K8V-18916-17038

3 vaccinations 11 coded responses 35 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 486 / MI
Registered: 2021-03-12

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

2021-03-12
Registered in v-safe
2021-03-12
Dose 1 — Moderna
2021-03-12
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-13
Dose 2 — Moderna
2021-04-13
Survey response — day 0, dose 2
MedDRA: Breast feeding, Breast haemorrhage — Feeling: Good · Site: Pain

Free text: Breastfeeding

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Lymphadenopathy, Supraclavicular fossa pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Dizziness. Painful, swollen supracalvicular lymph node.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph node on collar bone and jaw

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Swollen lymph node on collar bone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-13
Survey response — 3 months, dose 2
MedDRA: Cough, Dizziness, Headache, Lymphadenopathy, Nausea, Oropharyngeal pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Nausea, headache, cough, sore throat, dizziness. Still have swollen lymph node on collar bone following vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-04
Dose 3 — Moderna
2021-11-04
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-11-07
Survey response — days 1–6 daily, dose 3
MedDRA: Anxiety, Dizziness — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Dizziness, anxiety

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Survey response — day 7, dose 3
MedDRA: Oropharyngeal pain — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-25
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-15
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-18
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-03
Survey response — 3 months, dose 3
MedDRA: Malaise — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: All symptoms related to COVID

MedDRA releases: 2024-11 · check-in free text available
2022-02-03
Report sent to call center — 3 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-07
Call 1 — Could Not Reach Participant
2022-02-10
Call 2 — Could Not Reach Participant
2022-11-04
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-12	Moderna
2	2021-04-13	Moderna
3	2021-11-04	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — day 0, dose 2

2021-04-13

Systemic reaction (other): Breastfeeding

Release 7 — days 1–6 daily, dose 2

2021-04-14

Systemic reaction (other): Dizziness

2021-04-15

Systemic reaction (other): Dizziness. Painful, swollen supracalvicular lymph node.

2021-04-17

Systemic reaction (other): Swollen lymph node on collar bone and jaw

2021-04-19

Systemic reaction (other): Swollen lymph node on collar bone

Release 9 — 3 months, dose 2

2021-07-13

Symptoms: Nausea, headache, cough, sore throat, dizziness. Still have swollen lymph node on collar bone following vaccine.

Release 10 — days 1–6 daily, dose 3

2021-11-07

Systemic reaction (other): Dizziness, anxiety

2021-11-08

Systemic reaction (other): Dizziness

2021-11-09

Systemic reaction (other): Dizziness

Release 10 — day 7, dose 3

2021-11-11

Systemic reaction (other): Sore throat

Release 11 — 3 months, dose 3

2022-02-03

Symptoms: All symptoms related to COVID

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	Cough	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Malaise	·	·	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SRO	Anxiety	·	·	✓
SRO	Breast feeding	✓	·	✓
SRO	Breast haemorrhage	○	✓	○
SRO	Dizziness	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Supraclavicular fossa pain	✓	✓	✓

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