V8Y-20011-54823

3 vaccinations 13 coded responses 40 check-ins 13 free-text entries 0 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 430 / OH
Registered: 2021-01-16

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

2021-01-16
Registered in v-safe
2021-01-16
Dose 1 — Moderna
2021-01-16
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain — Feeling: Fair · Site: Pain, Redness · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Free text: Underarm pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain — Feeling: Good

Free text: Underarm pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-13
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-20
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-02-23
Dose 2 — Moderna
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Hordeolum — Feeling: Fair · Fatigue or tiredness

Free text: Styes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Hordeolum — Feeling: Good

Free text: Stye

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — day 7, dose 2
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-03-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-30
Survey response — day 35, dose 2
MedDRA: Sinus disorder — Feeling: Good

Free text: Sinus issues, unrelated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-25
Survey response — 3 months, dose 2
MedDRA: Breast pain — Feeling: Good

Free text: Breast pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-24
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-27
Dose 3 — Moderna
2021-10-27
Health check-in — day 0, dose 3
Feeling: Good · Headache

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache

Free text: Swollen glands in underarm

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain — Feeling: Good

Free text: Underarm pain is decreasing

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain — Feeling: Good · Muscle or body aches

Free text: Underarm pain

MedDRA releases: 2024-11 · check-in free text available
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
2021-11-03
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-10
Survey response — day 14, dose 3
MedDRA: Sinus disorder — Feeling: Poor

Free text: Undiagnosed sinus issues

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

Adult check-in
2021-12-08
Survey response — day 42, dose 3
MedDRA: Fatigue, Oropharyngeal pain, Paranasal sinus hypersecretion — Feeling: Fair

Free text: Sore throat, sinus drainage, fatigue

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

Adult check-in
2022-04-27
Survey response — 6 months, dose 3
MedDRA: Pre-existing disease — Feeling: Fair

Free text: Allergies

MedDRA releases: 2024-11 · check-in free text available
2022-10-27
Survey response — 12 months, dose 3
MedDRA: Pregnancy — Feeling: Good

Free text: Pregnancy

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-16	Moderna
2	2021-02-23	Moderna
3	2021-10-27	Moderna	No

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-17

Systemic reaction (other): Underarm pain

2021-01-19

Systemic reaction (other): Underarm pain

Release 4 — days 1–6 daily, dose 2

2021-02-27

Systemic reaction (other): Styes

2021-02-28

Systemic reaction (other): Stye

Release 6 — day 35, dose 2

2021-03-30

Symptoms: Sinus issues, unrelated

Release 8 — 3 months, dose 2

2021-05-25

Symptoms: Breast pain

Release 10 — days 1–6 daily, dose 3

2021-10-29

Systemic reaction (other): Swollen glands in underarm

2021-10-30

Systemic reaction (other): Underarm pain is decreasing

2021-10-31

Systemic reaction (other): Underarm pain

Release 10 — day 14, dose 3

2021-11-10

Symptoms: Undiagnosed sinus issues

Release 10 — day 42, dose 3

2021-12-08

Symptoms: Sore throat, sinus drainage, fatigue

Release 11 — 6 months, dose 3

2022-04-27

Symptoms: Allergies

Release 12 — 12 months, dose 3

2022-10-27

Symptoms: Pregnancy

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	Breast pain	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Paranasal sinus hypersecretion	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pregnancy	·	·	✓
SD	Sinus disorder	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Hordeolum	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓

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