5C6-21215-17345

4 vaccinations 9 coded responses 40 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 16-20
ZIP prefix: 234 / VA
Registered: 2021-03-26

Relationship: Self
Race: Black or African American
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

2021-03-24
Dose 1 — Moderna
2021-03-26
Registered in v-safe
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-28
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 — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-07
Survey response — day 14, dose 1
MedDRA: Axillary pain — Feeling: Good

Free text: pain under my arm, its lessened now but i still feel it. its lasted for about a week since my last check-in.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-21
Dose 2 — Moderna
2021-04-21
Health check-in — day 0, dose 2
Feeling: Fair · 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
2021-04-22
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
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, 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: Redness, Itching · Headache, Joint pains, Muscle or body aches, Nausea, Diarrhea, Abdominal pain · Be unable to work

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-04-28
Survey response — day 7, dose 2
MedDRA: Constipation — Feeling: Good · Fatigue or tiredness, Abdominal pain

Free text: Constipation (for two days)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-21
Survey response — day 28, dose 2
MedDRA: Headache — Feeling: Good

Free text: headaches, but could be due to sinuses

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — day 35, dose 2
MedDRA: Headache — Feeling: Good

Free text: headaches, not sure if the vaccine is the actual cause though.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-20
Survey response — 6 months, dose 2
MedDRA: Dizziness, Headache — Feeling: Good · Be unable to do your normal daily activities

Free text: regular headaches, dizziness

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Dose 3 — Pfizer-BioNTech
2022-01-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-01-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-01-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2022-01-07
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-01-08
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Migraine, Neck pain — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: severe shoulder and neck pain, migraine

MedDRA releases: 2024-11 · check-in free text available
2022-01-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-01-10
Health check-in — day 7, dose 3
Feeling: Good · Site: Itching · Headache, Abdominal pain

Adult check-in
2022-01-17
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-24
Survey response — day 21, dose 3
MedDRA: Back pain, Headache — Feeling: Good

Free text: headache, back pain

MedDRA releases: 2024-11 · check-in free text available
2022-01-31
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-07
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-04
Survey response — 3 months, dose 3
MedDRA: Back pain, Menstruation irregular — Feeling: Fair · Be unable to work or attend school

Free text: missing period, not pregnancy. some severe back pain, may be unrelated.

MedDRA releases: 2024-11 · check-in free text available
2022-07-04
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-15
Dose 4 — Moderna
Co-administered: Flu
2022-09-30
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-06
Survey response — day 21, dose 4
MedDRA: Menstruation irregular — Feeling: Good

Free text: missed period

MedDRA releases: 2024-11 · check-in free text available
2022-10-13
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-27
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Moderna
2	2021-04-21	Moderna
3	2022-01-03	Pfizer-BioNTech	No
4	2022-09-15	Moderna	Flu

Free text

Release 7 — day 14, dose 1

2021-04-07

Symptoms: pain under my arm, its lessened now but i still feel it. its lasted for about a week since my last check-in.

Release 8 — day 7, dose 2

2021-04-28

Systemic reaction (other): Constipation (for two days)

Release 8 — day 28, dose 2

2021-05-21

Symptoms: headaches, but could be due to sinuses

Release 8 — day 35, dose 2

2021-05-26

Symptoms: headaches, not sure if the vaccine is the actual cause though.

Release 10 — 6 months, dose 2

2021-10-20

Symptoms: regular headaches, dizziness

Release 10 — days 1–6 daily, dose 3

2022-01-08

Systemic reaction (other): severe shoulder and neck pain, migraine

Release 11 — day 21, dose 3

2022-01-24

Symptoms: headache, back pain

Release 11 — 3 months, dose 3

2022-04-04

Symptoms: missing period, not pregnancy. some severe back pain, may be unrelated.

Release 12 — day 21, dose 4

2022-10-06

Symptoms: missed period

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	Axillary pain	✓	✓	✓
SD	Back pain	·	·	✓
SD	Dizziness	·	·	✓
SD	Headache	✓	✓	✓
SD	Menstruation irregular	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Constipation	✓	✓	✓
SRO	Migraine	·	·	✓
SRO	Neck pain	·	·	✓

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