YRY-30523-19606

4 vaccinations 9 coded responses 43 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 971 / OR
Registered: 2021-05-05

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

2021-05-05
Registered in v-safe
2021-05-05
Dose 1 — Moderna
2021-05-05
Survey response — day 0, dose 1
MedDRA: Dermatitis contact, Hypersensitivity, Pre-existing disease — Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness

Free text: Had a reaction to the adhesive on the band aid used post shot (I have an existing adhesive allergy, so this isnt surprising)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness · Be unable to work

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-19
Survey response — day 14, dose 1
MedDRA: Dysmenorrhoea, Injection site erythema, Injection site pruritus, Menstruation delayed, Pain in extremity, Rash erythematous — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: I got a huge, super itchy, red rash on my arm around the injection site. (the initial soreness and redness had gone, but came back with a vengance on day 8).My period was 3 days late and I suffered from the absolute worst menstrual cramps of my life

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — day 21, dose 1
MedDRA: Hypoacusis, Pre-existing disease — Feeling: Fair · Be unable to work

Free text: Worse than normal seasonal allergies causing muffled hearing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-06-09
Dose 2 — Moderna
2021-06-09
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work

Adult check-in
2021-06-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-06-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school

Adult check-in
2021-06-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-06-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · Fatigue or tiredness

Adult check-in
2021-06-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-06-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-06-16
Health check-in — day 7, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-06-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-21
Survey response — day 42, dose 2
MedDRA: Dysmenorrhoea, Menstruation delayed — Feeling: Fair · Be unable to do your normal daily activities

Free text: Delayed period with worse than usual cramps

MedDRA releases: 2024-11 · check-in free text available
2021-09-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-16
Dose 3 — Moderna
Co-administered: Flu:HPV
2021-12-16
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · None · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-17
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school

Adult check-in
2021-12-18
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, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school

Adult check-in
2021-12-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness · Headache, Fatigue or tiredness

Adult check-in
2021-12-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-12-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-12-22
Survey response — days 1–6 daily, dose 3
MedDRA: Bladder spasm — Feeling: Fair · Be unable to work or attend school

Free text: Bladder spasms

MedDRA releases: 2024-11 · check-in free text available
2021-12-23
Survey response — day 7, dose 3
MedDRA: Haematuria — Feeling: Fair

Free text: blood in urine, possible kidney stone

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Survey response — day 14, dose 3
MedDRA: Blood urine present, Dysmenorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increased pain during period, blood in urine

MedDRA releases: 2024-11 · check-in free text available
2022-01-06
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-01-13
Survey response — day 28, dose 3
MedDRA: Fatigue — Feeling: Fair

Free text: fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-01-27
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-17
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-16
Survey response — 6 months, dose 3
MedDRA: Decreased appetite, Headache, Lethargy, Paranasal sinus discomfort, Pyrexia, Sinus congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fever, lack of appetite, headache, sinus pressure/congestion, lethargy

MedDRA releases: 2024-11 · check-in free text available
2022-10-08
Dose 4 — Moderna
Co-administered: Flu
2022-10-08
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-09
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-10
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fever · Joint pains, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-10-11
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-05	Moderna
2	2021-06-09	Moderna
3	2021-12-16	Moderna	Flu:HPV
4	2022-10-08	Moderna	Flu

Free text

Release 8 — day 0, dose 1

2021-05-05

Systemic reaction (other): Had a reaction to the adhesive on the band aid used post shot (I have an existing adhesive allergy, so this isnt surprising)

Release 8 — day 14, dose 1

2021-05-19

Symptoms: I got a huge, super itchy, red rash on my arm around the injection site. (the initial soreness and redness had gone, but came back with a vengance on day 8).My period was 3 days late and I suffered from the absolute worst menstrual cramps of my life cut off by CDC

Release 8 — day 21, dose 1

2021-05-26

Symptoms: Worse than normal seasonal allergies causing muffled hearing

Release 9 — day 42, dose 2

2021-07-21

Symptoms: Delayed period with worse than usual cramps

Release 10 — days 1–6 daily, dose 3

2021-12-22

Systemic reaction (other): Bladder spasms

Release 10 — day 7, dose 3

2021-12-23

Systemic reaction (other): blood in urine, possible kidney stone

Release 10 — day 14, dose 3

2021-12-30

Symptoms: Increased pain during period, blood in urine

Release 10 — day 28, dose 3

2022-01-13

Symptoms: fatigue

Release 12 — 6 months, dose 3

2022-06-16

Symptoms: Fever, lack of appetite, headache, sinus pressure/congestion, lethargy

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	Blood urine present	·	·	✓
SD	Decreased appetite	·	·	✓
SD	Dysmenorrhoea	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Hypoacusis	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Lethargy	·	·	✓
SD	Menstruation delayed	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Paranasal sinus discomfort	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Rash erythematous	✓	✓	✓
SD	Sinus congestion	·	·	✓
SRO	Bladder spasm	·	·	✓
SRO	Dermatitis contact	✓	✓	✓
SRO	Haematuria	·	·	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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