6GJ-38510-96805

4 vaccinations 16 coded responses 55 check-ins 14 free-text entries 2 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 028 / RI
Registered: 2021-01-27

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

Timeline

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

2021-01-27
Registered in v-safe
2021-01-27
Dose 1 — Moderna
2021-01-27
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-01-30
Survey response — days 1–6 daily, dose 1
MedDRA: Polymenorrhoea — Feeling: Fair

Free text: Started menstrual cycle

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair

Free text: Second day of menstrual cycle

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — days 1–6 daily, dose 1
MedDRA: Oligomenorrhoea — Feeling: Fair

Free text: Still on menstrual cycle

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good

Free text: Menstrual cycle

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — day 7, dose 1
MedDRA: Oligomenorrhoea — Feeling: Good

Free text: Still on menstrual cycle

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-24
Dose 2 — Moderna
2021-02-24
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Feeling cold — Feeling: Fair · Site: Redness, Swelling

Free text: Menstrual cycle started today- loss of body heat, back pain not related to Covid-19

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair

Free text: Second day of menstrual cycle- symptoms not related to covid: lower back pain, headache, some fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Fair

Free text: Third day of menstrual cycle- symptoms are not related to covid.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair

Free text: Fourth day of menstrual cycle

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Sensitivity to weather change — Feeling: Fair · Headache

Free text: Fifth day of menstrual cycle- headache checked above is due to atmospheric pressure from the high winds

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — day 7, dose 2
MedDRA: Unevaluable event — Feeling: Good

Free text: Sixth day of menstrual cycle

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-31
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-26
Survey response — 3 months, dose 2
MedDRA: Dysphagia, Dyspnoea, Headache, Oropharyngeal pain, Pre-existing disease, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Season allergies (pollen): sore throat, headaches, runny nose, hard to swallow and breathe.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-25
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-01-06
Dose 3 — Moderna
2022-01-06
Survey response — day 0, dose 3
MedDRA: Rhinorrhoea — Feeling: Fair · Site: Pain · Chills

Free text: Slight runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-01-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2022-01-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Swelling · None

Adult check-in
2022-01-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling · Headache

Adult check-in
2022-01-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Swelling, Itching · None

Adult check-in
2022-01-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Itching · Headache

Adult check-in
2022-01-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2022-01-13
Health check-in — day 7, dose 3
Feeling: Good · Site: Redness · Joint pains

Adult check-in
2022-01-20
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-27
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-03
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-11
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-02-17
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-07
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-07-07
Survey response — 6 months, dose 3
MedDRA: Dry skin, Pruritus, Skin irritation, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Dry skin, irritable and itchy after touching a bush. In addition, certain fertilizer bags cause scratches. A high mosquito rate hasn't helped. Heat fluctuating along with humidity has attributed to this condition. · Healthcare visit (other): Will be going for appointment tomorrow

MedDRA releases: 2024-11 · check-in free text available
2022-07-07
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-07-08
Call 1 — Left Voicemail
2022-08-03
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-01-06
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in
2023-02-09
Dose 4 — Moderna
2023-02-09
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain, Redness, Swelling · Headache, Muscle or body aches

Adult check-in
2023-02-10
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Redness, Swelling · Chills, Muscle or body aches

Adult check-in
2023-02-11
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Redness, Swelling · Muscle or body aches

Adult check-in
2023-02-12
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2023-02-13
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Swelling · Muscle or body aches

Adult check-in
2023-02-14
Survey response — days 1–6 daily, dose 4
MedDRA: Malaise, Pain — Feeling: Fair · Site: Redness, Swelling, Itching

MedDRA releases: 2024-11
2023-02-15
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Redness, Itching · None

Adult check-in
2023-02-16
Health check-in — day 7, dose 4
Feeling: Fair · Site: Itching · None

Adult check-in
2023-02-23
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2023-03-02
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2023-03-09
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2023-03-18
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2023-03-23
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-05-11
Survey response — 3 months, dose 4
MedDRA: Emergency care, Emotional disorder, Headache, Nausea — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-05-11
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2023-05-12
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-27	Moderna
2	2021-02-24	Moderna
3	2022-01-06	Moderna	No
4	2023-02-09	Moderna	No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-30

Systemic reaction (other): Started menstrual cycle

2021-01-31

Systemic reaction (other): Second day of menstrual cycle

2021-02-01

Systemic reaction (other): Still on menstrual cycle

2021-02-02

Systemic reaction (other): Menstrual cycle

Release 3 — day 7, dose 1

2021-02-03

Systemic reaction (other): Still on menstrual cycle

Release 4 — days 1–6 daily, dose 2

2021-02-26

Systemic reaction (other): Menstrual cycle started today- loss of body heat, back pain not related to Covid-19

2021-02-27

Systemic reaction (other): Second day of menstrual cycle- symptoms not related to covid: lower back pain, headache, some fatigue

2021-02-28

Systemic reaction (other): Third day of menstrual cycle- symptoms are not related to covid.

2021-03-01

Systemic reaction (other): Fourth day of menstrual cycle

2021-03-02

Systemic reaction (other): Fifth day of menstrual cycle- headache checked above is due to atmospheric pressure from the high winds

Release 5 — day 7, dose 2

2021-03-03

Systemic reaction (other): Sixth day of menstrual cycle

Release 8 — 3 months, dose 2

2021-05-26

Symptoms: Season allergies (pollen): sore throat, headaches, runny nose, hard to swallow and breathe.

Release 10 — day 0, dose 3

2022-01-06

Systemic reaction (other): Slight runny nose

Release 12 — 6 months, dose 3

2022-07-07

Symptoms: Dry skin, irritable and itchy after touching a bush. In addition, certain fertilizer bags cause scratches. A high mosquito rate hasn't helped. Heat fluctuating along with humidity has attributed to this condition.

Healthcare visit (other): Will be going for appointment tomorrow

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
HCVO	Unevaluable event	·	·	✓
SD	Dry skin	·	·	✓
SD	Dysphagia	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Emergency care	·	·	✓
SD	Emotional disorder	·	·	✓
SD	Headache	✓	✓	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Skin irritation	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Malaise	·	·	✓
SRO	Menstrual disorder	○	○	○
SRO	No adverse event	✓	✓	✓
SRO	Oligomenorrhoea	✓	✓	✓
SRO	Pain	·	·	✓
SRO	Polymenorrhoea	✓	✓	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Sensitivity to weather change	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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