DRP-37094-18831

5 vaccinations 9 coded responses 45 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 299 / SC
Registered: 2021-03-26

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

Timeline

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

2021-03-26
Registered in v-safe
2021-03-26
Dose 1 — Moderna
2021-03-26
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Fever · Fatigue or tiredness

Adult check-in
2021-03-29
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Difficulty sleeping

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Trouble sleeping

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

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

Adult check-in
2021-04-02
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-04-09
Survey response — day 14, dose 1
MedDRA: Injection site pruritus, Injection site rash, Self-medication — Feeling: Good

Free text: Itchy, raised rash at injection site. It was worst April 2-4, but is still not completely resolved as of April 9. I have tried Benedryl and hydrocortisone cream.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — day 21, dose 1
MedDRA: Dyspnoea, Injection site pruritus — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Shortness of breath.Occasional arm itchiness at injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Report sent to call center — day 21, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-23
Dose 2 — Moderna
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Shortness of breath that started after 1st injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Abnormal dreams — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Strange dreams

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-30
Survey response — day 7, dose 2
MedDRA: Heavy menstrual bleeding — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Unusually heavy menstrual flow for the past four days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-14
Survey response — day 21, dose 2
MedDRA: Dyspnoea — Feeling: Fair

Free text: Continued shortness of breath that started after the first dose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-04
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-24
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-12
Dose 3 — Moderna
2021-12-21
Call 1 — Left Voicemail
2022-04-23
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-09
Dose 4 — Moderna
2022-05-10
Health check-in — days 1–6 daily, dose 4
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

Adult check-in
2022-05-11
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-12
Survey response — days 1–6 daily, dose 4
MedDRA: Flushing — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Very flushed cheeks

MedDRA releases: 2024-11 · check-in free text available
2022-05-13
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-14
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches

Adult check-in
2022-05-15
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-16
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-23
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-01
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-06
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-13
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-20
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-08
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-26
Dose 5 — Moderna
2022-10-13
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-19
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-26
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-31
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-07
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-26
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-27
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-26	Moderna
2	2021-04-23	Moderna
3	2021-11-12	Moderna	No
4	2022-05-09	Moderna	No
5	2022-09-26	Moderna	No

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-29

Systemic reaction (other): Difficulty sleeping

2021-03-30

Systemic reaction (other): Trouble sleeping

Release 7 — day 14, dose 1

2021-04-09

Symptoms: Itchy, raised rash at injection site. It was worst April 2-4, but is still not completely resolved as of April 9. I have tried Benedryl and hydrocortisone cream.

Release 7 — day 21, dose 1

2021-04-16

Symptoms: Shortness of breath.Occasional arm itchiness at injection site.

Release 7 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Shortness of breath that started after 1st injection

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): Strange dreams

Release 8 — day 7, dose 2

2021-04-30

Systemic reaction (other): Unusually heavy menstrual flow for the past four days

Release 8 — day 21, dose 2

2021-05-14

Symptoms: Continued shortness of breath that started after the first dose.

Release 11 — days 1–6 daily, dose 4

2022-05-12

Systemic reaction (other): Very flushed cheeks

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	Dyspnoea	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Self-medication	✓	✓	✓
SRO	Abnormal dreams	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Flushing	·	·	✓
SRO	Heavy menstrual bleeding	✓	✓	✓
SRO	Insomnia	✓	✓	✓

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