YQX-17046-41236

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

Sex: Female
Age at first dose: 61-65
ZIP prefix: 058 / VT
Registered: 2021-03-05

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

2021-03-05
Registered in v-safe
2021-03-05
Dose 1 — Moderna
2021-03-05
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-03-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-02
Dose 2 — Moderna
2021-04-02
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Facial pain, Heart rate increased, Rhinalgia — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Rapid heart rate, sore skin around nose , face & ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain upper, Heart rate increased — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · 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

Free text: Rapid heart rate, stomach cramps

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

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal, Peripheral swelling, Pruritus, Skin discolouration — Feeling: Fair · Site: Swelling, Itching · Headache, Fatigue or tiredness

Free text: Arm swelling AROUND the entire bicep and swelling spreading down to elbow. Seems to be creeping down my arm a little more each day. Feels really weird, looks strange and itches. Not really red, but you can see a line around my arm where its swollen. Feels like a tourniquet is loosely tied around my arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling, Itching · Headache

Adult check-in
2021-04-09
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-04-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-23
Survey response — day 21, dose 2
MedDRA: Facial pain, Headache, Pain in jaw — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Headache and pain on right side of head and sling right side of jaw and face. At times quite severe.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-02
Survey response — 3 months, dose 2
MedDRA: Headache, Hypoaesthesia, Paraesthesia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Tingling, pain & numbness on one side of head & face.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-01
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-04-02
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Moderna
2	2021-04-02	Moderna

Free text

Release 6 — days 1–6 daily, dose 2

2021-04-03

Systemic reaction (other): Rapid heart rate, sore skin around nose , face & ears

2021-04-04

Systemic reaction (other): Rapid heart rate, stomach cramps

Release 7 — days 1–6 daily, dose 2

2021-04-07

Systemic reaction (other): Arm swelling AROUND the entire bicep and swelling spreading down to elbow. Seems to be creeping down my arm a little more each day. Feels really weird, looks strange and itches. Not really red, but you can see a line around my arm where its swollen. Feels like a tourniquet is loosely tied around my arm.

Release 7 — day 21, dose 2

2021-04-23

Symptoms: Headache and pain on right side of head and sling right side of jaw and face. At times quite severe.

Release 9 — 3 months, dose 2

2021-07-02

Symptoms: Tingling, pain & numbness on one side of head & face.

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	Facial pain	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Pain in jaw	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Facial pain	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rhinalgia	✓	✓	✓
SRO	Skin discolouration	✓	✓	✓

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