LT2-54260-80580

3 vaccinations 12 coded responses 41 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 21-25
ZIP prefix: 669 / KS
Registered: 2021-05-18

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

2021-05-18
Registered in v-safe
2021-05-18
Dose 1 — Moderna
2021-05-18
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Chills, Joint pains, Muscle or body aches

Adult check-in
2021-05-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-05-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-22
Survey response — days 1–6 daily, dose 1
MedDRA: Breast feeding — Feeling: Good

Free text: I am a breastfeeding mother

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen lymph node under arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Good · Headache

Free text: Swollen lymph node under arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-06-01
Survey response — day 14, dose 1
MedDRA: Abdominal distension, Nausea, Pain — Feeling: Good

Free text: Nausea, body aches, bloating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-06-13
Dose 2 — Moderna
2021-06-13
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-06-14
Survey response — days 1–6 daily, dose 2
MedDRA: Breast feeding — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Breastfeeding mother

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-06-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains

Adult check-in
2021-06-17
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain — Feeling: Good

Free text: Mild pain in chest during exertion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Diarrhea

Adult check-in
2021-06-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-20
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-07-04
Survey response — day 21, dose 2
MedDRA: Condition aggravated, Headache, Pre-existing disease — Feeling: Good

Free text: Worsened headaches, worsened heart murmur

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-11
Survey response — day 28, dose 2
MedDRA: Cardiac murmur, Headache — Feeling: Fair

Free text: Worsened headaches, worsened heart murmur

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-14
Dose 3 — Moderna
2021-12-14
Health check-in — day 0, dose 3
Feeling: Good · Headache

Adult check-in
2021-12-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-16
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain

Free text: Swollen lymph node under arm

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-12-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-12-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-12-21
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-12-28
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-04
Survey response — day 21, dose 3
MedDRA: Diarrhoea, Nausea — Feeling: Good

Free text: Diarrhea & nausea for 2 days (better now)

MedDRA releases: 2024-11 · check-in free text available
2022-01-11
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-18
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-25
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-15
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-14
Survey response — 6 months, dose 3
MedDRA: Brain fog, COVID-19, Confusional state, Fatigue, Headache, Oropharyngeal pain, Pain, Pulmonary congestion, Pyrexia, Sinus congestion, Sneezing — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Due to covid: Low-grade fever, sore throat, sinus congestion, sneezing, fatigue, headache, body aches, mucus in lungs, ongoing brain fog/confusion

MedDRA releases: 2024-11 · check-in free text available
2022-12-14
Survey response — 12 months, dose 3
MedDRA: Pregnancy — Feeling: Good

Free text: 6 months pregnant

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-18	Moderna
2	2021-06-13	Moderna
3	2021-12-14	Moderna	No

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-22

Systemic reaction (other): I am a breastfeeding mother

2021-05-23

Systemic reaction (other): Swollen lymph node under arm

2021-05-24

Systemic reaction (other): Swollen lymph node under arm

Release 8 — day 14, dose 1

2021-06-01

Symptoms: Nausea, body aches, bloating

Release 9 — days 1–6 daily, dose 2

2021-06-14

Systemic reaction (other): Breastfeeding mother

2021-06-17

Systemic reaction (other): Mild pain in chest during exertion

Release 9 — day 21, dose 2

2021-07-04

Symptoms: Worsened headaches, worsened heart murmur

Release 9 — day 28, dose 2

2021-07-11

Symptoms: Worsened headaches, worsened heart murmur

Release 10 — days 1–6 daily, dose 3

2021-12-16

Systemic reaction (other): Swollen lymph node under arm

Release 10 — day 21, dose 3

2022-01-04

Symptoms: Diarrhea & nausea for 2 days (better now)

Release 12 — 6 months, dose 3

2022-06-14

Symptoms: Due to covid: Low-grade fever, sore throat, sinus congestion, sneezing, fatigue, headache, body aches, mucus in lungs, ongoing brain fog/confusion

Release 12 — 12 months, dose 3

2022-12-14

Symptoms: 6 months 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	Abdominal distension	✓	✓	✓
SD	Brain fog	·	·	✓
SD	Cardiac murmur	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Confusional state	·	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pregnancy	·	·	✓
SD	Pulmonary congestion	·	·	✓
SD	Pyrexia	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Sneezing	·	·	✓
SRO	Breast feeding	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓

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