ZEM-80514-77279

3 vaccinations 9 coded responses 37 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 028 / RI
Registered: 2021-03-29

Relationship: Self
Race: Multiracial
Ethnicity: 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

2021-03-27
Dose 1 — Moderna
2021-03-29
Registered in v-safe
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Headache, Stress, Vision blurred — Feeling: Good · Headache, Fatigue or tiredness

Free text: Slightly blurred vision, probably related to headache and fatigue and/or stress

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-03
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-17
Survey response — day 21, dose 1
MedDRA: Asthma, Dizziness, Fatigue, Heavy menstrual bleeding, Muscular weakness, Paraesthesia — Feeling: Good

Free text: Asthma (most likely from allergies), somewhat heavier bleeding during menstruation as well as dizziness, fatigue, muscle weakness, tingling in arms and legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Dose 2 — Moderna
2021-04-24
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-01
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-08
Survey response — day 14, dose 2
MedDRA: Asthma, Pre-existing disease — Feeling: Good

Free text: Asthma symptoms have been bad. Could be related to allergies but its worse than usual. Also have had some acne which is not typical for me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-26
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-25
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-05
Dose 3 — Pfizer-BioNTech
2021-11-05
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-07
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Swollen lymph nodes on left side of neck and underarm

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Lymph nodes in left armpit still swollen but much better

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Slight swelling in lymph node under arm, but almost back to normal

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Health check-in — day 7, dose 3
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-19
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-03
Survey response — day 28, dose 3
MedDRA: Asthenia, Dizziness, Muscle spasms, Myalgia, Pain, Premenstrual syndrome, Thrombosis — Feeling: Good

Free text: Worse than usual PMS symptoms earlier this week (painful cramps, clots, dizziness, muscle aches and weakness). Feeling better now.

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-17
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-04
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-09
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-05
Survey response — 12 months, dose 3
MedDRA: Arthralgia, Fatigue, Pain, Pain in extremity — Feeling: Fair

Free text: Chronic fatigue, pain (arthritis?) in wrist and hand. Recovering from booster that I had yesterday (fatigue and body aches).

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-27	Moderna
2	2021-04-24	Moderna
3	2021-11-05	Pfizer-BioNTech	No

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-01

Systemic reaction (other): Slightly blurred vision, probably related to headache and fatigue and/or stress

Release 7 — day 21, dose 1

2021-04-17

Symptoms: Asthma (most likely from allergies), somewhat heavier bleeding during menstruation as well as dizziness, fatigue, muscle weakness, tingling in arms and legs

Release 7 — days 1–6 daily, dose 2

2021-04-25

Systemic reaction (other): Sore throat

Release 8 — day 14, dose 2

2021-05-08

Symptoms: Asthma symptoms have been bad. Could be related to allergies but its worse than usual. Also have had some acne which is not typical for me.

Release 10 — days 1–6 daily, dose 3

2021-11-07

Systemic reaction (other): Swollen lymph nodes on left side of neck and underarm

2021-11-09

Systemic reaction (other): Lymph nodes in left armpit still swollen but much better

2021-11-11

Systemic reaction (other): Slight swelling in lymph node under arm, but almost back to normal

Release 10 — day 28, dose 3

2021-12-03

Symptoms: Worse than usual PMS symptoms earlier this week (painful cramps, clots, dizziness, muscle aches and weakness). Feeling better now.

Release 12 — 12 months, dose 3

2022-11-05

Symptoms: Chronic fatigue, pain (arthritis?) in wrist and hand. Recovering from booster that I had yesterday (fatigue and body aches).

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	Arthralgia	·	·	✓
SD	Asthenia	·	·	✓
SD	Asthma	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Muscle spasms	·	·	✓
SD	Muscular weakness	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Paraesthesia	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Premenstrual syndrome	·	·	✓
SD	Thrombosis	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Stress	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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