YZ6-83555-30294

3 vaccinations 12 coded responses 32 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 232 / VA
Registered: 2021-01-19

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

2021-01-19
Registered in v-safe
2021-01-19
Dose 1 — Moderna
2021-01-20
Survey response — days 1–6 daily, dose 1
MedDRA: Epistaxis, Paraesthesia — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea, Diarrhea

Free text: Tingling and a cooling feeling in different areas on the body. Definitely a very mild pins and needles feeling. Bloody nose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Nausea, Diarrhea

Adult check-in
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Anxiety — Feeling: Fair · Fatigue or tiredness, Diarrhea

Free text: Anxiety

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Anxiety, Depression — Feeling: Fair · Fatigue or tiredness, Nausea

Free text: Anxiety and depression

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Nausea

Adult check-in
2021-01-26
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-02
Survey response — day 14, dose 1
MedDRA: Anxiety, Nausea, Palpitations — Feeling: Good

Free text: Heart palpitations/anxiety attacks. Still having nausea sometimes. Feel great otherwise!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — day 21, dose 1
MedDRA: Abdominal pain, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Nausea and abdominal pain. Probably unrelated, but the nausea sucks. Took some Dramamine. Better now!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Dose 2 — Moderna
2021-02-16
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · None · Be unable to do your normal daily activities

Adult check-in
2021-02-17
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Headache — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Most side effects went away by 12pm. Still tired and have a bit of a headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-19
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site bruising — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Bruising at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site bruising — Feeling: Good

Free text: Bruising at injection site. Other than that, I feel pretty normal today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-16
Survey response — day 28, dose 2
MedDRA: Fatigue, Mood swings — Feeling: Poor · Be unable to do your normal daily activities

Free text: Extreme fatigue and mood swings after moderate exercise

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-17
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-28
Dose 3 — Moderna
2021-10-28
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal pain, Dyspepsia — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Indigestion and abdominal achiness

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal pain upper, Anxiety — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Awful anxiety with gut ache.

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-06
Health check-in — day 7, dose 3
Feeling: Fair · None

Adult check-in
2021-11-18
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-27
Survey response — day 28, dose 3
MedDRA: Anxiety, Palpitations — Feeling: Fair · Be unable to do your normal daily activities

Free text: Heart palpitations, worsening general anxiety.

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-19	Moderna
2	2021-02-16	Moderna
3	2021-10-28	Moderna	No

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-20

Systemic reaction (other): Tingling and a cooling feeling in different areas on the body. Definitely a very mild pins and needles feeling. Bloody nose.

2021-01-23

Systemic reaction (other): Anxiety

2021-01-24

Systemic reaction (other): Anxiety and depression

Release 3 — day 14, dose 1

2021-02-02

Symptoms: Heart palpitations/anxiety attacks. Still having nausea sometimes. Feel great otherwise!

Release 3 — day 21, dose 1

2021-02-09

Symptoms: Nausea and abdominal pain. Probably unrelated, but the nausea sucks. Took some Dramamine. Better now!

Release 4 — days 1–6 daily, dose 2

2021-02-17

Systemic reaction (other): Most side effects went away by 12pm. Still tired and have a bit of a headache

2021-02-19

Systemic reaction (other): Bruising at injection site

2021-02-20

Systemic reaction (other): Bruising at injection site. Other than that, I feel pretty normal today.

Release 5 — day 28, dose 2

2021-03-16

Symptoms: Extreme fatigue and mood swings after moderate exercise

Release 10 — days 1–6 daily, dose 3

2021-10-30

Systemic reaction (other): Indigestion and abdominal achiness

2021-10-31

Systemic reaction (other): Awful anxiety with gut ache.

Release 10 — day 28, dose 3

2021-11-27

Symptoms: Heart palpitations, worsening general anxiety.

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	Anxiety	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Mood swings	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Palpitations	✓	✓	✓
SRO	Abdominal pain	·	·	✓
SRO	Abdominal pain upper	·	·	✓
SRO	Anxiety	✓	✓	✓
SRO	Depression	✓	✓	✓
SRO	Dyspepsia	·	·	✓
SRO	Epistaxis	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓

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