VAP-13111-14802

3 vaccinations 9 coded responses 27 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 770 / TX
Registered: 2021-01-23

Relationship: Self
Race: N/A
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

2021-01-23
Registered in v-safe
2021-01-23
Dose 1 — Moderna
2021-01-23
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Good · Site: Pain

Free text: Yesterday I had a headache and took Tylenol but I actually had it the day before also and probably related to my period.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-31
Survey response — day 7, dose 1
MedDRA: Anxiety — Feeling: Good

Free text: Anxiety because they put me on a waitlist for my second vaccine rather than appointment like they said and now I might not be able to get it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-20
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-27
Dose 2 — Moderna
2021-02-27
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Nausea · Be unable to do your normal daily activities

Free text: Honestly it was just this morning and might just be that I drank too much wine last night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Intermenstrual bleeding — Feeling: Good · Site: Pain

Free text: last two days had spotting that wasn't associate with my period. 2nd and 3rd day of vaccine. I've never had anything like that before

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-13
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
2021-03-27
Survey response — day 28, dose 2
MedDRA: Cough, Diarrhoea, Exposure to SARS-CoV-2, Headache, Nausea, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities

Free text: The last two days I had diahreah headache and nasea cough slight sore throat. This has cleared up. I was directly exposed to covid this week. However I took a test 3 days past exposure and I am negative. Will take another test 5 days past exposure.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-29
Survey response — 3 months, dose 2
MedDRA: Adenovirus infection — Feeling: Good

Free text: I had adenovirus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-26
Dose 3 — Moderna
2021-10-27
Survey response — days 1–6 daily, dose 3
MedDRA: Pregnancy — Feeling: Good · Site: Pain

Free text: None related to this. I am pregnant so I have bad nausea but that I have had for months

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-30
Survey response — day 35, dose 3
MedDRA: Cough, Diarrhoea, Oropharyngeal pain, Respiratory tract congestion, Viral infection, Vomiting — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I caught a virus from my kid's. Cough sore throat diahrhea vomitting congestion in. One and chest. It's terrible. I didn't get tested but both kids tested negative for covid

MedDRA releases: 2024-11 · check-in free text available
2022-01-25
Survey response — 3 months, dose 3
MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school

Free text: Had COVID 12/23

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-23	Moderna
2	2021-02-27	Moderna
3	2021-10-26	Moderna	No

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-24

Systemic reaction (other): Yesterday I had a headache and took Tylenol but I actually had it the day before also and probably related to my period.

Release 3 — day 7, dose 1

2021-01-31

Systemic reaction (other): Anxiety because they put me on a waitlist for my second vaccine rather than appointment like they said and now I might not be able to get it.

Release 4 — days 1–6 daily, dose 2

2021-02-28

Systemic reaction (other): Honestly it was just this morning and might just be that I drank too much wine last night

2021-03-01

Systemic reaction (other): last two days had spotting that wasn't associate with my period. 2nd and 3rd day of vaccine. I've never had anything like that before

Release 6 — day 28, dose 2

2021-03-27

Symptoms: The last two days I had diahreah headache and nasea cough slight sore throat. This has cleared up. I was directly exposed to covid this week. However I took a test 3 days past exposure and I am negative. Will take another test 5 days past exposure. cut off by CDC

Release 8 — 3 months, dose 2

2021-05-29

Symptoms: I had adenovirus

Release 10 — days 1–6 daily, dose 3

2021-10-27

Systemic reaction (other): None related to this. I am pregnant so I have bad nausea but that I have had for months

Release 10 — day 35, dose 3

2021-11-30

Symptoms: I caught a virus from my kid's. Cough sore throat diahrhea vomitting congestion in. One and chest. It's terrible. I didn't get tested but both kids tested negative for covid

Release 11 — 3 months, dose 3

2022-01-25

Symptoms: Had COVID 12/23

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	Adenovirus infection	✓	✓	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Exposure to SARS-CoV-2	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Viral infection	·	·	✓
SD	Vomiting	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Intermenstrual bleeding	✓	✓	✓
SRO	Pregnancy	·	·	✓

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