5VM-26669-16187

4 vaccinations 12 coded responses 52 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 460 / IN
Registered: 2021-03-17

Relationship: Self
Race: Multiracial
Ethnicity: 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

2021-03-17
Registered in v-safe
2021-03-17
Dose 1 — Moderna
2021-03-17
Survey response — day 0, dose 1
MedDRA: Hypersensitivity, Immediate post-injection reaction — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness

Free text: What felt like a strong systemic reaction right after injection but then subsided.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Touch dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-07
Survey response — day 21, dose 1
MedDRA: Asthenia, Myalgia — Feeling: Good

Free text: Since the vaccine, the spot in my muscle where I was injected hurts, there is a weakness there that doesnt seem to be fading away.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Dose 2 — Moderna
2021-04-14
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Swollen throat glands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Oropharyngeal pain — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Mild Sore throat , swollen glands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Swollen glands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Pharyngeal swelling — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Swollen throat and neck glands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Lymphadenopathy — Feeling: Good · Fatigue or tiredness

Free text: Swollen glands , ear pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-28
Health check-in — day 14, dose 2
Feeling: Good

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

Adult check-in
2021-05-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-13
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-12
Dose 3 — Moderna
2021-11-12
Survey response — day 0, dose 3
MedDRA: Heart rate increased — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Spiked heart rate after injection

MedDRA releases: 2024-11 · check-in free text available
2021-11-13
Survey response — days 1–6 daily, dose 3
MedDRA: Hypoaesthesia, Lymphadenopathy — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Numbness in hands , lymph nodes swollen in head and neck, under arms

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-11-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-11-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-19
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-26
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-17
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-24
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-11
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-06
Dose 4 — Moderna
2022-05-06
Survey response — day 0, dose 4
MedDRA: Lymphadenopathy, Nasal congestion — Feeling: Poor · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Free text: Swollen glands , stuffy nose

MedDRA releases: 2024-11 · check-in free text available
2022-05-07
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-05-08
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-09
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-10
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-05-12
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-14
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-20
Survey response — day 14, dose 4
MedDRA: Fatigue, Headache, Oropharyngeal pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Headache, fatigue , sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-05-29
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-03
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-08-05
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-04
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-05-06
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Moderna
2	2021-04-14	Moderna
3	2021-11-12	Moderna	No
4	2022-05-06	Moderna	No

Free text

Release 5 — day 0, dose 1

2021-03-17

Systemic reaction (other): What felt like a strong systemic reaction right after injection but then subsided.

Release 5 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): Touch dizzy

Release 7 — day 21, dose 1

2021-04-07

Symptoms: Since the vaccine, the spot in my muscle where I was injected hurts, there is a weakness there that doesnt seem to be fading away.

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): Swollen throat glands

2021-04-16

Systemic reaction (other): Mild Sore throat , swollen glands

2021-04-17

Systemic reaction (other): Swollen glands

2021-04-18

Systemic reaction (other): Swollen throat and neck glands

2021-04-19

Systemic reaction (other): Swollen glands , ear pain

Release 10 — day 0, dose 3

2021-11-12

Systemic reaction (other): Spiked heart rate after injection

Release 10 — days 1–6 daily, dose 3

2021-11-13

Systemic reaction (other): Numbness in hands , lymph nodes swollen in head and neck, under arms

Release 11 — day 0, dose 4

2022-05-06

Systemic reaction (other): Swollen glands , stuffy nose

Release 11 — day 14, dose 4

2022-05-20

Symptoms: Headache, fatigue , sore throat

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	Asthenia	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Heart rate increased	·	·	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Hypoaesthesia	·	·	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Nasal congestion	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pharyngeal swelling	·	·	✓

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