YFU-22968-06719

4 vaccinations 7 coded responses 49 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 940 / CA
Registered: 2021-04-15

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

2021-04-15
Registered in v-safe
2021-04-15
Dose 1 — Moderna
2021-04-15
Survey response — day 0, dose 1
MedDRA: Heart rate increased — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Resting heart rate (75) higher than normal (65) and HR spikes to 120s when moving around doing regular household activities like loading dishwasher.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-22
Survey response — day 7, dose 1
MedDRA: Lymphadenopathy — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph node on the injection side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-13
Dose 2 — Moderna
2021-05-13
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-14
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, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-15
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-16
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Shortness of breath when moving around

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Lymphadenopathy — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Short of breath after walking for 1mi, swollen lymph note under arm on the shot side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Shortness of breath after exercising, really low exercise stamina compared to baseline level

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-20
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-12
Health check-in — 3 months, dose 2
Feeling: Good

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

Adult check-in
2021-11-30
Dose 3 — Moderna
2021-11-30
Survey response — day 0, dose 3
MedDRA: Heart rate increased — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Increased resting heart rate by 20bpm

MedDRA releases: 2024-11 · check-in free text available
2021-12-01
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, 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
2021-12-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, 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
2021-12-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-12-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Fatigue or tiredness

Adult check-in
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · None

Adult check-in
2021-12-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-07
Health check-in — day 7, dose 3
Feeling: Good · Site: Itching · None

Adult check-in
2021-12-14
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-21
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-28
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-04
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-11
Health check-in — day 42, dose 3
Feeling: Good

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

Adult check-in
2022-06-02
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-03
Dose 4 — Moderna
2022-11-04
Survey response — days 1–6 daily, dose 4
MedDRA: Hypersensitivity — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Allergic reaction 12+ hours after the shot

MedDRA releases: 2024-11 · check-in free text available
2022-11-05
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-11-06
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-11-07
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-11-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

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

Adult check-in
2022-11-10
Health check-in — day 7, dose 4
Feeling: Good · Fatigue or tiredness

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

Adult check-in
2022-12-01
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-12-10
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-17
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-05-06
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-15	Moderna
2	2021-05-13	Moderna
3	2021-11-30	Moderna	No
4	2022-11-03	Moderna	No

Free text

Release 7 — day 0, dose 1

2021-04-15

Systemic reaction (other): Resting heart rate (75) higher than normal (65) and HR spikes to 120s when moving around doing regular household activities like loading dishwasher.

Release 7 — day 7, dose 1

2021-04-22

Systemic reaction (other): Swollen lymph node on the injection side

Release 8 — days 1–6 daily, dose 2

2021-05-16

Systemic reaction (other): Shortness of breath when moving around

2021-05-17

Systemic reaction (other): Short of breath after walking for 1mi, swollen lymph note under arm on the shot side

2021-05-18

Systemic reaction (other): Shortness of breath after exercising, really low exercise stamina compared to baseline level

Release 10 — day 0, dose 3

2021-11-30

Systemic reaction (other): Increased resting heart rate by 20bpm

Release 12 — days 1–6 daily, dose 4

2022-11-04

Systemic reaction (other): Allergic reaction 12+ hours after the shot

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
SRO	Dyspnoea	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Hypersensitivity	·	·	✓
SRO	Lymphadenopathy	✓	✓	✓

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