JV9-79990-33076

4 vaccinations 8 coded responses 54 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 020 / MA
Registered: 2021-04-19

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

2021-04-19
Registered in v-safe
2021-04-19
Dose 1 — Moderna
2021-04-19
Survey response — day 0, dose 1
MedDRA: Oropharyngeal pain — Feeling: Good · Site: Pain, Swelling

Free text: Sore Throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-26
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness, Diarrhea

Adult check-in
2021-05-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-17
Dose 2 — Moderna
2021-05-17
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-19
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis — Feeling: Good · Site: Pain · Fever

Free text: Excessive sweating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Good · Site: Pain

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-05-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-24
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-31
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-14
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-15
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-22
Dose 3 — Moderna
2021-11-23
Survey response — days 1–6 daily, dose 3
MedDRA: Back pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Back pain

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-11-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · None

Adult check-in
2021-11-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-29
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-06
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-13
Survey response — day 21, dose 3
MedDRA: Adverse reaction — Feeling: Good

Free text: Worsening allergy symptoms.

MedDRA releases: 2024-11 · check-in free text available
2021-12-20
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-27
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-03
Health check-in — day 42, dose 3
Feeling: Good

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

Adult check-in
2022-05-23
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-10-18
Dose 4 — Pfizer-BioNTech
2022-10-18
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain · Headache

Adult check-in
2022-10-19
Survey response — days 1–6 daily, dose 4
MedDRA: Lymph node pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Lymph node pain near injection

MedDRA releases: 2024-11 · check-in free text available
2022-10-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · Nausea

Adult check-in
2022-10-21
Survey response — days 1–6 daily, dose 4
MedDRA: Lymph node pain — Feeling: Good · Site: Pain · Headache, Nausea

Free text: Lymph node pain near injection

MedDRA releases: 2024-11 · check-in free text available
2022-10-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Nausea

Adult check-in
2022-10-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2022-10-24
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2022-10-25
Health check-in — day 7, dose 4
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2022-11-01
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-11-08
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-15
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-22
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-29
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2023-01-17
Survey response — 3 months, dose 4
MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-04-18
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-19	Moderna
2	2021-05-17	Moderna
3	2021-11-22	Moderna	No
4	2022-10-18	Pfizer-BioNTech	No

Free text

Release 7 — day 0, dose 1

2021-04-19

Systemic reaction (other): Sore Throat

Release 8 — days 1–6 daily, dose 2

2021-05-19

Systemic reaction (other): Excessive sweating

2021-05-20

Systemic reaction (other): Sore throat

Release 10 — days 1–6 daily, dose 3

2021-11-23

Systemic reaction (other): Back pain

Release 10 — day 21, dose 3

2021-12-13

Symptoms: Worsening allergy symptoms.

Release 12 — days 1–6 daily, dose 4

2022-10-19

Systemic reaction (other): Lymph node pain near injection

2022-10-21

Systemic reaction (other): Lymph node pain near injection

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	Adverse reaction	·	·	✓
SD	Fatigue	·	·	✓
SRO	Back pain	·	·	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Lymph node pain	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓

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