YEC-25232-97536

5 vaccinations 25 coded responses 52 check-ins 23 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 481 / MI
Registered: 2021-03-16

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

2021-03-13
Dose 1 — Moderna
2021-03-16
Registered in v-safe
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Swelling — Feeling: Good · Site: Redness, Itching

Free text: a small bump in the back neck area, like a cyst

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea

Adult check-in
2021-03-20
Health check-in — day 7, dose 1
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-03-27
Survey response — day 14, dose 1
MedDRA: Injection site mass — Feeling: Good

Free text: Lump at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — day 21, dose 1
MedDRA: Myalgia, Nausea — Feeling: Good

Free text: Mild nausea, muscle ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Dose 2 — Moderna
2021-04-10
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches

Adult check-in
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Facial pain, Lymph node pain — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Muscle or body aches

Free text: Facial pain, lymph node pain on the left side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Itching · Headache, Diarrhea, Abdominal pain

Free text: Tonsil pain, right side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Tinnitus, Vertigo — Feeling: Good · Fatigue or tiredness, Nausea

Free text: Lightheaded, vertigo, ringing sound in ear

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Foggy head

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — day 7, dose 2
Feeling: Good · Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-24
Survey response — day 14, dose 2
MedDRA: Rash — Feeling: Good

Free text: Rashes, small pink eruptions on skin, lightheaded

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-08
Survey response — day 28, dose 2
MedDRA: Brain fog — Feeling: Good

Free text: Foggy brain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-09
Survey response — 6 months, dose 2
MedDRA: Nasal congestion, Nasopharyngitis, Oropharyngeal pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Had a cold, sore throat, nasal congestions

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Dose 3 — Moderna
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Eye pain, Rhinalgia — Feeling: Good · Site: Itching

Free text: Right eye pain, right nostril pain

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Survey response — days 1–6 daily, dose 3
MedDRA: Ocular discomfort, Oral herpes — Feeling: Good · Site: Swelling

Free text: Cold sore, right eye discomfort

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Facial paresis — Feeling: Good · Site: Pain, Swelling, Itching · Fatigue or tiredness

Free text: Mild right facial weakness

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-04
Health check-in — day 7, dose 3
Feeling: Good · Abdominal pain

Adult check-in
2021-11-11
Survey response — day 14, dose 3
MedDRA: Oral herpes, Rash — Feeling: Good

Free text: Cold sore, rashes

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Survey response — day 21, dose 3
MedDRA: Myalgia, Oropharyngeal discomfort — Feeling: Good

Free text: Muscle ache, discomfort in throat

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-02
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-09
Survey response — day 42, dose 3
MedDRA: Eczema, Fatigue — Feeling: Good

Free text: Eczema, tired

MedDRA releases: 2024-11 · check-in free text available
2022-01-27
Survey response — 3 months, dose 3
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sore shoulder

MedDRA releases: 2024-11 · check-in free text available
2022-04-02
Dose 4 — Moderna
2022-04-19
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-23
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-04-30
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-07
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-14
Survey response — day 42, dose 4
MedDRA: Rash, Rash erythematous — Feeling: Good

Free text: Rash, small pink bumps on neck, torso, leg body

MedDRA releases: 2024-11 · check-in free text available
2022-07-02
Survey response — 3 months, dose 4
MedDRA: Breast oedema — Feeling: Good

Free text: Fullness of breast

MedDRA releases: 2024-11 · check-in free text available
2022-10-01
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-10-03
Dose 5 — Moderna
2022-10-03
Health check-in — day 0, dose 5
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-10-05
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2022-10-06
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-10
Survey response — day 7, dose 5
MedDRA: Asthenia — Feeling: Good · Fatigue or tiredness

Free text: Felt weak

MedDRA releases: 2024-11 · check-in free text available
2022-10-17
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-24
Survey response — day 21, dose 5
MedDRA: Rash — Feeling: Good

Free text: Rashes on body

MedDRA releases: 2024-11 · check-in free text available
2022-10-31
Survey response — day 28, dose 5
MedDRA: Rash — Feeling: Good

Free text: Rashes

MedDRA releases: 2024-11 · check-in free text available
2022-11-07
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-14
Survey response — day 42, dose 5
MedDRA: Rash — Feeling: Good

Free text: Rashes

MedDRA releases: 2024-11 · check-in free text available
2023-01-02
Survey response — 3 months, dose 5
MedDRA: Headache — Feeling: Good

MedDRA releases: 2024-11
2023-04-03
Survey response — 6 months, dose 5
MedDRA: Rash — Feeling: Good

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-13	Moderna
2	2021-04-10	Moderna
3	2021-10-28	Moderna	No
4	2022-04-02	Moderna	No
5	2022-10-03	Moderna	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-16

Systemic reaction (other): a small bump in the back neck area, like a cyst

Release 6 — day 14, dose 1

2021-03-27

Symptoms: Lump at injection site

Release 6 — day 21, dose 1

2021-04-03

Symptoms: Mild nausea, muscle ache

Release 7 — days 1–6 daily, dose 2

2021-04-13

Systemic reaction (other): Facial pain, lymph node pain on the left side

2021-04-14

Systemic reaction (other): Tonsil pain, right side

2021-04-15

Systemic reaction (other): Lightheaded, vertigo, ringing sound in ear

2021-04-16

Systemic reaction (other): Foggy head

Release 7 — day 14, dose 2

2021-04-24

Symptoms: Rashes, small pink eruptions on skin, lightheaded

Release 8 — day 28, dose 2

2021-05-08

Symptoms: Foggy brain.

Release 10 — 6 months, dose 2

2021-10-09

Symptoms: Had a cold, sore throat, nasal congestions

Release 10 — days 1–6 daily, dose 3

2021-10-31

Systemic reaction (other): Right eye pain, right nostril pain

2021-11-01

Systemic reaction (other): Cold sore, right eye discomfort

2021-11-02

Systemic reaction (other): Mild right facial weakness

Release 10 — day 14, dose 3

2021-11-11

Symptoms: Cold sore, rashes

Release 10 — day 21, dose 3

2021-11-18

Symptoms: Muscle ache, discomfort in throat

Release 10 — day 42, dose 3

2021-12-09

Symptoms: Eczema, tired

Release 11 — 3 months, dose 3

2022-01-27

Symptoms: Sore shoulder

Release 11 — day 42, dose 4

2022-05-14

Symptoms: Rash, small pink bumps on neck, torso, leg body

Release 12 — 3 months, dose 4

2022-07-02

Symptoms: Fullness of breast

Release 12 — day 7, dose 5

2022-10-10

Systemic reaction (other): Felt weak

Release 12 — day 21, dose 5

2022-10-24

Symptoms: Rashes on body

Release 12 — day 28, dose 5

2022-10-31

Symptoms: Rashes

Release 12 — day 42, dose 5

2022-11-14

Symptoms: Rashes

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	Brain fog	✓	✓	✓
SD	Breast oedema	·	·	✓
SD	Eczema	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Injection site mass	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	✓	✓	✓
SD	Oral herpes	·	·	✓
SD	Oropharyngeal discomfort	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Rash	✓	✓	✓
SD	Rash erythematous	·	·	✓
SRO	Asthenia	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Eye pain	·	·	✓
SRO	Facial pain	✓	✓	✓
SRO	Facial paresis	·	·	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Ocular discomfort	·	·	✓
SRO	Oral herpes	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Rhinalgia	·	·	✓
SRO	Swelling	✓	✓	✓
SRO	Tinnitus	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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