5M4-14882-97047

3 vaccinations 8 coded responses 29 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 949 / CA
Registered: 2021-03-01

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

Timeline

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

2021-02-26
Dose 1 — Moderna
2021-03-01
Registered in v-safe
2021-03-08
Survey response — day 7, dose 1
MedDRA: Injection site rash — Feeling: Good · Site: Redness · Muscle or body aches

Free text: I noticed it yesterday. I have 2 circles, one at the injection site and one adjacent to it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-26
Dose 2 — Moderna
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-11
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-16
Survey response — day 21, dose 2
MedDRA: Unevaluable event — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Really bad PMS; I became depressed.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-23
Survey response — day 28, dose 2
MedDRA: Myalgia — Feeling: Good

Free text: Muscle aches after moments of inactivity.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-25
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-24
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-05
Dose 3 — Moderna
2021-12-08
Survey response — days 1–6 daily, dose 3
MedDRA: Bradyphrenia, Brain fog — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Brain fog; not as quick when recalling information

MedDRA releases: 2024-11 · check-in free text available
2021-12-09
Survey response — days 1–6 daily, dose 3
MedDRA: Brain fog, Feeling abnormal — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Free text: Feeling out of it, not mentally clear

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-12-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-12
Health check-in — day 7, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-12-19
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-26
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-02
Survey response — day 28, dose 3
MedDRA: Unevaluable event — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Right before having my period and on my first day of having a period, I felt very fatigued and tired.

MedDRA releases: 2024-11 · check-in free text available
2022-01-09
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-01-16
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-08
Survey response — 3 months, dose 3
MedDRA: Menstruation delayed, Uveitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Late in having my period. More than 28 days since start of menses. Also, I had uvetis for the first time.

MedDRA releases: 2024-11 · check-in free text available
2022-03-08
Report sent to call center — 3 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-03-09
Call 1 — Left Voicemail
2022-06-06
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-12-05
Survey response — 12 months, dose 3
MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I had COVID-19.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Moderna
2	2021-03-26	Moderna
3	2021-12-05	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 5 — day 7, dose 1

2021-03-08

Systemic reaction (other): I noticed it yesterday. I have 2 circles, one at the injection site and one adjacent to it.

Release 7 — day 21, dose 2

2021-04-16

Symptoms: Really bad PMS; I became depressed.

Release 7 — day 28, dose 2

2021-04-23

Symptoms: Muscle aches after moments of inactivity.

Release 10 — days 1–6 daily, dose 3

2021-12-08

Systemic reaction (other): Brain fog; not as quick when recalling information

2021-12-09

Systemic reaction (other): Feeling out of it, not mentally clear

Release 10 — day 28, dose 3

2022-01-02

Symptoms: Right before having my period and on my first day of having a period, I felt very fatigued and tired.

Release 11 — 3 months, dose 3

2022-03-08

Symptoms: Late in having my period. More than 28 days since start of menses. Also, I had uvetis for the first time.

Release 12 — 12 months, dose 3

2022-12-05

Symptoms: I had COVID-19.

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	COVID-19	·	·	✓
SD	Menstruation delayed	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Unevaluable event	✓	✓	✓
SD	Uveitis	·	·	✓
SRO	Bradyphrenia	·	·	✓
SRO	Brain fog	·	·	✓
SRO	Feeling abnormal	·	·	✓
SRO	Injection site rash	✓	✓	✓

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