ZE2-31176-06327

4 vaccinations 7 coded responses 39 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 222 / VA
Registered: 2021-03-05

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

Registered dependents

ZFH-93724-63638 Child or adolescent in my care · Male · 2022-01-05

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-05
Registered in v-safe
2021-03-05
Dose 1 — Moderna
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Medical counselling, Ocular hyperaemia — Feeling: Good · Site: Pain · Chills, Fatigue or tiredness

Free text: A day ago I had an eyelash in my eye and I had a more intense reaction to it than usual - I have a massive red blotch on my eyeball. My vision is fine and it isnt getting worse, a doctor said it would go away without treatment, but I wanted to add.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-03-12
Survey response — day 7, dose 1
MedDRA: Axillary pain — Feeling: Good · Site: Pain · Muscle or body aches

Free text: I have an achy pain in the armpit of the arm where I received my vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-26
Survey response — day 21, dose 1
MedDRA: Eye irritation, Ocular hyperaemia — Feeling: Good

Free text: Frequent eye irritation. Sometimes an eye is red or even gray in areas.

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

Adult check-in
2021-04-04
Dose 2 — Moderna
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Salivary hypersecretion — Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness, Nausea · Be unable to work

Free text: Ive had excess saliva since my symptoms first hit the day after my shot, similar to what I experienced 17 years ago when I was pregnant with my first child.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness, Itching · Headache, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-25
Survey response — day 21, dose 2
MedDRA: Headache, Heavy menstrual bleeding, Menstruation irregular — Feeling: Good

Free text: My period was a day late and a little heavier than usual, with more headache symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-04
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-03
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-12
Dose 3 — Moderna
2021-11-12
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-11-13
Survey response — days 1–6 daily, dose 3
MedDRA: Dysmenorrhoea, Insomnia — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Off-cycle menstrual cramp pain, difficulty sleeping through the night

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-11-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2021-11-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-11-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-19
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-26
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-17
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-24
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-11
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-13
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-23
Dose 4 — Moderna
2022-11-12
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2022-12-23
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Moderna
2	2021-04-04	Moderna
3	2021-11-12	Moderna	No
4	2022-09-23	Moderna	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-07

Systemic reaction (other): A day ago I had an eyelash in my eye and I had a more intense reaction to it than usual - I have a massive red blotch on my eyeball. My vision is fine and it isnt getting worse, a doctor said it would go away without treatment, but I wanted to add.

Release 5 — day 7, dose 1

2021-03-12

Systemic reaction (other): I have an achy pain in the armpit of the arm where I received my vaccine.

Release 6 — day 21, dose 1

2021-03-26

Symptoms: Frequent eye irritation. Sometimes an eye is red or even gray in areas.

Release 6 — days 1–6 daily, dose 2

2021-04-05

Systemic reaction (other): Insomnia

Release 7 — days 1–6 daily, dose 2

2021-04-10

Systemic reaction (other): Ive had excess saliva since my symptoms first hit the day after my shot, similar to what I experienced 17 years ago when I was pregnant with my first child.

Release 7 — day 21, dose 2

2021-04-25

Symptoms: My period was a day late and a little heavier than usual, with more headache symptoms.

Release 10 — days 1–6 daily, dose 3

2021-11-13

Systemic reaction (other): Off-cycle menstrual cramp pain, difficulty sleeping through the night

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	Eye irritation	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Menstruation irregular	✓	✓	✓
SD	Ocular hyperaemia	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Dysmenorrhoea	·	·	✓
SRO	Insomnia	✓	✓	✓
SRO	Medical counselling	✓	✓	✓
SRO	Ocular hyperaemia	✓	✓	✓
SRO	Salivary hypersecretion	✓	✓	✓

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