SXA-17111-22990

4 vaccinations 8 coded responses 41 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 910 / CA
Registered: 2020-12-24

Relationship: Self
Race: Asian
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

2020-12-24
Registered in v-safe
2020-12-24
Dose 1 — Moderna
2020-12-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2020-12-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-31
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-14
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-21
Dose 2 — Moderna
2021-01-21
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-01-25
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Rash — Feeling: Good

Free text: Axillary lymph nodes or bumps more on the unilateral side of injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills, Muscle or body aches

Adult check-in
2021-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary mass — Feeling: Good · Headache, Muscle or body aches

Free text: Axillary lumps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-02-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-18
Survey response — day 28, dose 2
MedDRA: Injection site pain — Feeling: Good

Free text: The site on my arm where the injections were done is hurting again for past 2-3 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-07-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-27
Dose 3 — Moderna
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Nausea

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-10
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-17
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-24
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-01
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-08
Survey response — day 42, dose 3
MedDRA: Cough, Headache, Rhinorrhoea — Feeling: Poor

Free text: Runny nose, headache, cough

MedDRA releases: 2024-11 · check-in free text available
2022-01-26
Survey response — 3 months, dose 3
MedDRA: Menstruation irregular — Feeling: Good

Free text: Menstrual changes.

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-23
Dose 4 — Pfizer-BioNTech
2022-10-27
Survey response — 12 months, dose 3
MedDRA: Arthralgia, Menstrual disorder — Feeling: Good

Free text: Knee pain, abnormal period

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Survey response — day 35, dose 4
MedDRA: Arthralgia — Feeling: Good

Free text: Knee pain

MedDRA releases: 2024-11 · check-in free text available
2022-11-04
Survey response — day 42, dose 4
MedDRA: Menstrual disorder — Feeling: Good

Free text: Abnormal periods

MedDRA releases: 2024-11 · check-in free text available
2022-12-23
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-24
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-24	Moderna
2	2021-01-21	Moderna
3	2021-10-27	Moderna	No
4	2022-09-23	Pfizer-BioNTech	No

Free text

Release 2 — days 1–6 daily, dose 2

2021-01-25

Systemic reaction (other): Axillary lymph nodes or bumps more on the unilateral side of injection

2021-01-27

Systemic reaction (other): Axillary lumps

Release 4 — day 28, dose 2

2021-02-18

Symptoms: The site on my arm where the injections were done is hurting again for past 2-3 days.

Release 10 — day 42, dose 3

2021-12-08

Symptoms: Runny nose, headache, cough

Release 11 — 3 months, dose 3

2022-01-26

Symptoms: Menstrual changes.

Release 12 — 12 months, dose 3

2022-10-27

Symptoms: Knee pain, abnormal period

Release 12 — day 35, dose 4

2022-10-28

Symptoms: Knee pain

Release 12 — day 42, dose 4

2022-11-04

Symptoms: Abnormal periods

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	Arthralgia	·	·	✓
SD	Cough	·	·	✓
SD	Headache	·	·	✓
SD	Injection site pain	✓	✓	✓
SD	Menstrual disorder	·	·	✓
SD	Menstruation irregular	·	·	✓
SD	Rhinorrhoea	·	·	✓
SRO	Axillary mass	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Rash	✓	✓	✓

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