YDV-36012-40222

3 vaccinations 6 coded responses 39 check-ins 6 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 070 / NJ
Registered: 2021-08-02

Relationship: Self
Race: Asian
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

2021-08-02
Registered in v-safe
2021-08-02
Dose 1 — Moderna
2021-08-02
Survey response — day 0, dose 1
MedDRA: Heart rate increased — Feeling: Fair · Site: Pain · Fever

Free text: Rapid heartbeat

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-08-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2021-08-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-08-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-08-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-08-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-08-09
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-08-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-08-24
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-08-30
Dose 2 — Moderna
2021-08-30
Health check-in — day 0, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-08-31
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-09-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school

Adult check-in
2021-09-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Fever · Headache, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-09-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-09-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-09-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Headache

Adult check-in
2021-09-06
Health check-in — day 7, dose 2
Feeling: Good · Fever · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-09-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-09-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-09-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-10-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-10-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-11-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-02-03
Dose 3 — Moderna
2022-02-03
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-02-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-02-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-02-06
Survey response — days 1–6 daily, dose 3
MedDRA: Menstruation irregular — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: My period didn't come

MedDRA releases: 2024-11 · check-in free text available
2022-02-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-02-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-02-10
Health check-in — day 7, dose 3
Feeling: Fair · Site: Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-02-19
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-02-24
Survey response — day 21, dose 3
MedDRA: Cough, Secretion discharge — Feeling: Fair

Free text: coughmucus

MedDRA releases: 2024-11 · check-in free text available
2022-03-03
Survey response — day 28, dose 3
MedDRA: Amenorrhoea — Feeling: Fair

Free text: I don't have my period

MedDRA releases: 2024-11 · check-in free text available
2022-03-10
Survey response — day 35, dose 3
MedDRA: Amenorrhoea — Feeling: Good

Free text: No period

MedDRA releases: 2024-11 · check-in free text available
2022-03-17
Survey response — day 42, dose 3
MedDRA: Amenorrhoea — Feeling: Good

Free text: No period

MedDRA releases: 2024-11 · check-in free text available
2022-05-05
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-08-04
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2023-02-03
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-02	Moderna	No
2	2021-08-30	Moderna	No
3	2022-02-03	Moderna	No

Free text

Release 9 — day 0, dose 1

2021-08-02

Systemic reaction (other): Rapid heartbeat

Release 11 — days 1–6 daily, dose 3

2022-02-06

Systemic reaction (other): My period didn't come

Release 11 — day 21, dose 3

2022-02-24

Symptoms: coughmucus

Release 11 — day 28, dose 3

2022-03-03

Symptoms: I don't have my period

Release 11 — day 35, dose 3

2022-03-10

Symptoms: No period

Release 11 — day 42, dose 3

2022-03-17

Symptoms: No period

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	Amenorrhoea	·	·	✓
SD	Cough	·	·	✓
SD	Secretion discharge	·	·	✓
SRO	Heart rate increased	✓	·	✓
SRO	Menstruation irregular	·	·	✓

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