B7B-22241-49666

3 vaccinations 6 coded responses 38 check-ins 6 free-text entries 0 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 430 / OH
Registered: 2021-01-12

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

2021-01-12
Registered in v-safe
2021-01-12
Dose 1 — Moderna
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · None

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-20
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-01-26
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling — Feeling: Good

Free text: At the injection site, the pain is pretty much gone, but the redness expanded to a baseball size, and a bit itchy through out the day. The swelling is almost gone as well.

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

Adult check-in
2021-02-09
Dose 2 — Moderna
2021-02-09
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Pyrexia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches

Free text: After I did my Heath Check from 2/10/2021, I ended up with a fever at 101.7 in the evening.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache

Adult check-in
2021-02-16
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache

Adult check-in
2021-02-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-10
Survey response — 6 months, dose 2
MedDRA: Laryngitis, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Had laryngitis from a cold. Was negative for Covid.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-12-27
Dose 3 — Moderna
2021-12-28
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-12-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches

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

Adult check-in
2021-12-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache

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

Adult check-in
2022-01-02
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2022-01-03
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Nausea, Abdominal pain

Adult check-in
2022-01-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-17
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-24
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-01-31
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-07
Survey response — day 42, dose 3
MedDRA: Chills, Cough, Headache, Nasal congestion, Pyrexia, Rhinorrhoea, Sinusitis, Unevaluable event — Feeling: Fair · Be unable to work or attend school

Free text: Chills, headache, runny nose, nasal congestion, cough, slight fever, or rated throat. Was due to a bad sinus infection

MedDRA releases: 2024-11 · check-in free text available
2022-03-28
Survey response — 3 months, dose 3
MedDRA: Ovarian cyst ruptured — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I had a cyst rupture on my ovary, which had never happened before.

MedDRA releases: 2024-11 · check-in free text available
2022-06-29
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-27
Survey response — 12 months, dose 3
MedDRA: Biochemical pregnancy, COVID-19, Inappropriate sinus tachycardia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Was dog nosed with inappropriate sinus tachycardia. Had a chemical pregnancy possible due to conceiving when I had covid.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-12	Moderna
2	2021-02-09	Moderna
3	2021-12-27	Moderna	No

Free text

Release 2 — day 14, dose 1

2021-01-26

Symptoms: At the injection site, the pain is pretty much gone, but the redness expanded to a baseball size, and a bit itchy through out the day. The swelling is almost gone as well.

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): After I did my Heath Check from 2/10/2021, I ended up with a fever at 101.7 in the evening.

Release 9 — 6 months, dose 2

2021-08-10

Symptoms: Had laryngitis from a cold. Was negative for Covid.

Release 11 — day 42, dose 3

2022-02-07

Symptoms: Chills, headache, runny nose, nasal congestion, cough, slight fever, or rated throat. Was due to a bad sinus infection

Release 11 — 3 months, dose 3

2022-03-28

Symptoms: I had a cyst rupture on my ovary, which had never happened before.

Release 12 — 12 months, dose 3

2022-12-27

Symptoms: Was dog nosed with inappropriate sinus tachycardia. Had a chemical pregnancy possible due to conceiving when I had covid.

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	Biochemical pregnancy	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Headache	·	·	✓
SD	Inappropriate sinus tachycardia	·	·	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pain	·	·	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site swelling	✓	✓	○
SD	Laryngitis	✓	·	✓
SD	Nasal congestion	·	·	✓
SD	Nasopharyngitis	✓	·	✓
SD	Ovarian cyst ruptured	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	✓	·	✓
SD	Sinusitis	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Pyrexia	✓	✓	✓

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