5EH-16312-95213

3 vaccinations 7 coded responses 35 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 775 / TX
Registered: 2021-03-07

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Registered dependents

HFM-26449-20917 Child or adolescent in my care · Female · 2021-11-07

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-05
Dose 1 — Moderna
2021-03-07
Registered in v-safe
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Survey response — day 14, dose 1
MedDRA: Fatigue, Injection site pain, Pruritus — Feeling: Good

Free text: Mild injection site soreness, itchiness, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-02
Dose 2 — Moderna
2021-04-02
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches

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

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-02
Survey response — 3 months, dose 2
MedDRA: Aphonia, Candida infection, Cough, Oropharyngeal pain, Pyrexia — Feeling: Poor · Be unable to work or attend school

Free text: Thrush, fever, severe asthmatic cough, sore throat, lost voice.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-03
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-06
Dose 3 — Moderna
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-08
Survey response — days 1–6 daily, dose 3
MedDRA: Swelling — Feeling: Fair · Site: Pain, Redness, Itching · Muscle or body aches

Free text: Swelling along collarbone on injection side

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Survey response — days 1–6 daily, dose 3
MedDRA: Swelling — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swelling along the collarbone on the injection side.

MedDRA releases: 2024-11 · check-in free text available
2021-11-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-11
Survey response — days 1–6 daily, dose 3
MedDRA: Swelling — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Swelling around the collarbone on my injection side

MedDRA releases: 2024-11 · check-in free text available
2021-11-13
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-20
Survey response — day 14, dose 3
MedDRA: Fatigue, Nasal congestion, Nasopharyngitis, Oropharyngeal pain, Sneezing, Upper-airway cough syndrome — Feeling: Good

Free text: I got a head cold (stuffy nose, sneezing, exhausted, sore throat, post-nasal drip)

MedDRA releases: 2024-11 · check-in free text available
2021-11-27
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-04
Survey response — day 28, dose 3
MedDRA: Arthralgia — Feeling: Fair

Free text: Joint pain in my left arm (injection side) yesterday, mostly wrist, shoulder, and elbow

MedDRA releases: 2024-11 · check-in free text available
2021-12-11
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-20
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-05
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-07
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-06
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Moderna
2	2021-04-02	Moderna
3	2021-11-06	Moderna	No

Free text

Release 5 — day 14, dose 1

2021-03-19

Symptoms: Mild injection site soreness, itchiness, fatigue

Release 9 — 3 months, dose 2

2021-07-02

Symptoms: Thrush, fever, severe asthmatic cough, sore throat, lost voice.

Release 10 — days 1–6 daily, dose 3

2021-11-08

Systemic reaction (other): Swelling along collarbone on injection side

2021-11-09

Systemic reaction (other): Swelling along the collarbone on the injection side.

2021-11-11

Systemic reaction (other): Swelling around the collarbone on my injection side

Release 10 — day 14, dose 3

2021-11-20

Symptoms: I got a head cold (stuffy nose, sneezing, exhausted, sore throat, post-nasal drip)

Release 10 — day 28, dose 3

2021-12-04

Symptoms: Joint pain in my left arm (injection side) yesterday, mostly wrist, shoulder, and elbow

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	Aphonia	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Candida infection	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Sneezing	·	·	✓
SD	Upper-airway cough syndrome	·	·	✓
SRO	Swelling	·	·	✓

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