6XN-27943-59746

6 vaccinations 17 coded responses 63 check-ins 14 free-text entries 0 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 024 / MA
Registered: 2021-04-08

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

2021-04-07
Dose 1 — Moderna
2021-04-08
Registered in v-safe
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-14
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness, Nausea

Adult check-in
2021-04-21
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-28
Survey response — day 21, dose 1
MedDRA: Abdominal pain upper, Diarrhoea, Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Diarrhea two different days, three days apart, came with stomach cramping and extreme fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Dose 2 — Moderna
2021-05-05
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-06
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia, Restlessness — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Insomnia and restlessness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-05-08
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
2021-05-09
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · Fatigue or tiredness

Adult check-in
2021-05-12
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-04
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-11-04
Survey response — 6 months, dose 2
MedDRA: Abdominal pain upper, Ageusia, Anosmia, Chills, Confusional state, Cough, Diarrhoea, Dry eye, Dry skin, Fatigue, Headache, Hyperhidrosis, Mental disorder, Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion, Toothache — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Bad sore throat, cough, congestion, headache, chills and feverish, sweats, aches, diarrhea and stomach cramping, extreme fatigue, confusion, mental effects, loss of taste, loss of smell, dry eyes and skin, toothaches.

MedDRA releases: 2024-11 · check-in free text available
2022-01-18
Dose 3 — Moderna
2022-05-26
Dose 4 — Moderna
2022-05-26
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain, Swelling · Joint pains, Fatigue or tiredness

Adult check-in
2022-05-27
Survey response — days 1–6 daily, dose 4
MedDRA: Appetite disorder, Brain fog, Decreased appetite, Dyspepsia — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school

Free text: Brain fog; heartburn; lack of/modified appetite

MedDRA releases: 2024-11 · check-in free text available
2022-05-28
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-30
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-06-01
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-06-02
Health check-in — day 7, dose 4
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-06-09
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-06-17
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-24
Survey response — day 28, dose 4
MedDRA: Constipation, Dyspepsia — Feeling: Fair

Free text: Intense heartburn and constipation.

MedDRA releases: 2024-11 · check-in free text available
2022-07-02
Survey response — day 35, dose 4
MedDRA: Fatigue, Lethargy — Feeling: Fair · Be unable to do your normal daily activities

Free text: Lethargy and fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-07-08
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-08-27
Survey response — 3 months, dose 4
MedDRA: Blepharospasm, Formication, Paraesthesia — Feeling: Fair

Free text: Nerve tingling like something crawling on my skin randomly; tons of eye twitching.

MedDRA releases: 2024-11 · check-in free text available
2022-09-21
Dose 5 — Moderna
2022-09-21
Survey response — day 0, dose 5
MedDRA: Abdominal discomfort, Flatulence — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Stomach upset/extremely smelly gas

MedDRA releases: 2024-11 · check-in free text available
2022-09-22
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-23
Survey response — days 1–6 daily, dose 5
MedDRA: Flatulence, Insomnia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Putrid flatulence; insomnia

MedDRA releases: 2024-11 · check-in free text available
2022-09-24
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-25
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-27
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-28
Survey response — day 7, dose 5
MedDRA: Dizziness — Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Dizziness

MedDRA releases: 2024-11 · check-in free text available
2022-10-05
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-10-12
Survey response — day 21, dose 5
MedDRA: Malaise, Pre-existing disease, Rhinalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Nasal pain and feeling under weather has increased but I've had that intermittently with Long Covid so it might just be a flare.

MedDRA releases: 2024-11 · check-in free text available
2022-10-19
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-10-26
Survey response — day 35, dose 5
MedDRA: Tinnitus — Feeling: Fair

Free text: Worse tinnitus.

MedDRA releases: 2024-11 · check-in free text available
2022-11-03
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2022-12-21
Survey response — 3 months, dose 5
MedDRA: Constipation, Migraine, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Migraines; painful constipation.

