66S-22167-86641

4 vaccinations 6 coded responses 40 check-ins 6 free-text entries 0 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 991 / WA
Registered: 2021-05-10

Relationship: Self
Race: White
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

2021-05-10
Registered in v-safe
2021-05-10
Dose 1 — Moderna
2021-05-10
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Itching · Fever · Fatigue or tiredness

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2021-05-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Abdominal pain

Adult check-in
2021-05-19
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Good · Abdominal pain

Free text: Menses has begun, so the pain probably not related

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-06-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-06-07
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-06-14
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-06-18
Dose 2 — Moderna
2021-06-18
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-06-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-06-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-06-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-06-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-06-25
Health check-in — day 7, dose 2
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-07-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-07-10
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-07-16
Survey response — day 28, dose 2
MedDRA: Dizziness, Vertigo — Feeling: Fair · Be unable to do your normal daily activities

Free text: Lightheaded, dizzy, vertigo

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-30
Survey response — day 42, dose 2
MedDRA: Orthostatic hypotension — Feeling: Good · Be unable to do your normal daily activities

Free text: Orthostatic hypotension.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-19
Survey response — 6 months, dose 2
MedDRA: Pregnancy — Feeling: Good

Free text: Pregnancy

MedDRA releases: 2024-11 · check-in free text available
2021-12-28
Dose 3 — Moderna
2021-12-29
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-12-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-12-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2022-01-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-06
Survey response — day 7, dose 3
MedDRA: Aphonia, Oropharyngeal pain — Feeling: Poor · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore throat, loss of voice

MedDRA releases: 2024-11 · check-in free text available
2022-01-20
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-29
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-30
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-22
Dose 4 — Pfizer-BioNTech
2022-09-23
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-09-24
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-25
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-09-29
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-11-05
Survey response — day 42, dose 4
MedDRA: Dizziness, Migraine — Feeling: Good · Be unable to do your normal daily activities

Free text: Lightheaded and dizzy. Migraines

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-10	Moderna
2	2021-06-18	Moderna
3	2021-12-28	Moderna	No
4	2022-09-22	Pfizer-BioNTech	No

Free text

Release 8 — day 7, dose 1

2021-05-19

Systemic reaction (other): Menses has begun, so the pain probably not related

Release 9 — day 28, dose 2

2021-07-16

Symptoms: Lightheaded, dizzy, vertigo

Release 9 — day 42, dose 2

2021-07-30

Symptoms: Orthostatic hypotension.

Release 10 — 6 months, dose 2

2021-12-19

Symptoms: Pregnancy

Release 10 — day 7, dose 3

2022-01-06

Systemic reaction (other): Sore throat, loss of voice

Release 12 — day 42, dose 4

2022-11-05

Symptoms: Lightheaded and dizzy. Migraines

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	Dizziness	✓	·	✓
SD	Migraine	·	·	✓
SD	Orthostatic hypotension	✓	·	✓
SD	Pregnancy	·	·	✓
SD	Vertigo	✓	·	✓
SRO	Aphonia	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Unevaluable event	✓	✓	✓

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