6VP-61598-78489

4 vaccinations 27 coded responses 54 check-ins 27 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 910 / CA
Registered: 2021-04-01

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

Registered dependents

EYX-32704-95530 Child or adolescent in my care · Female · 2021-11-27

35F-26130-24357 Child or adolescent in my care · Female · 2021-12-13

62M-20195-12037 Child or adolescent in my care · Female · 2022-01-09

5QZ-37295-92377 Child or adolescent in my care · Female · 2022-01-09

XTL-17738-54666 Child or adolescent in my care · Male · 2022-06-24

Timeline

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

2021-04-01
Registered in v-safe
2021-04-01
Dose 1 — Moderna
2021-04-01
Survey response — day 0, dose 1
MedDRA: Dizziness, Photopsia — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness, seeing stars, woozy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia, Lymphadenopathy, Paraesthesia — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Numbness and tingling in my arm, swollen hard lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia, Pruritus — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Fatigue or tiredness

Free text: Insomnia, itchiness all over body

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Swollen lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-08
Survey response — day 7, dose 1
MedDRA: Musculoskeletal stiffness — Feeling: Fair · Site: Swelling · Muscle or body aches, Fatigue or tiredness

Free text: Muscle stiffness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — day 14, dose 1
MedDRA: Injection site induration, Injection site nodule, Lymph node pain, Lymphadenopathy — Feeling: Fair · Be unable to do your normal daily activities

Free text: Lymph nodes got more swollen and painfulGot a hard painful knot at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-29
Dose 2 — Moderna
2021-04-29
Survey response — day 0, dose 2
MedDRA: Disorientation, Dizziness, Lymphadenopathy, Neuralgia, Paraesthesia — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Swollen lymph nodes, tingling and nerve pain, wooziness and disorientation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Bone pain, Dizziness, Ear pain, Hypoaesthesia oral, Lymph node pain, Lymphadenopathy, Respiratory tract congestion, Swollen tongue — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Wooziness, swollen painful lymph nodes, congestion, ear ache, bone pain, swollen and numb tongue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Abnormal dreams, Aphasia, Disorientation, Ear pain, Lymphadenopathy, Oropharyngeal pain, Sinus congestion — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Swollen lymph nodes, disorientation, inability to recall a word, sinus congestion, ear pain, vivid dreams, throat pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Hypoaesthesia, Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Swollen sore lymph nodes, dizziness, numbness in hand and lower arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Swollen lymph nodes, woozy/dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Insomnia, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Swollen lymph nodes, dizziness, insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Swollen lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — day 7, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Swollen lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — day 14, dose 2
MedDRA: Blood lactic acid decreased, Hot flush, Lactation insufficiency, Lymphadenopathy — Feeling: Fair

Free text: Worsening swelling of lymph nodes, hot flashes, decrease in breastmilk production

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-29
Survey response — 3 months, dose 2
MedDRA: Amenorrhoea — Feeling: Good

Free text: Amenorrhea

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-29
Dose 3 — Moderna
2021-11-29
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain, Swelling, Itching · Headache

Adult check-in
2021-11-30
Survey response — days 1–6 daily, dose 3
MedDRA: Lactation insufficiency — Feeling: Poor · Site: Pain, Swelling, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Decrease in breastmilk production

MedDRA releases: 2024-11 · check-in free text available
2021-12-01
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Dizziness and wooziness

MedDRA releases: 2024-11 · check-in free text available
2021-12-01
Report sent to call center — days 1–6 daily, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-02
Survey response — days 1–6 daily, dose 3
MedDRA: Palpitations, Tachycardia — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Tachycardia, heart palpitations

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness, Tremor — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness, shaky legs, lightheaded

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Call 1 — Could Not Reach Participant
2021-12-04
Survey response — days 1–6 daily, dose 3
MedDRA: Palpitations, Tachycardia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Tachycardia, palpitations

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Survey response — days 1–6 daily, dose 3
MedDRA: Hypoaesthesia, Neuralgia, Peripheral swelling, Tachycardia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Tachycardia, swelling of arm and hand, nerve pain, numbness of arm and hand

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Survey response — day 7, dose 3
MedDRA: Tachycardia — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Tachycardia

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Call 2 — Could Not Reach Participant
2021-12-13
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-20
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-10
Health check-in — day 42, dose 3
Feeling: Good

