6GB-24872-78344

3 vaccinations 8 coded responses 33 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 982 / WA
Registered: 2021-04-22

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

2021-04-22
Registered in v-safe
2021-04-22
Dose 1 — Moderna
2021-04-22
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-28
Survey response — days 1–6 daily, dose 1
MedDRA: Hypersensitivity, Oropharyngeal pain — Feeling: Fair · Fatigue or tiredness

Free text: Sore throat. Presuming allergies and not the vaccine..

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — day 7, dose 1
MedDRA: Hypersensitivity, Oropharyngeal pain — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Sore throat. Again, this is probably all allergies.u

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-20
Dose 2 — Moderna
2021-05-20
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-05-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-05-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-29
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-19
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-23
Dose 3 — Moderna
2021-12-25
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Free text: Mild runny nose and sore throat, but this is possibly allergies

MedDRA releases: 2024-11 · check-in free text available
2021-12-27
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Fair

Free text: Mild sore throat, runny nose

MedDRA releases: 2024-11 · check-in free text available
2021-12-28
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Good

Free text: Mild sore throat, runny nose

MedDRA releases: 2024-11 · check-in free text available
2021-12-29
Survey response — days 1–6 daily, dose 3
MedDRA: Rhinorrhoea — Feeling: Good · Headache

Free text: Runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-01-06
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-21
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-27
Survey response — day 35, dose 3
MedDRA: Cough, Dizziness, Nasopharyngitis, Paranasal sinus discomfort, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school

Free text: Some sort of cold - runny nose, cough, sinus pressure, woozy. Rapid test for covid was negative.

MedDRA releases: 2024-11 · check-in free text available
2022-02-03
Survey response — day 42, dose 3
MedDRA: Nausea, Vomiting — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Nausea, vomiting

MedDRA releases: 2024-11 · check-in free text available
2022-03-24
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-25
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-25
Health check-in — 12 months, dose 3
Feeling: Poor · Be unable to do your normal daily activities

Free text: Sore throat, headache, runny nose, feeling blah. Picked up a virus from my toddler.

Adult check-in · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-22	Moderna
2	2021-05-20	Moderna
3	2021-12-23	Moderna	No

Free text

Release 8 — days 1–6 daily, dose 1

2021-04-28

Systemic reaction (other): Sore throat. Presuming allergies and not the vaccine..

Release 8 — day 7, dose 1

2021-04-29

Systemic reaction (other): Sore throat. Again, this is probably all allergies.u

Release 10 — days 1–6 daily, dose 3

2021-12-25

Systemic reaction (other): Mild runny nose and sore throat, but this is possibly allergies

2021-12-27

Systemic reaction (other): Mild sore throat, runny nose

2021-12-28

Systemic reaction (other): Mild sore throat, runny nose

2021-12-29

Systemic reaction (other): Runny nose

Release 11 — day 35, dose 3

2022-01-27

Symptoms: Some sort of cold - runny nose, cough, sinus pressure, woozy. Rapid test for covid was negative.

Release 11 — day 42, dose 3

2022-02-03

Symptoms: Nausea, vomiting

Release 12 — 12 months, dose 3

2022-12-25

Symptoms: Sore throat, headache, runny nose, feeling blah. Picked up a virus from my toddler.

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	Dizziness	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	·	·	✓
SD	Paranasal sinus discomfort	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Vomiting	·	·	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Rhinorrhoea	·	·	✓

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