L4W-26021-64976

2 vaccinations 14 coded responses 24 check-ins 14 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 805 / CO
Registered: 2021-09-03

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

2021-09-03
Registered in v-safe
2021-09-03
Dose 1 — Moderna
2021-09-03
Survey response — day 0, dose 1
MedDRA: Hypoaesthesia — Feeling: Good · Site: Pain

Free text: Numbness in my face

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-04
Survey response — days 1–6 daily, dose 1
MedDRA: Erythema — Feeling: Good · Site: Pain, Swelling · Chills, Headache

Free text: Red face

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-06
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy, Neck pain — Feeling: Good · Headache

Free text: Sore neck, swollen glands

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-09-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-09-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Headache, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-09-10
Survey response — day 7, dose 1
MedDRA: Fungal infection, Oral herpes — Feeling: Fair · Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Yeast infection, fever blisters

MedDRA releases: 2024-11 · check-in free text available
2021-09-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-09-24
Survey response — day 21, dose 1
MedDRA: Hypersensitivity, Pharyngeal swelling, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Hyper sensitivity to allergies. Throat swelling often from scents.

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Dose 2 — Moderna
2021-10-01
Survey response — day 0, dose 2
MedDRA: Asthenia, Neck pain, Pharyngeal swelling — Feeling: Fair · Site: Pain, Swelling · Chills, Headache · Be unable to do your normal daily activities

Free text: Neck pain, week, mild throat swelling

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Neck pain — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site

Free text: Weakness, neck pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Neck pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Weak, neck pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Survey response — days 1–6 daily, dose 2
MedDRA: Breast pain, Vulvovaginal discomfort — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Breast pain possibly from yeast infection, some vaginal irritation

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Survey response — days 1–6 daily, dose 2
MedDRA: Breast pain — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Pain right breast

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills, Nausea, Abdominal pain

Adult check-in
2021-10-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-10-10
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-10-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-10-29
Survey response — day 28, dose 2
MedDRA: Abdominal pain upper, Cough, Diarrhoea, Fatigue, Headache, Lacrimation increased, Respiratory tract congestion, Rhinorrhoea, Taste disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Congestion, runny nose, runny eyes, slight cough, fatigue, altered sense of taste, stomachache, diarrhea, headaches,

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Survey response — day 35, dose 2
MedDRA: Brain fog, Exophthalmos, Fatigue, Pruritus, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue, foggy brain, right shin itching, eyes bulging, congestion

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2022-01-01
Survey response — 3 months, dose 2
MedDRA: Nasopharyngitis, Pregnancy — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Winter cold, Head cold, pregnancy symptoms: nauseous, hungry, tired.

MedDRA releases: 2024-11 · check-in free text available
2022-04-03
Survey response — 6 months, dose 2
MedDRA: Dyspepsia, Hypertension, Peripheral swelling, Pregnancy, Respiratory tract congestion, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activities

Free text: Runny nose, congestion, heartburn, high blood pressure, swelling feet and other pregnancy symptoms

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-09-03	Moderna	No
2	2021-10-01	Moderna	No

Free text

Release 9 — day 0, dose 1

2021-09-03

Systemic reaction (other): Numbness in my face

Release 9 — days 1–6 daily, dose 1

2021-09-04

Systemic reaction (other): Red face

2021-09-06

Systemic reaction (other): Sore neck, swollen glands

Release 9 — day 7, dose 1

2021-09-10

Systemic reaction (other): Yeast infection, fever blisters

Release 9 — day 21, dose 1

2021-09-24

Symptoms: Hyper sensitivity to allergies. Throat swelling often from scents.

Release 9 — day 0, dose 2

2021-10-01

Systemic reaction (other): Neck pain, week, mild throat swelling

Release 9 — days 1–6 daily, dose 2

2021-10-02

Systemic reaction (other): Weakness, neck pain

2021-10-03

Systemic reaction (other): Weak, neck pain

Release 10 — days 1–6 daily, dose 2

2021-10-04

Systemic reaction (other): Breast pain possibly from yeast infection, some vaginal irritation

2021-10-05

Systemic reaction (other): Pain right breast

Release 10 — day 28, dose 2

2021-10-29

Symptoms: Congestion, runny nose, runny eyes, slight cough, fatigue, altered sense of taste, stomachache, diarrhea, headaches,

Release 10 — day 35, dose 2

2021-11-05

Symptoms: Fatigue, foggy brain, right shin itching, eyes bulging, congestion

Release 10 — 3 months, dose 2

2022-01-01

Symptoms: Winter cold, Head cold, pregnancy symptoms: nauseous, hungry, tired.

Release 11 — 6 months, dose 2

2022-04-03

Symptoms: Runny nose, congestion, heartburn, high blood pressure, swelling feet and other pregnancy symptoms

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	Abdominal pain upper	·	·	✓
SD	Brain fog	·	·	✓
SD	Cough	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dyspepsia	·	·	✓
SD	Exophthalmos	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Hypersensitivity	·	·	✓
SD	Hypertension	·	·	✓
SD	Lacrimation increased	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Peripheral swelling	·	·	✓
SD	Pharyngeal swelling	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pregnancy	·	·	✓
SD	Pruritus	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Taste disorder	·	·	✓
SRO	Asthenia	·	·	✓
SRO	Breast pain	·	·	✓
SRO	Erythema	✓	·	✓
SRO	Fungal infection	·	·	✓
SRO	Hypoaesthesia	✓	·	✓
SRO	Lymphadenopathy	✓	·	✓
SRO	Neck pain	✓	·	✓
SRO	Oral herpes	·	·	✓
SRO	Pharyngeal swelling	·	·	✓
SRO	Vulvovaginal discomfort	·	·	✓

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