YRX-25193-39646

3 vaccinations 7 coded responses 29 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 064 / CT
Registered: 2021-03-04

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

2021-03-03
Dose 1 — Moderna
2021-03-04
Registered in v-safe
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-10
Survey response — day 7, dose 1
MedDRA: Pain in extremity — Feeling: Good · Site: Pain, Redness · Headache, Diarrhea

Free text: My arm is very sore today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-01
Dose 2 — Moderna
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Abdominal pain

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

Adult check-in
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Middle insomnia — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness

Free text: My headache woke me up during the night it was so violent and has reduced to a light headache but has not completely gone away.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Fever · Headache, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-04-08
Survey response — day 7, dose 2
MedDRA: Chills, Pyrexia — Feeling: Fair · Site: Redness · Fever · Chills, Headache, Fatigue or tiredness, Nausea

Free text: The fever tends to spike at night. With severe chills.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — day 14, dose 2
MedDRA: Abdominal pain, Diarrhoea, Discomfort, Headache — Feeling: Fair

Free text: Ive felt uncomfortable,crampy in my lower abdomen area. Different than menstrual cramps. Similar to constipation cramps mixed with a discomfort. (I am not constipated, but had diarrhea yesterday.)I have also had a moderate headache almost daily.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-29
Survey response — day 28, dose 2
MedDRA: Oropharyngeal pain, Swelling, Upper-airway cough syndrome — Feeling: Fair

Free text: I have a very sore throat, a post nasal drip and a little swelling.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-27
Dose 3 — Moderna
2021-12-28
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-12-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-12-30
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site erythema, Injection site induration, Injection site pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Free text: I have an oval red spot about the size of a baseball about 2 inches below my injection site. It feels a little hard and is sore.

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache · Be unable to do your normal daily activities

Adult check-in
2022-01-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Swelling · Headache

Adult check-in
2022-01-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Itching · Headache, Abdominal pain

Adult check-in
2022-01-05
Health check-in — day 7, dose 3
Feeling: Good · Site: Redness · None

Adult check-in
2022-01-10
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-17
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-24
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-07
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-28
Survey response — 3 months, dose 3
MedDRA: Abdominal pain upper, Headache — Feeling: Good · Be unable to do your normal daily activities

Free text: More frequent headaches and occasional sharp stomach pains.

MedDRA releases: 2024-11 · check-in free text available
2022-06-27
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Moderna
2	2021-04-01	Moderna
3	2021-12-27	Moderna	No

Free text

Release 5 — day 7, dose 1

2021-03-10

Systemic reaction (other): My arm is very sore today.

Release 6 — days 1–6 daily, dose 2

2021-04-05

Systemic reaction (other): My headache woke me up during the night it was so violent and has reduced to a light headache but has not completely gone away.

Release 7 — day 7, dose 2

2021-04-08

Systemic reaction (other): The fever tends to spike at night. With severe chills.

Release 7 — day 14, dose 2

2021-04-15

Symptoms: Ive felt uncomfortable,crampy in my lower abdomen area. Different than menstrual cramps. Similar to constipation cramps mixed with a discomfort. (I am not constipated, but had diarrhea yesterday.)I have also had a moderate headache almost daily.

Release 8 — day 28, dose 2

2021-04-29

Symptoms: I have a very sore throat, a post nasal drip and a little swelling.

Release 10 — days 1–6 daily, dose 3

2021-12-30

Systemic reaction (other): I have an oval red spot about the size of a baseball about 2 inches below my injection site. It feels a little hard and is sore.

Release 11 — 3 months, dose 3

2022-03-28

Symptoms: More frequent headaches and occasional sharp stomach pains.

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	Abdominal pain	✓	✓	✓
SD	Abdominal pain upper	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Discomfort	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Swelling	✓	✓	✓
SD	Upper-airway cough syndrome	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site erythema	·	·	✓
SRO	Injection site induration	·	·	✓
SRO	Injection site pain	·	·	✓
SRO	Middle insomnia	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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