C4Q-61635-05336

4 vaccinations 4 coded responses 53 check-ins 4 free-text entries 0 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 112 / NY
Registered: 2021-03-16

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

Registered dependents

S2N-45315-41662 Child or adolescent in my care · Male · 2022-06-26

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-16
Registered in v-safe
2021-03-16
Dose 1 — Moderna
2021-03-16
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · Nausea

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Dysmenorrhoea, Menstruation irregular — Feeling: Good · Site: Pain

Free text: Irregular vaginal bleeding and cramps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-13
Dose 2 — Moderna
2021-04-13
Survey response — day 0, dose 2
MedDRA: Feeling abnormal, Menstruation irregular — Feeling: Fair · Site: Pain

Free text: Feeling out of it, irregular vaginal bleeding

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-27
Survey response — day 14, dose 2
MedDRA: Breast tenderness — Feeling: Good

Free text: Breast tenderness (which is sometimes a PMS symptom for me, but it went away with no period and I am not pregnant)

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

Adult check-in
2021-05-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-12
Survey response — 6 months, dose 2
MedDRA: Fatigue, Nasal congestion, Nasopharyngitis, Rhinorrhoea — Feeling: Fair

Free text: A couple of colds (fatigue, runny/stuffy nose)

MedDRA releases: 2024-11 · check-in free text available
2021-12-23
Dose 3 — Moderna
2021-12-23
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · None · Be unable to do your normal daily activities

Adult check-in
2021-12-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-12-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

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

Adult check-in
2021-12-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-30
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-06
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-13
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-20
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-29
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-02-03
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-24
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-23
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-17
Dose 4 — Moderna
Co-administered: Flu
2022-11-17
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2022-11-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-11-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-11-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-24
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-12-01
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-12-08
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-12-15
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-12-22
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-29
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-02-16
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-05-18
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Moderna
2	2021-04-13	Moderna
3	2021-12-23	Moderna	No
4	2022-11-17	Moderna	Flu

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-18

Systemic reaction (other): Irregular vaginal bleeding and cramps

Release 7 — day 0, dose 2

2021-04-13

Systemic reaction (other): Feeling out of it, irregular vaginal bleeding

Release 8 — day 14, dose 2

2021-04-27

Symptoms: Breast tenderness (which is sometimes a PMS symptom for me, but it went away with no period and I am not pregnant)

Release 10 — 6 months, dose 2

2021-10-12

Symptoms: A couple of colds (fatigue, runny/stuffy nose)

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	Breast tenderness	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Rhinorrhoea	·	·	✓
SRO	Dysmenorrhoea	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Menstruation irregular	✓	✓	✓

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