JL6-12878-07077

3 vaccinations 6 coded responses 39 check-ins 6 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 630 / MO
Registered: 2021-02-20

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

2021-02-20
Registered in v-safe
2021-02-20
Dose 1 — Moderna
2021-02-20
Health check-in — day 0, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-21
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Dizziness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Abdominal pain

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Joint pains, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · None

Adult check-in
2021-02-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-06
Survey response — day 14, dose 1
MedDRA: Arthralgia, Back pain, Inflammation — Feeling: Fair

Free text: Inflammation all over. Joint pain & back pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-20
Dose 2 — Moderna
2021-03-20
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Headache, Nausea

Adult check-in
2021-03-21
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, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Nausea, Abdominal pain

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness, Nausea

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Itching · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-27
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness, Itching · Headache, Joint pains, Abdominal pain

Adult check-in
2021-04-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-10
Survey response — day 21, dose 2
MedDRA: Headache — Feeling: Fair

Free text: Headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-24
Survey response — day 35, dose 2
MedDRA: Chest discomfort — Feeling: Fair

Free text: Chest tightness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-19
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-18
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-15
Dose 3 — Moderna
2021-11-15
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-16
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2021-11-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-11-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-11-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches

Adult check-in
2021-11-22
Health check-in — day 7, dose 3
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-11-29
Survey response — day 14, dose 3
MedDRA: Headache, Hot flush, Respiratory tract congestion — Feeling: Fair

Free text: Chest congestion. Hot flashes. Headaches.

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-13
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-20
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-27
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-14
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-16
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-16
Survey response — 12 months, dose 3
MedDRA: Nasopharyngitis, Pregnancy, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cold like symptoms. Runny nose. Currently pregnant also.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-20	Moderna
2	2021-03-20	Moderna
3	2021-11-15	Moderna	No

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-21

Systemic reaction (other): Dizziness.

Release 5 — day 14, dose 1

2021-03-06

Symptoms: Inflammation all over. Joint pain & back pain.

Release 7 — day 21, dose 2

2021-04-10

Symptoms: Headaches

Release 7 — day 35, dose 2

2021-04-24

Symptoms: Chest tightness.

Release 10 — day 14, dose 3

2021-11-29

Symptoms: Chest congestion. Hot flashes. Headaches.

Release 12 — 12 months, dose 3

2022-11-16

Symptoms: Cold like symptoms. Runny nose. Currently pregnant also.

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	Back pain	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hot flush	·	·	✓
SD	Inflammation	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Pregnancy	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SRO	Dizziness	✓	✓	✓

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