5EV-22459-14140

3 vaccinations 11 coded responses 25 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 980 / WA
Registered: 2021-02-05

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

Registered dependents

ZP4-52408-00519 Child or adolescent in my care · Male · 2021-12-20

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-01-04
Dose 1 — Moderna
2021-02-03
Dose 2 — Moderna
2021-02-05
Registered in v-safe
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-10
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-02-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-05
Survey response — day 28, dose 2
MedDRA: Depressed mood, Fatigue — Feeling: Fair

Free text: Fatigue/ low-depressed mood

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — day 35, dose 2
MedDRA: Cough, Nasal congestion, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Cough/sore throat/congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-05
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-04
Survey response — 6 months, dose 2
MedDRA: Intermenstrual bleeding, Unexpected vaginal bleeding on hormonal IUD — Feeling: Good

Free text: Intermittent spotting/break through bleeding in the months since the vaccination with mirena iud.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-12-19
Dose 3 — Pfizer-BioNTech
2021-12-20
Survey response — days 1–6 daily, dose 3
MedDRA: Brain fog, Disturbance in attention, Lymphadenopathy — Feeling: Poor · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Brain fog, difficulty concentrating, swollen lymph nodes in axilla

MedDRA releases: 2024-11 · check-in free text available
2021-12-20
Survey response — days 1–6 daily, dose 1, dependent
MedDRA: Brain fog, Disturbance in attention, Lymphadenopathy — Feeling: Poor · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Brain fog- difficulty concentrating , lymph node swelling in Scilla

MedDRA releases: 2024-11 · check-in free text available
2021-12-22
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Swelling in axilla/lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2021-12-23
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Free text: Swollen lymph nodes in axilla

MedDRA releases: 2024-11 · check-in free text available
2021-12-26
Health check-in — day 7, dose 3
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2022-01-02
Survey response — day 14, dose 3
MedDRA: Injection site pruritus — Feeling: Fair

Free text: Itching at injection site

MedDRA releases: 2024-11 · check-in free text available
2022-01-09
Survey response — day 21, dose 3
MedDRA: Cough, Headache, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Headache, cough congestion, sore throat, runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-01-18
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-01-25
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-30
Survey response — day 42, dose 3
MedDRA: Vaginal haemorrhage — Feeling: Good

Free text: Intermittent vaginal spotting

MedDRA releases: 2024-11 · check-in free text available
2022-03-21
Survey response — 3 months, dose 3
MedDRA: Vaginal haemorrhage — Feeling: Good

Free text: Vaginal spotting, untermit

MedDRA releases: 2024-11 · check-in free text available
2022-06-19
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-04	Moderna
2	2021-02-03	Moderna
3	2021-12-19	Pfizer-BioNTech	No

Free text

Release 5 — day 28, dose 2

2021-03-05

Symptoms: Fatigue/ low-depressed mood

Release 5 — day 35, dose 2

2021-03-10

Symptoms: Cough/sore throat/congestion

Release 9 — 6 months, dose 2

2021-08-04

Symptoms: Intermittent spotting/break through bleeding in the months since the vaccination with mirena iud.

Release 10 — days 1–6 daily, dose 3

2021-12-20

Systemic reaction (other): Brain fog, difficulty concentrating, swollen lymph nodes in axilla

Release 10 — days 1–6 daily, dose 1, dependent

2021-12-20

Systemic reaction (other): Brain fog- difficulty concentrating , lymph node swelling in Scilla

Release 10 — days 1–6 daily, dose 3

2021-12-22

Systemic reaction (other): Swelling in axilla/lymph nodes

2021-12-23

Systemic reaction (other): Swollen lymph nodes in axilla

Release 10 — day 14, dose 3

2022-01-02

Symptoms: Itching at injection site

Release 10 — day 21, dose 3

2022-01-09

Symptoms: Headache, cough congestion, sore throat, runny nose

Release 11 — day 42, dose 3

2022-01-30

Symptoms: Intermittent vaginal spotting

Release 11 — 3 months, dose 3

2022-03-21

Symptoms: Vaginal spotting, untermit

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	Cough	✓	✓	✓
SD	Depressed mood	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Injection site pruritus	·	·	✓
SD	Intermenstrual bleeding	✓	·	✓
SD	Nasal congestion	✓	✓	○
SD	Oropharyngeal pain	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Unexpected vaginal bleeding on hormonal IUD	✓	·	✓
SD	Vaginal haemorrhage	·	·	✓
SRO	Brain fog	·	·	✓
SRO	Disturbance in attention	·	·	✓
SRO	Lymphadenopathy	·	·	✓

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