YPQ-13880-02264

2 vaccinations 9 coded responses 24 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 21-25
ZIP prefix: 088 / NJ
Registered: 2021-02-28

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

2021-02-28
Registered in v-safe
2021-02-28
Dose 1 — Moderna
2021-02-28
Survey response — day 0, dose 1
MedDRA: Feeling of relaxation — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Caused ultra relaxed effect about 1 hour after injection (similar to taking a Xanax)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Cold sweat, Dizziness, Flatulence, Hyperhidrosis, Rash macular — Feeling: Fair · Site: Pain, Redness, Itching · Fever · Headache, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Gas; Sweating/clammy; Dizziness; Last night had big spotty rash (skin not raised) around area of injection site but no rash today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Fatigue, Thirst — Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Second day was tired/thirsty/dizzy (similar to a hangover all day long)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-03-04
Survey response — days 1–6 daily, dose 1
MedDRA: Asthma, Pre-existing disease — Feeling: Good · Fatigue or tiredness

Free text: Ever since got shot, have been needing to use asthma rescue/albuterol inhaler more frequently - Has caused a minor asthma flare up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-28
Dose 2 — Moderna
2021-03-28
Survey response — day 0, dose 2
MedDRA: Injection site rash, Thirst — Feeling: Fair · Site: Pain, Redness · Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Rash at injection site; feeling thirsty

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Asthma, Discomfort, Hot flush, Oropharyngeal pain, Pre-existing disease — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Asthma triggered; hot flashes; sore throat; feeling heavy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Asthma, Oropharyngeal pain, Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Triggered asthma; sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Asthma, Pre-existing disease — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Asthma triggered

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — day 7, dose 2
MedDRA: Asthma — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Asthma still triggered

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

Adult check-in
2021-04-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-28	Moderna
2	2021-03-28	Moderna

Free text

Release 4 — day 0, dose 1

2021-02-28

Systemic reaction (other): Caused ultra relaxed effect about 1 hour after injection (similar to taking a Xanax)

Release 4 — days 1–6 daily, dose 1

2021-03-01

Systemic reaction (other): Gas; Sweating/clammy; Dizziness; Last night had big spotty rash (skin not raised) around area of injection site but no rash today

2021-03-02

Systemic reaction (other): Second day was tired/thirsty/dizzy (similar to a hangover all day long)

Release 5 — days 1–6 daily, dose 1

2021-03-04

Systemic reaction (other): Ever since got shot, have been needing to use asthma rescue/albuterol inhaler more frequently - Has caused a minor asthma flare up

Release 6 — day 0, dose 2

2021-03-28

Systemic reaction (other): Rash at injection site; feeling thirsty

Release 6 — days 1–6 daily, dose 2

2021-03-29

Systemic reaction (other): Asthma triggered; hot flashes; sore throat; feeling heavy

2021-03-30

Systemic reaction (other): Triggered asthma; sore throat

2021-04-02

Systemic reaction (other): Asthma triggered

Release 6 — day 7, dose 2

2021-04-04

Systemic reaction (other): Asthma still triggered

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	Asthma	✓	✓	✓
SRO	Cold sweat	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling of relaxation	✓	✓	✓
SRO	Flatulence	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Injection site rash	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rash macular	✓	✓	✓
SRO	Thirst	✓	✓	✓

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