9JG-31973-00345

4 vaccinations 6 coded responses 36 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 442 / OH
Registered: 2020-12-31

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

Registered dependents

UNT-47652-17637 Child or adolescent in my care · Male · 2021-10-25

DV7-28150-30062 Child or adolescent in my care · Male · 2023-01-24

K3R-29177-39715 Child or adolescent in my care · Female · 2023-01-24

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
Survey response — day 0, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: No symptoms. Just received my vaccine 2.5 hours ago.

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

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Swelling · Fatigue or tiredness

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

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-07
Survey response — day 7, dose 1
MedDRA: Suppressed lactation — Feeling: Fair · Site: Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My milk supply has decreased since my vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-14
Survey response — day 14, dose 1
MedDRA: Fatigue, Injection site erythema, Injection site pruritus, Injection site swelling, Lymphadenopathy — Feeling: Fair · Be unable to do your normal daily activities

Free text: Injection site became red, itchy, and swollen 6 days after injection. Swollen lymph node. Fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-23
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-29
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-01
Dose 2 — Moderna
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-08
Health check-in — day 7, dose 2
Feeling: Fair · Site: Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-22
Survey response — day 21, dose 2
MedDRA: Arthralgia, Fatigue, Influenza like illness, Nasopharyngitis, Neck pain, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cold/ flu like symptoms. Runny nose, sore throat, sore neck/shoulders, fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-30
Dose 3 — Pfizer-BioNTech
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

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

Adult check-in
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Pregnancy — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I'm pregnant and did not sleep well last night. I don't think it is a side effect today.

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-06
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-13
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-22
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-04
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-12
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-29
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-02
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-04
Dose 4 — Moderna
2022-11-05
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in
2023-02-07
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-31	Moderna
2	2021-02-01	Moderna
3	2021-10-30	Pfizer-BioNTech	No
4	2022-11-04	Moderna	No

Call center

2 call center cases

2 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — day 0, dose 1

2020-12-31

Systemic reaction (other): No symptoms. Just received my vaccine 2.5 hours ago.

Release 1 — day 7, dose 1

2021-01-07

Systemic reaction (other): My milk supply has decreased since my vaccine.

Release 2 — day 14, dose 1

2021-01-14

Symptoms: Injection site became red, itchy, and swollen 6 days after injection. Swollen lymph node. Fatigue.

Release 3 — days 1–6 daily, dose 2

2021-02-05

Systemic reaction (other): Brain fog

Release 4 — day 21, dose 2

2021-02-22

Symptoms: Cold/ flu like symptoms. Runny nose, sore throat, sore neck/shoulders, fatigue.

Release 10 — days 1–6 daily, dose 3

2021-11-02

Systemic reaction (other): I'm pregnant and did not sleep well last night. I don't think it is a side effect today.

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	Fatigue	✓	✓	✓
SD	Influenza like illness	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pregnancy	·	·	✓
SRO	Suppressed lactation	✓	✓	✓
SRO	Unevaluable event	○	○	○

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