TEE-44952-99768

3 vaccinations 7 coded responses 39 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 21-25
ZIP prefix: 597 / MT
Registered: 2021-04-15

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

2021-04-15
Registered in v-safe
2021-04-15
Dose 1 — Moderna
2021-04-15
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-16
Survey response — days 1–6 daily, dose 1
MedDRA: Urticaria — Feeling: Good · Site: Pain, Redness · Muscle or body aches

Free text: I got two welts on my lower arm that have decreased in size as the day has progressed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 1
MedDRA: Erythema, Urticaria — Feeling: Good · Site: Pain, Redness, Swelling

Free text: The same small welts as yesterday, today they are smaller and more red

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-22
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-16
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-05-27
Dose 2 — Moderna
2021-05-27
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-05-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-05-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-06-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-06-03
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-10
Survey response — day 14, dose 2
MedDRA: Headache — Feeling: Good

Free text: Ive had some headaches but that is likely due to not drinking enough water now that its getting hot out

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-28
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-11-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-03
Dose 3 — Moderna
2021-12-03
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-12-04
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Tenderness around lymph node in neck

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-12-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-12-07
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities

Free text: I think the nausea and vomiting were likely due to food and not vaccine

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-12-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-12-11
Health check-in — day 7, dose 3
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-12-17
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-24
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-31
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-09
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-03-04
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-03
Survey response — 6 months, dose 3
MedDRA: COVID-19, Menstrual disorder — Feeling: Good · 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: I got a SARS-CoV-2 infection, I had worsening periods, but recovered from the SARS-CoV2.

MedDRA releases: 2024-11 · check-in free text available
2022-06-03
Report sent to call center — 6 months, dose 3
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)
2022-06-06
Call 1 — Left Voicemail
2022-12-05
Survey response — 12 months, dose 3
MedDRA: Atrial septal defect, Emergency care, Hospitalisation, Migraine, Neurological symptom, Transient ischaemic attack — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: I either had a complex migraine or a transient ischemic attack (there seems to be debate on this. I experienced stroke like symptoms) that landed me in the emergency room for three days. They found atrial septal defect in my heart while I was there.

MedDRA releases: 2024-11 · check-in free text available
2022-12-05
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-12-06
Call 2 — Left Voicemail
2022-12-06
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-15	Moderna
2	2021-05-27	Moderna
3	2021-12-03	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-16

Systemic reaction (other): I got two welts on my lower arm that have decreased in size as the day has progressed

2021-04-17

Systemic reaction (other): The same small welts as yesterday, today they are smaller and more red

Release 9 — day 14, dose 2

2021-06-10

Symptoms: Ive had some headaches but that is likely due to not drinking enough water now that its getting hot out

Release 10 — days 1–6 daily, dose 3

2021-12-04

Systemic reaction (other): Tenderness around lymph node in neck

2021-12-07

Systemic reaction (other): I think the nausea and vomiting were likely due to food and not vaccine

Release 11 — 6 months, dose 3

2022-06-03

Symptoms: I got a SARS-CoV-2 infection, I had worsening periods, but recovered from the SARS-CoV2.

Release 12 — 12 months, dose 3

2022-12-05

Symptoms: I either had a complex migraine or a transient ischemic attack (there seems to be debate on this. I experienced stroke like symptoms) that landed me in the emergency room for three days. They found atrial septal defect in my heart while I was there. cut off by CDC

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	Atrial septal defect	·	·	✓
SD	COVID-19	·	·	✓
SD	Emergency care	·	·	✓
SD	Headache	✓	✓	✓
SD	Hospitalisation	·	·	✓
SD	Menstrual disorder	·	·	✓
SD	Migraine	·	·	✓
SD	Neurological symptom	·	·	✓
SD	Transient ischaemic attack	·	·	✓
SRO	Erythema	✓	✓	✓
SRO	Lymph node pain	·	·	✓
SRO	Unevaluable event	·	·	✓
SRO	Urticaria	✓	✓	✓

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