Z9W-21437-39362

2 vaccinations 10 coded responses 23 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 705 / LA
Registered: 2021-03-03

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
Registered in v-safe
2021-03-03
Dose 1 — Moderna
2021-03-03
Health check-in — day 0, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities

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

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tiredness

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good · Headache, Fatigue or tiredness

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good · Site: Pain · Fever · Chills, Headache, Abdominal pain

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Heart rate increased — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Vomiting, Diarrhea, Abdominal pain

Free text: Dizzy, heart rate fast

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Survey response — day 14, dose 1
MedDRA: Lymph node pain — Feeling: Poor · Be unable to work

Free text: Lymph nodes in left tonsil and neck are sore and sensitive

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — day 21, dose 1
MedDRA: Fatigue, Lymph node pain, Pain — Feeling: Fair

Free text: I have noticed dull to sharp pain now and then in chest lymph nodes are sensitive and glands near tonsils and neck feel sensitive. It gets better with rest and worse as a stressful day passes. Very tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-07
Dose 2 — Moderna
2021-04-07
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling · Be unable to work

Free text: Seeeping in lymph nodes under arm and in breast

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Fatigue — Feeling: Fair · Fever · Fatigue or tiredness

Free text: Dizzy and tired by end of day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-04-21
Survey response — day 14, dose 2
MedDRA: Dyspepsia, Fatigue, Lymphadenopathy, Nausea, Sinus disorder — Feeling: Poor · Be unable to do your normal daily activities

Free text: Fatigue nausea heartburn swollen lymph node under arm exhaustion sinus issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — day 21, dose 2
MedDRA: Dysmenorrhoea, Dyspepsia, Heavy menstrual bleeding, Joint swelling, Swelling — Feeling: Fair

Free text: Swelling behind ankles mass of tissue and also bad reproductive issues with period heavy and painful. Swelling in neck area any constant heartburn.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-19
Survey response — day 42, dose 2
MedDRA: Abdominal discomfort, Bowel movement irregularity, Heavy menstrual bleeding, Menstruation irregular, Muscle spasms, Palpitations — Feeling: Fair · Be unable to do your normal daily activities

Free text: Upset stomach bowel movements a lot more often chest palpitations when exerting menstruation cycle is off and a lot heavier and more severe cramping during period

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-06
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Moderna
2	2021-04-07	Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-06

Systemic reaction (other): Dizzy

2021-03-07

Systemic reaction (other): Dizzy

2021-03-09

Systemic reaction (other): Dizzy, heart rate fast

Release 5 — day 14, dose 1

2021-03-17

Symptoms: Lymph nodes in left tonsil and neck are sore and sensitive

Release 6 — day 21, dose 1

2021-03-27

Symptoms: I have noticed dull to sharp pain now and then in chest lymph nodes are sensitive and glands near tonsils and neck feel sensitive. It gets better with rest and worse as a stressful day passes. Very tired

Release 7 — days 1–6 daily, dose 2

2021-04-10

Systemic reaction (other): Seeeping in lymph nodes under arm and in breast

2021-04-13

Systemic reaction (other): Dizzy and tired by end of day

Release 7 — day 14, dose 2

2021-04-21

Symptoms: Fatigue nausea heartburn swollen lymph node under arm exhaustion sinus issues

Release 8 — day 21, dose 2

2021-04-28

Symptoms: Swelling behind ankles mass of tissue and also bad reproductive issues with period heavy and painful. Swelling in neck area any constant heartburn.

Release 8 — day 42, dose 2

2021-05-19

Symptoms: Upset stomach bowel movements a lot more often chest palpitations when exerting menstruation cycle is off and a lot heavier and more severe cramping during period

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 discomfort	✓	✓	✓
SD	Bowel movement irregularity	✓	✓	✓
SD	Dysmenorrhoea	✓	✓	✓
SD	Dyspepsia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Joint swelling	✓	✓	✓
SD	Lymph node pain	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Menstruation irregular	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Sinus disorder	✓	✓	✓
SD	Swelling	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓

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