Y58-32733-70450

4 vaccinations 6 coded responses 49 check-ins 6 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 021 / MA
Registered: 2021-04-26

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

2021-04-24
Dose 1 — Moderna
2021-04-26
Registered in v-safe
2021-04-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-27
Survey response — days 1–6 daily, dose 1
MedDRA: Night sweats — Feeling: Fair · Fatigue or tiredness

Free text: Night sweats, though that could be pms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-01
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-08
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-15
Survey response — day 21, dose 1
MedDRA: Arthralgia, Malaise — Feeling: Good

Free text: Joint pain for 4 days, accompanied by general malaise. I do have an autoimmune condition that is consistent with these symptoms. No pain today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Dose 2 — Moderna
2021-05-22
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-05-23
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia, Sleep disorder — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I had difficulty sleeping at night, waking up every hour or so

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-05-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-05-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-28
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good

Free text: Got my period today, right on time, seems normal for me so far.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-21
Dose 3 — Moderna
2021-12-22
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-12-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-12-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-12-26
Survey response — days 1–6 daily, dose 3
MedDRA: Menstruation irregular — Feeling: Good

Free text: Menstrual period showed up 2 days early

MedDRA releases: 2024-11 · check-in free text available
2021-12-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-28
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-04
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-11
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-18
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-25
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-01
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-22
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-21
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-09
Dose 4 — Moderna
2022-09-09
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain, Redness, Itching · None

Adult check-in
2022-09-10
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2022-09-11
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache, Fatigue or tiredness, Nausea

Adult check-in
2022-09-12
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-09-16
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-09-23
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-09-30
Survey response — day 21, dose 4
MedDRA: Axillary pain, Menstruation irregular — Feeling: Fair

Free text: Some pain in my armpits, could be lymph nodes. Period showed up 3 days early but was not heavier than usual.

MedDRA releases: 2024-11 · check-in free text available
2022-10-07
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-14
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-21
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-09
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2023-03-11
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-24	Moderna
2	2021-05-22	Moderna
3	2021-12-21	Moderna	No
4	2022-09-09	Moderna	No

Free text

Release 8 — days 1–6 daily, dose 1

2021-04-27

Systemic reaction (other): Night sweats, though that could be pms

Release 8 — day 21, dose 1

2021-05-15

Symptoms: Joint pain for 4 days, accompanied by general malaise. I do have an autoimmune condition that is consistent with these symptoms. No pain today

Release 8 — days 1–6 daily, dose 2

2021-05-23

Systemic reaction (other): I had difficulty sleeping at night, waking up every hour or so

2021-05-28

Systemic reaction (other): Got my period today, right on time, seems normal for me so far.

Release 10 — days 1–6 daily, dose 3

2021-12-26

Systemic reaction (other): Menstrual period showed up 2 days early

Release 12 — day 21, dose 4

2022-09-30

Symptoms: Some pain in my armpits, could be lymph nodes. Period showed up 3 days early but was not heavier than usual.

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	Axillary pain	·	·	✓
SD	Malaise	✓	✓	✓
SD	Menstruation irregular	·	·	✓
SRO	Insomnia	✓	✓	✓
SRO	Menstruation irregular	·	·	✓
SRO	Night sweats	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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