HGF-14536-07028

2 vaccinations 12 coded responses 26 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 210 / MD
Registered: 2021-04-01

Relationship: Self
Race: White
Ethnicity: 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

2021-04-01
Registered in v-safe
2021-04-01
Dose 1 — Moderna
2021-04-01
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Dry throat, Secretion discharge — Feeling: Fair

Free text: Dry throat. Mucus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Sinus congestion — Feeling: Fair · Nausea

Free text: Sinuses- congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Swollen tongue — Feeling: Fair

Free text: Feelings of swollen tongue for the past 4 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-04-08
Survey response — day 7, dose 1
MedDRA: Oropharyngeal pain — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — day 14, dose 1
MedDRA: Arthralgia, Fatigue, Injection site rash, Nasal congestion, Neck pain — Feeling: Fair

Free text: Had shoulder neck pain, congestion, and a rash underneath the injection site. Went to sleep super early from excessive tiredness and fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 21, dose 1
MedDRA: Dry mouth, Rash — Feeling: Good

Free text: Dry mouth, rash on face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Dose 2 — Moderna
2021-04-29
Health check-in — day 0, dose 2
Feeling: Poor · Headache, Nausea

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling, Itching · Headache, Joint pains, Nausea

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site rash — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Rash and bumps at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-05-06
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain, Redness, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-05-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-20
Survey response — day 21, dose 2
MedDRA: Sinus congestion — Feeling: Good

Free text: Sinus congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — day 28, dose 2
MedDRA: Nausea — Feeling: Fair

Free text: Nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Survey response — day 35, dose 2
MedDRA: Nausea — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Survey response — day 42, dose 2
MedDRA: Nausea — Feeling: Good · Be unable to work

Free text: Nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-29
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-31
Survey response — 6 months, dose 2
MedDRA: Pregnancy — Feeling: Fair

Free text: Pregnant

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Moderna
2	2021-04-29	Moderna

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-04

Systemic reaction (other): Dry throat. Mucus

2021-04-05

Systemic reaction (other): Sinuses- congestion

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): Feelings of swollen tongue for the past 4 days

Release 7 — day 7, dose 1

2021-04-08

Systemic reaction (other): Sore throat

Release 7 — day 14, dose 1

2021-04-15

Symptoms: Had shoulder neck pain, congestion, and a rash underneath the injection site. Went to sleep super early from excessive tiredness and fatigue.

Release 7 — day 21, dose 1

2021-04-22

Symptoms: Dry mouth, rash on face

Release 8 — days 1–6 daily, dose 2

2021-05-03

Systemic reaction (other): Rash and bumps at injection site

Release 8 — day 21, dose 2

2021-05-20

Symptoms: Sinus congestion

Release 8 — day 28, dose 2

2021-05-27

Symptoms: Nausea

Release 8 — day 35, dose 2

2021-06-04

Symptoms: Nausea

Release 9 — day 42, dose 2

2021-06-10

Symptoms: Nausea

Release 10 — 6 months, dose 2

2021-10-31

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	Arthralgia	✓	✓	✓
SD	Dry mouth	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Pregnancy	·	·	✓
SD	Rash	✓	✓	✓
SD	Sinus congestion	✓	✓	✓
SRO	Dry throat	✓	✓	✓
SRO	Injection site rash	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Secretion discharge	✓	✓	✓
SRO	Sinus congestion	✓	✓	✓
SRO	Swollen tongue	✓	✓	✓

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