H5B-20924-77831

3 vaccinations 6 coded responses 36 check-ins 6 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 891 / NV
Registered: 2021-03-11

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

2021-03-11
Registered in v-safe
2021-03-11
Dose 1 — Moderna
2021-03-11
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Spinal pain — Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness

Free text: Spine pain over the last few days. Maybe thats considered joints?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Parosmia, Taste disorder — Feeling: Good · Site: Pain, Swelling

Free text: Smell and taste are still off.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-18
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-08
Dose 2 — Moderna
2021-04-08
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-29
Survey response — day 21, dose 2
MedDRA: Rash, Rash pruritic — Feeling: Good

Free text: Small rash on my forearm. Not red. A little itchy. Hydrocortisone is helping. Not sure of the cause.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-20
Survey response — day 42, dose 2
MedDRA: Chest X-ray abnormal, Lung hyperinflation — Feeling: Good

Free text: Lung hyperinflation on chest x-ray.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-08
Survey response — 3 months, dose 2
MedDRA: Nasopharyngitis — Feeling: Good

Free text: Just a cold. Kids tested negative for Covid, so I dont think it was Covid.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-12
Dose 3 — Pfizer-BioNTech
2021-12-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-12-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-12-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-20
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-26
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-02
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-09
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-16
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-25
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-13
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-12
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-12
Survey response — 12 months, dose 3
MedDRA: Pregnancy — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pregnant

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Moderna
2	2021-04-08	Moderna
3	2021-12-12	Pfizer-BioNTech	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-14

Systemic reaction (other): Spine pain over the last few days. Maybe thats considered joints?

2021-03-16

Systemic reaction (other): Smell and taste are still off.

Release 8 — day 21, dose 2

2021-04-29

Symptoms: Small rash on my forearm. Not red. A little itchy. Hydrocortisone is helping. Not sure of the cause.

Release 8 — day 42, dose 2

2021-05-20

Symptoms: Lung hyperinflation on chest x-ray.

Release 9 — 3 months, dose 2

2021-07-08

Symptoms: Just a cold. Kids tested negative for Covid, so I dont think it was Covid.

Release 12 — 12 months, dose 3

2022-12-12

Symptoms: Pregnant

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	Chest X-ray abnormal	✓	✓	✓
SD	Lung hyperinflation	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Pregnancy	·	·	✓
SD	Rash	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SRO	Parosmia	✓	✓	✓
SRO	Spinal pain	✓	✓	✓
SRO	Taste disorder	✓	✓	✓

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