NYA-99790-06310

4 vaccinations 7 coded responses 50 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 802 / CO
Registered: 2021-01-13

Relationship: Self
Race: White
Ethnicity: N/A

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-13
Registered in v-safe
2021-01-13
Dose 1 — Moderna
2021-01-13
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Survey response — day 14, dose 1
MedDRA: Dizziness — Feeling: Good

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-10
Dose 2 — Moderna
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache

Adult check-in
2021-02-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-24
Survey response — day 14, dose 2
MedDRA: Dizziness, Vertigo — Feeling: Fair

Free text: Dizziness and vertigo this morning. Also happened two weeks after the first vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-24
Survey response — day 42, dose 2
MedDRA: Injection site pain, Pain in extremity — Feeling: Good

Free text: Renewed arm pain at injection site, lasted 3 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-26
Dose 3 — Moderna
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Nausea

Adult check-in
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Nausea

Free text: Dizziness

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling, Itching · Nausea

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-11-02
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-09
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-16
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-23
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-30
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-07
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-25
Survey response — 3 months, dose 3
MedDRA: Pregnancy test positive — Feeling: Good

Free text: Positive pregnancy test 1/19/22

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-07-18
Dose 4 — Moderna
2022-07-18
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2022-07-19
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-07-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling, Itching · Fatigue or tiredness

Adult check-in
2022-07-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2022-07-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness · None

Adult check-in
2022-07-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2022-07-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-07-25
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-08-01
Health check-in — day 14, dose 4
Feeling: Good

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

Adult check-in
2022-08-15
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-08-22
Survey response — day 35, dose 4
MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have a mild cold

MedDRA releases: 2024-11 · check-in free text available
2022-08-29
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-10-17
Survey response — 3 months, dose 4
MedDRA: Sinusitis — Feeling: Fair

Free text: Sinus infection

MedDRA releases: 2024-11 · check-in free text available
2023-01-16
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Moderna
2	2021-02-10	Moderna
3	2021-10-26	Moderna	No
4	2022-07-18	Moderna	No

Free text

Release 2 — day 14, dose 1

2021-01-27

Symptoms: Dizziness

Release 4 — day 14, dose 2

2021-02-24

Symptoms: Dizziness and vertigo this morning. Also happened two weeks after the first vaccine.

Release 6 — day 42, dose 2

2021-03-24

Symptoms: Renewed arm pain at injection site, lasted 3 days.

Release 10 — days 1–6 daily, dose 3

2021-10-29

Systemic reaction (other): Dizziness

Release 11 — 3 months, dose 3

2022-01-25

Symptoms: Positive pregnancy test 1/19/22

Release 12 — day 35, dose 4

2022-08-22

Symptoms: I have a mild cold

Release 12 — 3 months, dose 4

2022-10-17

Symptoms: Sinus infection

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	Dizziness	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pregnancy test positive	·	·	✓
SD	Sinusitis	·	·	✓
SD	Vertigo	✓	✓	✓
SRO	Dizziness	·	·	✓

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