YMB-51731-85130

3 vaccinations 7 coded responses 34 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 837 / ID
Registered: 2021-02-17

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-17
Registered in v-safe
2021-02-17
Dose 1 — Moderna
2021-02-17
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Good

Free text: Slight lightheadedness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea

Adult check-in
2021-02-23
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite — Feeling: Good · Fatigue or tiredness

Free text: Anorexia today, yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-03
Survey response — day 14, dose 1
MedDRA: Fatigue, Headache, Injection site erythema, Injection site rash, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: -Rash at injection site appeared PM 3/1; erythematous-fatigue 3/2-extreme nausea 3/2-moderate/severe headache 3/2-mild headache 3/3

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

Adult check-in
2021-03-17
Dose 2 — Moderna
2021-03-17
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Pain associated w/ increased local or systemic inflammatory response aggravating spinal nerves

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · Headache, Joint pains

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Dyspnoea, Respiratory tract congestion, Rhinorrhoea — Feeling: Poor · Site: Redness, Swelling, Itching · Fever · Headache · Be unable to do your normal daily activities

Free text: Cough, Congestion, Dyspnea, Nasal discharge (mild-moderate 3/19-20, most of 3/21. Severe late 3/21-22)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Redness, Swelling, Itching · Fever · Headache, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-24
Survey response — day 7, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Swelling, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Did not do any temperature checks today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-15
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-02
Dose 3 — Moderna
2021-11-02
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-11-03
Survey response — days 1–6 daily, dose 3
MedDRA: Pain of skin — Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Skin Tenderness

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Diarrhea

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-11-16
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-29
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-10
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-16
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-03
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-05-05
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-17	Moderna
2	2021-03-17	Moderna
3	2021-11-02	Moderna	No

Free text

Release 4 — day 0, dose 1

2021-02-17

Systemic reaction (other): Slight lightheadedness

Release 4 — days 1–6 daily, dose 1

2021-02-23

Systemic reaction (other): Anorexia today, yesterday.

Release 5 — day 14, dose 1

2021-03-03

Symptoms: -Rash at injection site appeared PM 3/1; erythematous-fatigue 3/2-extreme nausea 3/2-moderate/severe headache 3/2-mild headache 3/3

Release 5 — days 1–6 daily, dose 2

2021-03-18

Systemic reaction (other): Pain associated w/ increased local or systemic inflammatory response aggravating spinal nerves

Release 6 — days 1–6 daily, dose 2

2021-03-22

Systemic reaction (other): Cough, Congestion, Dyspnea, Nasal discharge (mild-moderate 3/19-20, most of 3/21. Severe late 3/21-22)

Release 6 — day 7, dose 2

2021-03-24

Systemic reaction (other): Did not do any temperature checks today

Release 10 — days 1–6 daily, dose 3

2021-11-03

Systemic reaction (other): Skin Tenderness

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	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Nausea	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Pain of skin	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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