YVG-26024-16093

4 vaccinations 6 coded responses 47 check-ins 6 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 371 / TN
Registered: 2021-03-08

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

M9Q-28920-42718 Child or adolescent in my care · Male · 2021-11-06

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-08
Registered in v-safe
2021-03-08
Dose 1 — Moderna
2021-03-08
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Disturbance in attention, Emotional disorder, Psychomotor hyperactivity — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Feeling hyper and unable to focus mixed with being more sensitive emotionally

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain, Adenomyosis — Feeling: Good · Headache, Muscle or body aches, Abdominal pain

Free text: A little more emotional than normal; the abdominal cramping feels related to my adenomyosis so the shot may have reacted with either too much or too little estrogen in my system causing these particular side effects.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-15
Health check-in — day 7, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-22
Survey response — day 14, dose 1
MedDRA: Rash erythematous — Feeling: Good

Free text: Rash about the size of a quarter that was red, but not swollen or hurting. It eventually quadrupled in size, but faded and went away.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-05
Dose 2 — Moderna
2021-04-05
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Sore throat

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

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Nausea

Adult check-in
2021-04-12
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-05
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-23
Dose 3 — Moderna
2021-10-23
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-24
Survey response — days 1–6 daily, dose 3
MedDRA: Back pain — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: Back pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-30
Health check-in — day 7, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-11-06
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-13
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-20
Survey response — day 28, dose 3
MedDRA: Pruritus — Feeling: Poor

Free text: Full body itching although I have gone off of daily Allegra for allergy testing

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-06
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-24
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-23
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-09
Dose 4 — Moderna
Co-administered: Flu
2022-09-09
Health check-in — day 0, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-09-11
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-12
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-14
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-09-16
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-09-23
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-09-30
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-10-14
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-21
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-09
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-08	Moderna
2	2021-04-05	Moderna
3	2021-10-23	Moderna	No
4	2022-09-09	Moderna	Flu

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-11

Systemic reaction (other): Feeling hyper and unable to focus mixed with being more sensitive emotionally

2021-03-12

Systemic reaction (other): A little more emotional than normal; the abdominal cramping feels related to my adenomyosis so the shot may have reacted with either too much or too little estrogen in my system causing these particular side effects.

Release 6 — day 14, dose 1

2021-03-22

Symptoms: Rash about the size of a quarter that was red, but not swollen or hurting. It eventually quadrupled in size, but faded and went away.

Release 7 — days 1–6 daily, dose 2

2021-04-08

Systemic reaction (other): Sore throat

Release 10 — days 1–6 daily, dose 3

2021-10-24

Systemic reaction (other): Back pain

Release 10 — day 28, dose 3

2021-11-20

Symptoms: Full body itching although I have gone off of daily Allegra for allergy testing

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	Pruritus	·	·	✓
SD	Rash erythematous	✓	✓	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Adenomyosis	✓	✓	✓
SRO	Back pain	·	·	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Emotional disorder	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Psychomotor hyperactivity	✓	✓	✓

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