MedDRA releases: 2024-11 · check-in free text available
2023-03-22
Survey response — 6 months, dose 5
MedDRA: Hyperacusis, Nasopharyngitis, Pain, Sleep apnoea syndrome, Tinnitus — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-05-11
Dose 6 — Moderna
2023-05-11
Health check-in — day 0, dose 6
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2023-05-12
Health check-in — days 1–6 daily, dose 6
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2023-05-13
Health check-in — days 1–6 daily, dose 6
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

Adult check-in
2023-05-14
Health check-in — days 1–6 daily, dose 6
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2023-05-15
Health check-in — days 1–6 daily, dose 6
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2023-05-16
Health check-in — days 1–6 daily, dose 6
Feeling: Poor · Site: Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2023-05-17
Health check-in — days 1–6 daily, dose 6
Feeling: Poor · Site: Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2023-05-20
Health check-in — day 7, dose 6
Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2023-05-25
Health check-in — day 14, dose 6
Feeling: Fair

Adult check-in
2023-06-02
Health check-in — day 21, dose 6
Feeling: Fair

Adult check-in
2023-06-08
Health check-in — day 28, dose 6
Feeling: Fair

Adult check-in
2023-06-17
Survey response — day 35, dose 6
MedDRA: Pruritus, Rash — Feeling: Fair

MedDRA releases: 2024-11
2023-06-22
Survey response — day 42, dose 6
MedDRA: Fatigue, Heart rate increased, Pain of skin, Pruritus, Rash — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Moderna
2	2021-05-05	Moderna
3	2022-01-18	Moderna	No
4	2022-05-26	Moderna	No
5	2022-09-21	Moderna	No
6	2023-05-11	Moderna	No

Free text

Release 8 — day 21, dose 1

2021-04-28

Symptoms: Diarrhea two different days, three days apart, came with stomach cramping and extreme fatigue.

Release 8 — days 1–6 daily, dose 2

2021-05-06

Systemic reaction (other): Insomnia and restlessness

2021-05-09

Systemic reaction (other): Insomnia

Release 10 — 6 months, dose 2

2021-11-04

Symptoms: Bad sore throat, cough, congestion, headache, chills and feverish, sweats, aches, diarrhea and stomach cramping, extreme fatigue, confusion, mental effects, loss of taste, loss of smell, dry eyes and skin, toothaches.

Release 11 — days 1–6 daily, dose 4

2022-05-27

Systemic reaction (other): Brain fog; heartburn; lack of/modified appetite

Release 12 — day 28, dose 4

2022-06-24

Symptoms: Intense heartburn and constipation.

Release 12 — day 35, dose 4

2022-07-02

Symptoms: Lethargy and fatigue.

Release 12 — 3 months, dose 4

2022-08-27

Symptoms: Nerve tingling like something crawling on my skin randomly; tons of eye twitching.

Release 12 — day 0, dose 5

2022-09-21

Systemic reaction (other): Stomach upset/extremely smelly gas

Release 12 — days 1–6 daily, dose 5

2022-09-23

Systemic reaction (other): Putrid flatulence; insomnia

Release 12 — day 7, dose 5

2022-09-28

Systemic reaction (other): Dizziness

Release 12 — day 21, dose 5

2022-10-12

Symptoms: Nasal pain and feeling under weather has increased but I've had that intermittently with Long Covid so it might just be a flare.

Release 12 — day 35, dose 5

2022-10-26

Symptoms: Worse tinnitus.

Release 12 — 3 months, dose 5

2022-12-21

Symptoms: Migraines; painful constipation.

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	Abdominal pain upper	✓	✓	✓
SD	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	Blepharospasm	·	·	✓
SD	Chills	·	·	✓
SD	Confusional state	·	·	✓
SD	Constipation	·	·	✓
SD	Cough	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dry eye	·	·	✓
SD	Dry skin	·	·	✓
SD	Dyspepsia	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Formication	·	·	✓
SD	Headache	·	·	✓
SD	Heart rate increased	·	·	✓
SD	Hyperacusis	·	·	✓
SD	Hyperhidrosis	·	·	✓
SD	Lethargy	·	·	✓
SD	Malaise	·	·	✓
SD	Mental disorder	·	·	✓
SD	Migraine	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pain of skin	·	·	✓
SD	Paraesthesia	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pruritus	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rash	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinalgia	·	·	✓
SD	Sleep apnoea syndrome	·	·	✓
SD	Tinnitus	·	·	✓
SD	Toothache	·	·	✓
SRO	Abdominal discomfort	·	·	✓
SRO	Appetite disorder	·	·	✓
SRO	Brain fog	·	·	✓
SRO	Decreased appetite	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Dyspepsia	·	·	✓
SRO	Flatulence	·	·	✓
SRO	Insomnia	✓	✓	✓
SRO	Restlessness	✓	✓	✓

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