Y8M-78012-87397

4 vaccinations 10 coded responses 40 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 986 / WA
Registered: 2021-04-20

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

2021-04-20
Registered in v-safe
2021-04-20
Dose 1 — Pfizer-BioNTech
2021-04-20
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-04-27
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-05-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-11
Dose 2 — Pfizer-BioNTech
2021-05-11
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-14
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Swollen lymph node in armpit on the same side as injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Survey response — days 1–6 daily, dose 2
MedDRA: Diarrhoea, Dysmenorrhoea, Heavy menstrual bleeding, Nausea — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Ridiculously heavy menstrual bleeding with unusually severe cramps; loose stool and nausea that are not usually associated with my menstrual cycle

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-05-18
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-05-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-15
Survey response — day 35, dose 2
MedDRA: Heavy menstrual bleeding — Feeling: Good

Free text: Menstrual period started a full week early. This is not normal for my cycle. Bleeding was much heavier than normal, too.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-09
Survey response — 6 months, dose 2
MedDRA: Brain fog, Fatigue, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I tested positive for Covid on November 3rd. My first day of symptoms was October 29th and I was tested on November 1st. My symptoms have been mild but I still have severe fatigue, head congestion, sore throat and brain fog.

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Dose 3 — Moderna
2022-05-19
Survey response — 6 months, dose 3
MedDRA: Dyspnoea, Fatigue, Homeless, Malaise — Feeling: Fair · Be unable to do your normal daily activities

Free text: At beginning of March I believe I caught Covid for a second time, despite being double vaccinated and boosted. I'm in a homeless shelter and they didn't test anyone, so I'm not sure. It's late May and I'm still having trouble breathing and fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-11-01
Dose 4 — Moderna
Co-administered: Flu
2022-11-01
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-11-02
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-11-03
Survey response — days 1–6 daily, dose 4
MedDRA: Diarrhoea, Dysmenorrhoea, Menstruation irregular — Feeling: Poor · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Menstrual cramps, even though I just finished my period four days ago. They are also worse than my normal menstrual cramps. Also loose stools.

MedDRA releases: 2024-11 · check-in free text available
2022-11-04
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-11-05
Survey response — days 1–6 daily, dose 4
MedDRA: Intermenstrual bleeding, Menstruation irregular — Feeling: Poor · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Light menstrual spotting. I just finished my period about 2 days before the vaccination, so this is absolutely not normal.

MedDRA releases: 2024-11 · check-in free text available
2022-11-06
Survey response — days 1–6 daily, dose 4
MedDRA: Nausea — Feeling: Fair · Fatigue or tiredness

Free text: Stomach feels queasy, but it's too mild to call nausea. More like I could become nauseous, but I'm not there yet.

MedDRA releases: 2024-11 · check-in free text available
2022-11-07
Survey response — days 1–6 daily, dose 4
MedDRA: Abdominal discomfort — Feeling: Fair · Fatigue or tiredness

Free text: Stomach still a bit off, but no actual nausea

MedDRA releases: 2024-11 · check-in free text available
2022-11-08
Health check-in — day 7, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-11-15
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-24
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-29
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-12-06
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-13
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-31
Survey response — 3 months, dose 4
MedDRA: Hypomenorrhoea, Menstrual disorder, Menstruation irregular, Reaction to previous exposure to any vaccine — Feeling: Good

MedDRA releases: 2024-11
2023-05-04
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-20	Pfizer-BioNTech
2	2021-05-11	Pfizer-BioNTech
3	2021-11-18	Moderna	No
4	2022-11-01	Moderna	Flu

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-14

Systemic reaction (other): Swollen lymph node in armpit on the same side as injection

2021-05-15

Systemic reaction (other): Ridiculously heavy menstrual bleeding with unusually severe cramps; loose stool and nausea that are not usually associated with my menstrual cycle

Release 9 — day 35, dose 2

2021-06-15

Symptoms: Menstrual period started a full week early. This is not normal for my cycle. Bleeding was much heavier than normal, too.

Release 10 — 6 months, dose 2

2021-11-09

Symptoms: I tested positive for Covid on November 3rd. My first day of symptoms was October 29th and I was tested on November 1st. My symptoms have been mild but I still have severe fatigue, head congestion, sore throat and brain fog.

Release 11 — 6 months, dose 3

2022-05-19

Symptoms: At beginning of March I believe I caught Covid for a second time, despite being double vaccinated and boosted. I'm in a homeless shelter and they didn't test anyone, so I'm not sure. It's late May and I'm still having trouble breathing and fatigue. cut off by CDC

Release 12 — days 1–6 daily, dose 4

2022-11-03

Systemic reaction (other): Menstrual cramps, even though I just finished my period four days ago. They are also worse than my normal menstrual cramps. Also loose stools.

2022-11-05

Systemic reaction (other): Light menstrual spotting. I just finished my period about 2 days before the vaccination, so this is absolutely not normal.

2022-11-06

Systemic reaction (other): Stomach feels queasy, but it's too mild to call nausea. More like I could become nauseous, but I'm not there yet.

2022-11-07

Systemic reaction (other): Stomach still a bit off, but no actual nausea

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	Brain fog	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Homeless	·	·	✓
SD	Hypomenorrhoea	·	·	✓
SD	Malaise	·	·	✓
SD	Menstrual disorder	·	·	✓
SD	Menstruation irregular	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Reaction to previous exposure to any vaccine	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Abdominal discomfort	·	·	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Dysmenorrhoea	✓	✓	✓
SRO	Heavy menstrual bleeding	✓	✓	✓
SRO	Intermenstrual bleeding	·	·	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Menstruation irregular	·	·	✓
SRO	Nausea	✓	✓	✓

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