XGL-96323-26559

2 vaccinations 14 coded responses 27 check-ins 14 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 070 / NJ
Registered: 2021-05-12

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

2021-05-12
Registered in v-safe
2021-05-12
Dose 1 — Moderna
2021-05-12
Survey response — day 0, dose 1
MedDRA: Condition aggravated, Pre-existing disease, Seasonal allergy — Feeling: Good

Free text: On going mild pollen allergy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Fatigue — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Feeling weak and tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea — Feeling: Good

Free text: Running nose like yesterday, not sure if it is from vaccination or from pollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea — Feeling: Good

Free text: Running nose (probably pollen allergy) and a bit of soreness at the vaccinated site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea, Seasonal allergy — Feeling: Fair · Fever · Fatigue or tiredness

Free text: Runny nose, probably from pollen allergy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea, Seasonal allergy — Feeling: Good

Free text: Runny nose (probably from pollen allergy)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea — Feeling: Fair · Fever · Headache, Fatigue or tiredness

Free text: Runny nose (probably from pollen)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Survey response — day 7, dose 1
MedDRA: Rhinorrhoea — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Runny nose (pollen allergy)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — day 14, dose 1
MedDRA: Fatigue, Headache, Hypersensitivity, Pre-existing disease — Feeling: Fair

Free text: My pollen allergy seemed to have been aggravated after the vaccine and seems to have gotten worse compared to last year. Occasional headaches and fatigue (more fatigue than before).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-06-09
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-06-11
Dose 2 — Moderna
2021-06-11
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-06-12
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lower back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache

Adult check-in
2021-06-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-06-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-06-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · None

Adult check-in
2021-06-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · None

Adult check-in
2021-06-18
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · None

Adult check-in
2021-06-25
Survey response — day 14, dose 2
MedDRA: Rash — Feeling: Good

Free text: Seeing something like very mild rash, affecting sparsely on hands, legs and stomach and back.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-09
Survey response — day 28, dose 2
MedDRA: Rash — Feeling: Good

Free text: I have been noticing some rash around shoulders though I am not sure why its happening.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-16
Survey response — day 35, dose 2
MedDRA: Rash — Feeling: Good

Free text: Somehow, there is a bit of rash on my right arm for sometime now, starting a few after days of vaccination.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-10
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-06-11
Survey response — 12 months, dose 2
MedDRA: Pregnancy — Feeling: Fair

Free text: Expecting

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-12	Moderna
2	2021-06-11	Moderna

Free text

Release 8 — day 0, dose 1

2021-05-12

Systemic reaction (other): On going mild pollen allergy

Release 8 — days 1–6 daily, dose 1

2021-05-13

Systemic reaction (other): Feeling weak and tired

2021-05-14

Systemic reaction (other): Running nose like yesterday, not sure if it is from vaccination or from pollen

2021-05-15

Systemic reaction (other): Running nose (probably pollen allergy) and a bit of soreness at the vaccinated site

2021-05-16

Systemic reaction (other): Runny nose, probably from pollen allergy

2021-05-17

Systemic reaction (other): Runny nose (probably from pollen allergy)

2021-05-18

Systemic reaction (other): Runny nose (probably from pollen)

Release 8 — day 7, dose 1

2021-05-19

Systemic reaction (other): Runny nose (pollen allergy)

Release 8 — day 14, dose 1

2021-05-26

Symptoms: My pollen allergy seemed to have been aggravated after the vaccine and seems to have gotten worse compared to last year. Occasional headaches and fatigue (more fatigue than before).

Release 9 — days 1–6 daily, dose 2

2021-06-12

Systemic reaction (other): Lower back pain

Release 9 — day 14, dose 2

2021-06-25

Symptoms: Seeing something like very mild rash, affecting sparsely on hands, legs and stomach and back.

Release 9 — day 28, dose 2

2021-07-09

Symptoms: I have been noticing some rash around shoulders though I am not sure why its happening.

Release 9 — day 35, dose 2

2021-07-16

Symptoms: Somehow, there is a bit of rash on my right arm for sometime now, starting a few after days of vaccination.

Release 12 — 12 months, dose 2

2022-06-11

Symptoms: Expecting

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	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pregnancy	·	·	✓
SD	Rash	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Seasonal allergy	✓	✓	✓

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