6M6-16839-75108

3 vaccinations 13 coded responses 39 check-ins 13 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 762 / TX
Registered: 2021-01-22

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

2021-01-22
Registered in v-safe
2021-01-22
Dose 1 — Moderna
2021-01-22
Survey response — day 0, dose 1
MedDRA: Dysgeusia — Feeling: Good · Site: Itching

Free text: Metallic taste

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising — Feeling: Good

Free text: Just bruising at the injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-01-29
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Survey response — day 14, dose 1
MedDRA: Arthralgia, Condition aggravated, Fatigue, Myalgia — Feeling: Fair

Free text: Sjogrens/lupus flare- fatigue, joint & muscle pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-24
Dose 2 — Moderna
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Feeling abnormal, Oropharyngeal pain — Feeling: Poor · Site: Pain, Redness, Swelling · 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: Sore throat, brain fog, lower left back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Nausea

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-03-03
Survey response — day 7, dose 2
MedDRA: Injection site warmth — Feeling: Good · Site: Itching

Free text: Heat at injection site

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
2021-03-24
Survey response — day 28, dose 2
MedDRA: Arthralgia, Fatigue, Systemic lupus erythematosus — Feeling: Fair · Be unable to do your normal daily activities

Free text: Lupus flare- painful joints, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-20
Dose 3 — Moderna
2021-08-20
Survey response — day 0, dose 3
MedDRA: Dysgeusia, Oropharyngeal pain, Paraesthesia oral — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Metallic taste, tingling feeling in lips & tongue, sore throat

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-21
Survey response — days 1–6 daily, dose 3
MedDRA: Dysgeusia, Oropharyngeal pain, Parosmia — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Sore throat, heightened sense of smell, metallic taste

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-22
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-08-23
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site

Free text: Strong pain under left armpit

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-24
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Itching · Joint pains

Free text: Swollen/tender lymph node under left arm

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-25
Survey response — days 1–6 daily, dose 3
MedDRA: Tenderness — Feeling: Good · Site: Itching · Headache, Joint pains

Free text: Slight tenderness under left armpit

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · None

Adult check-in
2021-08-27
Survey response — day 7, dose 3
MedDRA: Cough, Oropharyngeal pain, Throat irritation — Feeling: Fair · Site: Itching · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Sore, raw throat, cough

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-03
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-09-10
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-09-17
Survey response — day 28, dose 3
MedDRA: Cough, Oropharyngeal pain, Rash — Feeling: Good

Free text: Rash on my faceDry coughSore throat

MedDRA releases: 2024-11 · check-in free text available
2021-09-24
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-01
Health check-in — day 42, dose 3
Feeling: Good

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

Adult check-in
2022-02-18
Health check-in — 6 months, dose 3
Feeling: Poor

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna
2	2021-02-24	Moderna
3	2021-08-20	Moderna	No

Free text

Release 2 — day 0, dose 1

2021-01-22

Systemic reaction (other): Metallic taste

Release 2 — days 1–6 daily, dose 1

2021-01-26

Systemic reaction (other): Just bruising at the injection site

Release 3 — day 14, dose 1

2021-02-05

Symptoms: Sjogrens/lupus flare- fatigue, joint & muscle pain

Release 4 — days 1–6 daily, dose 2

2021-02-25

Systemic reaction (other): Sore throat, brain fog, lower left back pain

Release 5 — day 7, dose 2

2021-03-03

Systemic reaction (other): Heat at injection site

Release 6 — day 28, dose 2

2021-03-24

Symptoms: Lupus flare- painful joints, fatigue

Release 9 — day 0, dose 3

2021-08-20

Systemic reaction (other): Metallic taste, tingling feeling in lips & tongue, sore throat

Release 9 — days 1–6 daily, dose 3

2021-08-21

Systemic reaction (other): Sore throat, heightened sense of smell, metallic taste

2021-08-23

Systemic reaction (other): Strong pain under left armpit

2021-08-24

Systemic reaction (other): Swollen/tender lymph node under left arm

2021-08-25

Systemic reaction (other): Slight tenderness under left armpit

Release 9 — day 7, dose 3

2021-08-27

Systemic reaction (other): Sore, raw throat, cough

Release 9 — day 28, dose 3

2021-09-17

Symptoms: Rash on my faceDry coughSore 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	Arthralgia	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Cough	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Rash	·	·	✓
SD	Systemic lupus erythematosus	✓	✓	✓
SRO	Axillary pain	✓	·	✓
SRO	Back pain	✓	✓	✓
SRO	Cough	✓	·	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Lymph node pain	✓	·	✓
SRO	Lymphadenopathy	✓	·	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Paraesthesia oral	✓	·	✓
SRO	Parosmia	✓	·	✓
SRO	Tenderness	✓	·	✓
SRO	Throat irritation	✓	·	✓

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