A7C-22848-81799

3 vaccinations 10 coded responses 35 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 601 / IL
Registered: 2021-04-25

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

2021-04-23
Dose 1 — Moderna
2021-04-25
Registered in v-safe
2021-04-25
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Fair · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Pain in feet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Pain in feet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good · Site: Itching · Fatigue or tiredness

Free text: Mild foot pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Mild pain in feet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Pain in extremity — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Chest pain, mild foot pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — day 7, dose 1
MedDRA: Pain in extremity — Feeling: Good · Muscle or body aches

Free text: Mild feet pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-16
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-21
Dose 2 — Moderna
2021-05-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-05-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-24
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-28
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-08-20
Survey response — 3 months, dose 2
MedDRA: Abortion spontaneous — Feeling: Good

Free text: Chemical Pregnancy

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-26
Dose 3 — Moderna
2021-12-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-12-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Diarrhea

Adult check-in
2021-12-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Chills, Muscle or body aches

Adult check-in
2021-12-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-01
Survey response — days 1–6 daily, dose 3
MedDRA: Rhinorrhoea — Feeling: Good · Headache

Free text: Runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-01-04
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-09
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-16
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-23
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-01
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-07
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-27
Survey response — 3 months, dose 3
MedDRA: Gastroenteritis viral — Feeling: Good · Be unable to work or attend school

Free text: Stomach flu

MedDRA releases: 2024-11 · check-in free text available
2022-06-28
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-26
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-23	Moderna
2	2021-05-21	Moderna
3	2021-12-26	Moderna	No

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-25

Systemic reaction (other): Pain in feet

2021-04-26

Systemic reaction (other): Pain in feet

Release 8 — days 1–6 daily, dose 1

2021-04-27

Systemic reaction (other): Mild foot pain

2021-04-28

Systemic reaction (other): Mild pain in feet

2021-04-29

Systemic reaction (other): Chest pain, mild foot pain

Release 8 — day 7, dose 1

2021-04-30

Systemic reaction (other): Mild feet pain

Release 8 — days 1–6 daily, dose 2

2021-05-24

Systemic reaction (other): Sore throat

Release 9 — 3 months, dose 2

2021-08-20

Symptoms: Chemical Pregnancy

Release 10 — days 1–6 daily, dose 3

2022-01-01

Systemic reaction (other): Runny nose

Release 11 — 3 months, dose 3

2022-03-27

Symptoms: Stomach flu

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	Abortion spontaneous	✓	·	✓
SD	Gastroenteritis viral	·	·	✓
SRO	Chest pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Rhinorrhoea	·	·	✓

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