5BJ-15980-99620

3 vaccinations 7 coded responses 31 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 551 / MN
Registered: 2021-03-25

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

Registered dependents

XJ3-21330-94628 Child or adolescent in my care · Male · 2021-11-17

4UQ-20911-83743 Child or adolescent in my care · Male · 2021-12-07

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-25
Registered in v-safe
2021-03-25
Dose 1 — Moderna
2021-03-25
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

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 — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-14
Pregnancy registry survey
Pregnant at time of vaccination · Yes, I would like someone to contact me
2021-04-15
Survey response — day 21, dose 1
MedDRA: Dyspnoea, Fatigue, Pregnancy — Feeling: Fair

Free text: Its difficult to tell what is pregnancy related and what carries the possibility of being vaccine related. Ive been so tired and out of breath, but havent reported in it due to pregnancy being a possible cause.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Dose 2 — Moderna
2021-04-22
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia — Feeling: Fair · Joint pains, Fatigue or tiredness

Free text: Insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-29
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-05-06
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-13
Survey response — day 21, dose 2
MedDRA: Fatigue, Nausea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Extreme fatigue, nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-03
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-24
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Joint noise — Feeling: Fair

Free text: Jaw popping, achy joints

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-21
Survey response — 6 months, dose 2
MedDRA: Ear infection, Lymph node pain, Lymphadenopathy, Pain in jaw, Sinusitis — Feeling: Poor · Be unable to do your normal daily activities

Free text: Ear infection, sinus infection, jaw pain, swollen painful lymph

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Dose 3 — Pfizer-BioNTech
2021-12-09
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-16
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-23
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-30
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-17
Survey response — 3 months, dose 3
MedDRA: Joint stiffness, Poor peripheral circulation — Feeling: Fair

Free text: Stiff joints and poor circulation

MedDRA releases: 2024-11 · check-in free text available
2022-11-20
Survey response — 12 months, dose 3
MedDRA: Constipation, Eosinophilia, Poor peripheral circulation — Feeling: Fair

Free text: Constipation, eiosinophilia, poor circulation

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Moderna
2	2021-04-22	Moderna
3	2021-11-18	Pfizer-BioNTech	No

Free text

Release 7 — day 21, dose 1

2021-04-15

Symptoms: Its difficult to tell what is pregnancy related and what carries the possibility of being vaccine related. Ive been so tired and out of breath, but havent reported in it due to pregnancy being a possible cause.

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Insomnia

Release 8 — day 21, dose 2

2021-05-13

Symptoms: Extreme fatigue, nausea

Release 9 — 3 months, dose 2

2021-07-24

Symptoms: Jaw popping, achy joints

Release 10 — 6 months, dose 2

2021-10-21

Symptoms: Ear infection, sinus infection, jaw pain, swollen painful lymph

Release 11 — 3 months, dose 3

2022-02-17

Symptoms: Stiff joints and poor circulation

Release 12 — 12 months, dose 3

2022-11-20

Symptoms: Constipation, eiosinophilia, poor circulation

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	Arthralgia	✓	·	✓
SD	Constipation	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Ear infection	·	·	✓
SD	Eosinophilia	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Joint noise	✓	·	✓
SD	Joint stiffness	·	·	✓
SD	Lymph node pain	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Nausea	✓	✓	✓
SD	Pain in jaw	·	·	✓
SD	Poor peripheral circulation	·	·	✓
SD	Pregnancy	✓	✓	✓
SD	Sinusitis	·	·	✓
SRO	Insomnia	✓	✓	✓

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