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

Adult check-in
2022-05-30
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-10-03
Dose 4 — Moderna
2022-10-03
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2022-10-04
Survey response — days 1–6 daily, dose 4
MedDRA: Dizziness, Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Dizziness, swollen lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2022-10-05
Survey response — days 1–6 daily, dose 4
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Severely swollen painful lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2022-10-06
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-07
Survey response — days 1–6 daily, dose 4
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen painful lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2022-10-08
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-10-09
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-10-10
Health check-in — day 7, dose 4
Feeling: Fair · Site: Pain · Headache, Joint pains

Adult check-in
2022-10-17
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-24
Survey response — day 21, dose 4
MedDRA: Arthralgia, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe fatigue and sore joimts

MedDRA releases: 2024-11 · check-in free text available
2022-10-31
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-11-07
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-14
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2023-01-02
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2023-04-03
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Moderna
2	2021-04-29	Moderna
3	2021-11-29	Moderna	No
4	2022-10-03	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-04-01

Systemic reaction (other): Dizziness, seeing stars, woozy

Release 6 — days 1–6 daily, dose 1

2021-04-02

Systemic reaction (other): Numbness and tingling in my arm, swollen hard lymph nodes

2021-04-03

Systemic reaction (other): Insomnia, itchiness all over body

2021-04-04

Systemic reaction (other): Swollen lymph nodes

Release 7 — day 7, dose 1

2021-04-08

Systemic reaction (other): Muscle stiffness

Release 7 — day 14, dose 1

2021-04-15

Symptoms: Lymph nodes got more swollen and painfulGot a hard painful knot at injection site

Release 8 — day 0, dose 2

2021-04-29

Systemic reaction (other): Swollen lymph nodes, tingling and nerve pain, wooziness and disorientation

Release 8 — days 1–6 daily, dose 2

2021-04-30

Systemic reaction (other): Wooziness, swollen painful lymph nodes, congestion, ear ache, bone pain, swollen and numb tongue

2021-05-01

Systemic reaction (other): Swollen lymph nodes, disorientation, inability to recall a word, sinus congestion, ear pain, vivid dreams, throat pain

2021-05-02

Systemic reaction (other): Swollen sore lymph nodes, dizziness, numbness in hand and lower arm

2021-05-03

Systemic reaction (other): Swollen lymph nodes, woozy/dizzy

2021-05-04

Systemic reaction (other): Swollen lymph nodes, dizziness, insomnia

2021-05-05

Systemic reaction (other): Swollen lymph nodes

Release 8 — day 7, dose 2

2021-05-06

Systemic reaction (other): Swollen lymph nodes

Release 8 — day 14, dose 2

2021-05-13

Symptoms: Worsening swelling of lymph nodes, hot flashes, decrease in breastmilk production

Release 9 — 3 months, dose 2

2021-07-29

Symptoms: Amenorrhea

Release 10 — days 1–6 daily, dose 3

2021-11-30

Systemic reaction (other): Decrease in breastmilk production

2021-12-01

Systemic reaction (other): Dizziness and wooziness

2021-12-02

Systemic reaction (other): Tachycardia, heart palpitations

2021-12-03

Systemic reaction (other): Dizziness, shaky legs, lightheaded

2021-12-04

Systemic reaction (other): Tachycardia, palpitations

2021-12-05

Systemic reaction (other): Tachycardia, swelling of arm and hand, nerve pain, numbness of arm and hand

Release 10 — day 7, dose 3

2021-12-06

Systemic reaction (other): Tachycardia

Release 12 — days 1–6 daily, dose 4

2022-10-04

Systemic reaction (other): Dizziness, swollen lymph nodes

2022-10-05

Systemic reaction (other): Severely swollen painful lymph nodes

2022-10-07

Systemic reaction (other): Swollen painful lymph nodes

Release 12 — day 21, dose 4

2022-10-24

Symptoms: Severe fatigue and sore joimts

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	Amenorrhoea	✓	·	✓
SD	Arthralgia	·	·	✓
SD	Blood lactic acid decreased	○	✓	○
SD	Fatigue	·	·	✓
SD	Hot flush	✓	✓	✓
SD	Injection site induration	✓	✓	✓
SD	Injection site nodule	✓	✓	✓
SD	Lactation insufficiency	✓	·	✓
SD	Lymph node pain	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SRO	Abnormal dreams	✓	✓	✓
SRO	Aphasia	✓	✓	✓
SRO	Bone pain	✓	✓	✓
SRO	Disorientation	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Hypoaesthesia oral	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Lactation insufficiency	·	·	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Neuralgia	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Palpitations	·	·	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Peripheral swelling	·	·	✓
SRO	Photopsia	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Sinus congestion	✓	✓	✓
SRO	Swollen tongue	✓	✓	✓
SRO	Tachycardia	·	·	✓
SRO	Tremor	·	·	✓

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