F3P-26846-35842

4 vaccinations 3 coded responses 44 check-ins 3 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 493 / MI
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

2021-03-17
Dose 1 — Moderna
2021-03-26
Registered in v-safe
2021-03-26
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-03-31
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-14
Dose 2 — Moderna
2021-04-14
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness

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

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

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Itching · Diarrhea

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-04-21
Health check-in — day 7, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-04-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-13
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-01
Dose 3 — Moderna
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · Headache

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

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Itching · None

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · None

Adult check-in
2021-11-08
Health check-in — day 7, dose 3
Feeling: Good · Headache

Adult check-in
2021-11-15
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
2021-11-29
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-06
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-13
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-31
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-05-02
Survey response — 6 months, dose 3
MedDRA: Bacterial infection, Ovarian cyst — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Ovarian cyst and a bacterial infection

MedDRA releases: 2024-11 · check-in free text available
2022-05-02
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-03
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-11
Dose 4 — Moderna
2022-10-11
Survey response — day 0, dose 4
MedDRA: Heart rate increased — Feeling: Fair · Site: Pain

Free text: Faster heart rate

MedDRA releases: 2024-11 · check-in free text available
2022-10-12
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2022-10-14
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-15
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-18
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-11-01
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-08
Survey response — day 28, dose 4
MedDRA: Gastrointestinal disorder — Feeling: Fair

Free text: Stomach issues..

MedDRA releases: 2024-11 · check-in free text available
2022-11-15
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-22
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-12
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2023-04-11
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Moderna
2	2021-04-14	Moderna
3	2021-11-01	Moderna	No
4	2022-10-11	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 11 — 6 months, dose 3

2022-05-02

Symptoms: Ovarian cyst and a bacterial infection

Release 12 — day 0, dose 4

2022-10-11

Systemic reaction (other): Faster heart rate

Release 12 — day 28, dose 4

2022-11-08

Symptoms: Stomach issues..

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	Bacterial infection	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Ovarian cyst	·	·	✓
SRO	Heart rate increased	·	·	✓

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