, dose 2
MedDRA: Diarrhoea — Feeling: Fair

Free text: Diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Survey response — day 21, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen lymph nodes. Groin and armpit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-10
Survey response — day 42, dose 2
MedDRA: Heavy menstrual bleeding, Lymphadenopathy — Feeling: Good

Free text: Seems like these shots have really messed with my menstrual cycle. Always regular til my first dose. Have been a week earlier than usual every month. Also heavier. Still have enlarged nodes also.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-16
Dose 3 — Moderna
2021-12-16
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Headache

Adult check-in
2021-12-17
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-12-19
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Nausea

Adult check-in
2021-12-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Nausea

Adult check-in
2021-12-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Chills, Headache

Adult check-in
2021-12-23
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-30
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-06
Survey response — day 21, dose 3
MedDRA: Chills, Dizziness, Exposure to SARS-CoV-2, Headache, SARS-CoV-2 test negative — Feeling: Poor · Be unable to do your normal daily activities

Free text: Extreme dizziness after in home Covid exposure. Home test negative 4 days after known exposure. Headache and slight chills

MedDRA releases: 2024-11 · check-in free text available
2022-01-13
Survey response — day 28, dose 3
MedDRA: Chills, Dizziness, Fatigue, Throat irritation — Feeling: Fair

Free text: Dizziness scratchy throat chills fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-01-22
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-01-28
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-19
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Moderna
2	2021-04-29	Moderna
3	2021-12-16	Moderna	No

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): Large hard lump at injection site

Release 7 — day 14, dose 1

2021-04-15

Symptoms: Period which is always very normal started 7 days early.

Release 7 — day 21, dose 1

2021-04-22

Symptoms: Ive been sort of nauseous since a day or two after first dose. Not sure if its from the shot or if its something else not related.

Release 8 — days 1–6 daily, dose 2

2021-04-30

Systemic reaction (other): Hot facial flushing

2021-05-01

Systemic reaction (other): Sweating

2021-05-02

Systemic reaction (other): Sweating. Unusual for me.

Release 8 — day 14, dose 2

2021-05-13

Symptoms: Diarrhea

Release 8 — day 21, dose 2

2021-05-22

Symptoms: Swollen lymph nodes. Groin and armpit

Release 9 — day 42, dose 2

2021-06-10

Symptoms: Seems like these shots have really messed with my menstrual cycle. Always regular til my first dose. Have been a week earlier than usual every month. Also heavier. Still have enlarged nodes also.

Release 10 — day 21, dose 3

2022-01-06

Symptoms: Extreme dizziness after in home Covid exposure. Home test negative 4 days after known exposure. Headache and slight chills

Release 10 — day 28, dose 3

2022-01-13

Symptoms: Dizziness scratchy throat chills 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	Chills	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Menstrual disorder	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Throat irritation	·	·	✓
SRO	Flushing	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Injection site mass	✓	✓	✓

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