6J6-51916-14670

4 vaccinations 13 coded responses 50 check-ins 13 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 201 / VA
Registered: 2020-12-31

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

Registered dependents

CSF-17171-78602 Child or adolescent in my care · Female · 2021-11-07

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2020-12-31
Registered in v-safe
2020-12-31
Dose 1 — Moderna
2020-12-31
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good · Site: Pain

Free text: A little dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Pain — Feeling: Good · Muscle or body aches

Free text: Not sure vaccine related or just normal aches

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

Free text: Again, this is likely not vaccine related

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-07
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-14
Survey response — day 14, dose 1
MedDRA: Injection site cellulitis, Injection site erythema, Injection site mass, Injection site swelling — Feeling: Good

Free text: On abx for a cellulitis below the injection site. Not sure if any relation. One week post developed a lump, red, raised area.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-28
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-01-29
Dose 2 — Moderna
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Immediate post-injection reaction, Myalgia, Oropharyngeal pain, Pain, Pyrexia — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Fatigue or tiredness

Free text: But, am 2 days our. 30 min after injection, pain started, fatigue at 1 hour and 12 hours later. Fever, chills, sore throat, muscle aches, pain until 4 am this morning. Did not get that check!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Abdominal pain

Free text: Forgot to mention had dizziness with 1st 24 hours

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Abdominal pain

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · Joint pains, Fatigue or tiredness

Adult check-in
2021-02-06
Survey response — day 7, dose 2
MedDRA: Arthralgia, Back pain, Headache, Muscle tightness — Feeling: Fair · Site: Itching · Headache, Joint pains

Free text: Not sure if related - hip pain and back and muscle tightness - headache from base of skull.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — day 14, dose 2
MedDRA: Dizziness — Feeling: Good

Free text: I get an occasional bout of dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Dose 3 — Moderna
2021-10-29
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-03
Survey response — days 1–6 daily, dose 3
MedDRA: Nasopharyngitis — Feeling: Good · Fatigue or tiredness

Free text: Feel like catching a cold

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-10
Survey response — day 42, dose 3
MedDRA: Neck pain, Pain in extremity — Feeling: Fair

Free text: Just neck and arm pain- likely not vaccine related (other arm)

MedDRA releases: 2024-11 · check-in free text available
2022-01-30
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-30
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-16
Dose 4 — Pfizer-BioNTech
2022-05-19
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches

Free text: My lymph nodes on left side especially in underarm and neck are quite large

MedDRA releases: 2024-11 · check-in free text available
2022-05-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Joint pains

Adult check-in
2022-05-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Joint pains

Adult check-in
2022-05-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Joint pains

Adult check-in
2022-05-23
Health check-in — day 7, dose 4
Feeling: Good · Joint pains

Adult check-in
2022-05-30
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-06
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-13
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-20
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-27
Survey response — day 42, dose 4
MedDRA: COVID-19, Ear pruritus, Nasopharyngitis, Throat irritation — Feeling: Fair

Free text: Feel like a cold- scratchy throat and ears, testes + covid

MedDRA releases: 2024-11 · check-in free text available
2022-08-15
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-14
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2023-05-16
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-31	Moderna
2	2021-01-29	Moderna
3	2021-10-29	Moderna	No
4	2022-05-16	Pfizer-BioNTech	No

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-01

Systemic reaction (other): A little dizzy

2021-01-03

Systemic reaction (other): Not sure vaccine related or just normal aches

2021-01-04

Systemic reaction (other): Again, this is likely not vaccine related

Release 2 — day 14, dose 1

2021-01-14

Symptoms: On abx for a cellulitis below the injection site. Not sure if any relation. One week post developed a lump, red, raised area.

Release 3 — days 1–6 daily, dose 2

2021-01-31

Systemic reaction (other): But, am 2 days our. 30 min after injection, pain started, fatigue at 1 hour and 12 hours later. Fever, chills, sore throat, muscle aches, pain until 4 am this morning. Did not get that check!

2021-02-01

Systemic reaction (other): Forgot to mention had dizziness with 1st 24 hours

2021-02-02

Systemic reaction (other): Dizziness

Release 3 — day 7, dose 2

2021-02-06

Systemic reaction (other): Not sure if related - hip pain and back and muscle tightness - headache from base of skull.

Release 4 — day 14, dose 2

2021-02-12

Symptoms: I get an occasional bout of dizziness

Release 10 — days 1–6 daily, dose 3

2021-11-03

Systemic reaction (other): Feel like catching a cold

Release 10 — day 42, dose 3

2021-12-10

Symptoms: Just neck and arm pain- likely not vaccine related (other arm)

Release 11 — days 1–6 daily, dose 4

2022-05-19

Systemic reaction (other): My lymph nodes on left side especially in underarm and neck are quite large

Release 12 — day 42, dose 4

2022-06-27

Symptoms: Feel like a cold- scratchy throat and ears, testes + covid

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	Dizziness	✓	✓	✓
SD	Ear pruritus	·	·	✓
SD	Injection site cellulitis	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site mass	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Neck pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Throat irritation	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Muscle tightness	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Nasopharyngitis	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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