ZD8-11982-62912

4 vaccinations 7 coded responses 38 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 21-25
ZIP prefix: 950 / CA
Registered: 2021-01-23

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

2021-01-22
Dose 1 — Moderna
2021-01-23
Registered in v-safe
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Diarrhoea — Feeling: Good

Free text: Not diarrhea but stool has been softer

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Faeces soft — Feeling: Good

Free text: Unusual stool consistency still. Not diarrhea, but stool is softer. Almost as though it has air pockets in it

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-14
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-19
Dose 2 — Moderna
2021-02-19
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Neck pain, Pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Pain in neck same side as injection site, i felt miserable all night with chills and bidy aches

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: Pain · Fever · Fatigue or tiredness

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Headache, Fatigue or tiredness

Free text: Light headed in the morning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-30
Dose 3 — Moderna
2022-02-19
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-03-01
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-02
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-20
Dose 4 — Moderna
2022-09-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-09-22
Survey response — days 1–6 daily, dose 4
MedDRA: Arthralgia, Axillary pain — Feeling: Good · Site: Pain

Free text: Pain in should at injection site and pain axially in arm pit same side as injection

MedDRA releases: 2024-11 · check-in free text available
2022-09-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-27
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-04
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-11
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-18
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-25
Survey response — day 35, dose 4
MedDRA: Oropharyngeal pain, Tongue ulceration — Feeling: Good

Free text: Sore throat and sores on tongue

MedDRA releases: 2024-11 · check-in free text available
2022-11-01
Survey response — day 42, dose 4
MedDRA: Respiratory symptom — Feeling: Poor · Be unable to work or attend school

Free text: Respiratory illness symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-12-22
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-21
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna
2	2021-02-19	Moderna
3	2021-11-30	Moderna	No
4	2022-09-20	Moderna	No

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-25

Systemic reaction (other): Not diarrhea but stool has been softer

2021-01-26

Systemic reaction (other): Unusual stool consistency still. Not diarrhea, but stool is softer. Almost as though it has air pockets in it

Release 4 — days 1–6 daily, dose 2

2021-02-20

Systemic reaction (other): Pain in neck same side as injection site, i felt miserable all night with chills and bidy aches

2021-02-23

Systemic reaction (other): Light headed in the morning

Release 12 — days 1–6 daily, dose 4

2022-09-22

Systemic reaction (other): Pain in should at injection site and pain axially in arm pit same side as injection

Release 12 — day 35, dose 4

2022-10-25

Symptoms: Sore throat and sores on tongue

Release 12 — day 42, dose 4

2022-11-01

Symptoms: Respiratory illness symptoms

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	Oropharyngeal pain	·	·	✓
SD	Respiratory symptom	·	·	✓
SD	Tongue ulceration	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Axillary pain	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Faeces soft	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain	✓	✓	✓

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