5AS-14023-14569

3 vaccinations 13 coded responses 22 check-ins 13 free-text entries 0 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 219 / MD
Registered: 2021-05-01

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

2021-05-01
Registered in v-safe
2021-05-04
Dose 1 — Moderna
2021-05-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-06
Survey response — days 1–6 daily, dose 1
MedDRA: Heart rate increased — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Heart rate increased earlier in the day, slept it off, woke up to it being gone, though it feels a little quicker now again, but not like earlier today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Heart rate increased, Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Light increased heart rate briefly earlier, pressure in stomach that isn't pain or nausea, though latter is likely gastrointestinal problem I've had since my appendectomy 3 years ago

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Fatigue or tiredness

Free text: Typical mild stomach discomfort likely related to past appendectomy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-06-01
Dose 2 — Moderna
2021-06-01
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches

Adult check-in
2021-06-02
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain, Pain in extremity — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: My arm pain is about a 7 or 8, if i lift it too high. Otherwise, the pain is moderate/mild, so I'm resting it. I alao have a sensitive stomach, so that might contribute to the abdominal pain. Trying to rest more today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-06-04
Survey response — days 1–6 daily, dose 2
MedDRA: Diarrhoea, Pre-existing disease — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Diarrhea

Free text: The diarrhea is unlikely related to the vaccine; I have had stomach issues since my appendix came out three-four years ago, so eating certain foods can cause it because my stomach/intestines are now very sensitive and more susceptible to becoming ill, such as having more pain, nausea, gas, or diarrhea than a normal person would, in terms of frequency.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-06-15
Survey response — day 14, dose 2
MedDRA: Bacterial infection, Nasopharyngitis, Pharyngitis — Feeling: Fair

Free text: I got a bacterial infection in my throat along with cold-like symptoms and am taking antibiotics, which are helping.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Survey response — day 21, dose 2
MedDRA: Pharyngitis — Feeling: Fair

Free text: Menstrual cycle, recovering from bacterial throat infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-30
Survey response — day 28, dose 2
MedDRA: Bacterial infection, Hypersensitivity — Feeling: Fair

Free text: Allergies, otherwise persistent throat bacterial infeciton, not sure; allergy medication seems to help.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-08
Survey response — day 35, dose 2
MedDRA: Abdominal discomfort, Hypersensitivity, Pre-existing disease — Feeling: Fair

Free text: Allergies, seem to be clearing up a bit though. Also, just usual gastrointestinal problems sometimes I've had before the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-31
Survey response — 3 months, dose 2
MedDRA: Hypoaesthesia, Injury — Feeling: Fair

Free text: Random numbness on and off in arm the last 6-8 weeks, infrequent and likely related to a physical injury sustained 6-8 weeks ago, with fewer incidents of numbness as time goes forward, seemingly.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-30
Survey response — 6 months, dose 2
MedDRA: Anxiety, Bipolar disorder, Cough, Gastrooesophageal reflux disease — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Acid reflux (unrelated), increase in bipoalr depression (unrelated), increase in anxiety (unrelated), month-long cough (unrelated; from acid reflux)

MedDRA releases: 2024-11 · check-in free text available
2022-06-03
Survey response — 12 months, dose 2
MedDRA: COVID-19 — Feeling: Fair · Be unable to do your normal daily activities

Free text: Got COVID-19 from unvaccinated family member.

MedDRA releases: 2024-11 · check-in free text available
2022-09-23
Dose 3 — Pfizer-BioNTech
2022-10-04
Health check-in — day 7, dose 3
Feeling: Poor · None · Be unable to work or attend school

Adult check-in
2022-10-07
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-10-14
Survey response — day 21, dose 3
MedDRA: Trismus, Wisdom teeth removal — Feeling: Fair

Free text: Trismus acting up (had wisdom teeth, including one impacted, pulled at the end of last year).

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-04	Moderna
2	2021-06-01	Moderna
3	2022-09-23	Pfizer-BioNTech	No

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-06

Systemic reaction (other): Heart rate increased earlier in the day, slept it off, woke up to it being gone, though it feels a little quicker now again, but not like earlier today

2021-05-07

Systemic reaction (other): Light increased heart rate briefly earlier, pressure in stomach that isn't pain or nausea, though latter is likely gastrointestinal problem I've had since my appendectomy 3 years ago

2021-05-08

Systemic reaction (other): Typical mild stomach discomfort likely related to past appendectomy

Release 8 — days 1–6 daily, dose 2

2021-06-02

Systemic reaction (other): My arm pain is about a 7 or 8, if i lift it too high. Otherwise, the pain is moderate/mild, so I'm resting it. I alao have a sensitive stomach, so that might contribute to the abdominal pain. Trying to rest more today.

2021-06-04

Systemic reaction (other): The diarrhea is unlikely related to the vaccine; I have had stomach issues since my appendix came out three-four years ago, so eating certain foods can cause it because my stomach/intestines are now very sensitive and more susceptible to becoming ill, such as having more pain, nausea, gas, or diarrhea than a normal person would, in terms of frequency.

Release 9 — day 14, dose 2

2021-06-15

Symptoms: I got a bacterial infection in my throat along with cold-like symptoms and am taking antibiotics, which are helping.

Release 9 — day 21, dose 2

2021-06-22

Symptoms: Menstrual cycle, recovering from bacterial throat infection

Release 9 — day 28, dose 2

2021-06-30

Symptoms: Allergies, otherwise persistent throat bacterial infeciton, not sure; allergy medication seems to help.

Release 9 — day 35, dose 2

2021-07-08

Symptoms: Allergies, seem to be clearing up a bit though. Also, just usual gastrointestinal problems sometimes I've had before the vaccine.

Release 9 — 3 months, dose 2

2021-08-31

Symptoms: Random numbness on and off in arm the last 6-8 weeks, infrequent and likely related to a physical injury sustained 6-8 weeks ago, with fewer incidents of numbness as time goes forward, seemingly.

Release 10 — 6 months, dose 2

2021-11-30

Symptoms: Acid reflux (unrelated), increase in bipoalr depression (unrelated), increase in anxiety (unrelated), month-long cough (unrelated; from acid reflux)

Release 11 — 12 months, dose 2

2022-06-03

Symptoms: Got COVID-19 from unvaccinated family member.

Release 12 — day 21, dose 3

2022-10-14

Symptoms: Trismus acting up (had wisdom teeth, including one impacted, pulled at the end of last year).

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	Anxiety	·	·	✓
SD	Bacterial infection	✓	✓	✓
SD	Bipolar disorder	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Gastrooesophageal reflux disease	·	·	✓
SD	Hypersensitivity	✓	✓	✓
SD	Hypoaesthesia	✓	·	✓
SD	Injury	✓	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Pharyngitis	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Trismus	·	·	✓
SD	Wisdom teeth removal	·	·	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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