NC6-21105-63443

2 vaccinations 7 coded responses 24 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 26-30
ZIP prefix: 616 / IL
Registered: 2021-03-22

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

2021-03-22
Registered in v-safe
2021-03-22
Dose 1 — Moderna
2021-03-22
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-25
Survey response — days 1–6 daily, dose 1
MedDRA: Musculoskeletal stiffness, Pain — Feeling: Good · Site: Pain

Free text: Aches and stiffness but ONLY on the vaccinated arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-29
Survey response — day 7, dose 1
MedDRA: Haematochezia, Skin warm — Feeling: Poor · Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Blood in stool; lower belly hot to touch

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — day 14, dose 1
MedDRA: Abdominal pain upper, Diarrhoea — Feeling: Good · Be unable to do your normal daily activities

Free text: Bad diarrhea and severe stomach pain during the first week of April with no discernable cause

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

Adult check-in
2021-04-19
Dose 2 — Moderna
2021-04-19
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Anxiety, Mood altered, Mood swings — Feeling: Fair · Nausea, Diarrhea

Free text: Weird moodiness/sense of anxiety

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea

Free text: Menstrual cycle started this morning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-26
Health check-in — day 7, dose 2
Feeling: Good · None

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

Adult check-in
2021-05-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-31
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-21
Survey response — 3 months, dose 2
MedDRA: Cough, Fatigue, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: I had a wicked sore throat, cough, and fatigue for 5 days last week

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-19
Survey response — 12 months, dose 2
MedDRA: COVID-19, Cough, Headache, Loss of personal independence in daily activities, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test — 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 · Outpatient clinic or urgent care clinic visit

Free text: Contracted severe COVID-19 1/17/22, bedridden for 2 weeks, sick for 1.5 months total. 4/17/22 - contracted COVID-like symptoms including headache, sore throat, dry cough, and congestion. Waiting on COVID test results (PCR) to confirm.

MedDRA releases: 2024-11 · check-in free text available
2022-04-19
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-21
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-22	Moderna
2	2021-04-19	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-25

Systemic reaction (other): Aches and stiffness but ONLY on the vaccinated arm

Release 6 — day 7, dose 1

2021-03-29

Systemic reaction (other): Blood in stool; lower belly hot to touch

Release 7 — day 14, dose 1

2021-04-08

Symptoms: Bad diarrhea and severe stomach pain during the first week of April with no discernable cause

Release 7 — days 1–6 daily, dose 2

2021-04-21

Systemic reaction (other): Weird moodiness/sense of anxiety

2021-04-23

Systemic reaction (other): Menstrual cycle started this morning

Release 9 — 3 months, dose 2

2021-07-21

Symptoms: I had a wicked sore throat, cough, and fatigue for 5 days last week

Release 11 — 12 months, dose 2

2022-04-19

Symptoms: Contracted severe COVID-19 1/17/22, bedridden for 2 weeks, sick for 1.5 months total. 4/17/22 - contracted COVID-like symptoms including headache, sore throat, dry cough, and congestion. Waiting on COVID test results (PCR) to confirm.

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	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Loss of personal independence in daily activities	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test	·	·	✓
SRO	Anxiety	✓	✓	✓
SRO	Haematochezia	✓	✓	✓
SRO	Mood altered	✓	✓	○
SRO	Mood swings	·	·	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Skin warm	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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