ZHX-64865-98668

4 vaccinations 10 coded responses 53 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 982 / WA
Registered: 2021-04-17

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

Registered dependents

7CQ-31639-88036 Child or adolescent in my care · Male · 2021-12-03

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-04-16
Dose 1 — Moderna
2021-04-17
Registered in v-safe
2021-04-17
Survey response — days 1–6 daily, dose 1
MedDRA: Polymenorrhoea — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I started my period 2 weeks early.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-14
Dose 2 — Moderna
2021-05-14
Survey response — day 0, dose 2
MedDRA: Dry throat, Immediate post-injection reaction — Feeling: Fair · Site: Pain, Swelling · Chills, Muscle or body aches

Free text: Dry throat, within 5 minutes of injection. Happened with first shot as well.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site bruising, Injection site mass, Insomnia, Self-medication — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Injection site is covered in a large bruise and there is a lump underneath the skin. The lump size was significant this morning (golf ball), but icing, ibuprofen and arnica have reduced it. I also had a sleepless night.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-21
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-30
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-06-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-01
Dose 3 — Moderna
2021-12-01
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain, Swelling · None

Adult check-in
2021-12-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-12-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Nausea

Adult check-in
2021-12-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Joint pains

Adult check-in
2021-12-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-12-08
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-15
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-23
Survey response — day 21, dose 3
MedDRA: Headache, Respiratory tract congestion, Rhinorrhoea — Feeling: Good

Free text: Runny nose with congestion and headache

MedDRA releases: 2024-11 · check-in free text available
2021-12-29
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-05
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-12
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-02
Survey response — 3 months, dose 3
MedDRA: Fatigue, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Congestion w/runny nose, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-06-01
Survey response — 6 months, dose 3
MedDRA: Ageusia, Anosmia, Arthralgia, Brain fog, COVID-19, Chills, Fatigue, Hyperhidrosis, Myalgia, Pyrexia, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Symptoms are from covid: fever, chills, sweating, joint and muscle pain, extreme fatigue, brain fog, congestion with runny nose, loss of taste and smell.

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Dose 4 — Moderna
2022-10-28
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-29
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-10-30
Survey response — days 1–6 daily, dose 4
MedDRA: Oropharyngeal pain, Productive cough — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Phlemy sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-10-31
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-11-01
Survey response — days 1–6 daily, dose 4
MedDRA: Ear congestion, Increased upper airway secretion, Oropharyngeal pain, Sinus congestion — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Still have sore phlegmy throat. Also congested sinuses and ears.

MedDRA releases: 2024-11 · check-in free text available
2022-11-02
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-11-03
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-11-04
Survey response — day 7, dose 4
MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Free text: Cough and congestion

MedDRA releases: 2024-11 · check-in free text available
2022-11-11
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-11-18
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-11-25
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-12-02
Survey response — day 35, dose 4
MedDRA: Cough, Fatigue, Headache, Pyrexia, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair

Free text: Fever, cough, headache, congestion with runny nose and fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-12-09
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-29
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-28
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-16	Moderna
2	2021-05-14	Moderna
3	2021-12-01	Moderna	No
4	2022-10-28	Moderna	No

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-17

Systemic reaction (other): I started my period 2 weeks early.

Release 8 — day 0, dose 2

2021-05-14

Systemic reaction (other): Dry throat, within 5 minutes of injection. Happened with first shot as well.

Release 8 — days 1–6 daily, dose 2

2021-05-15

Systemic reaction (other): Injection site is covered in a large bruise and there is a lump underneath the skin. The lump size was significant this morning (golf ball), but icing, ibuprofen and arnica have reduced it. I also had a sleepless night.

Release 10 — day 21, dose 3

2021-12-23

Symptoms: Runny nose with congestion and headache

Release 11 — 3 months, dose 3

2022-03-02

Symptoms: Congestion w/runny nose, fatigue

Release 11 — 6 months, dose 3

2022-06-01

Symptoms: Symptoms are from covid: fever, chills, sweating, joint and muscle pain, extreme fatigue, brain fog, congestion with runny nose, loss of taste and smell.

Release 12 — days 1–6 daily, dose 4

2022-10-30

Systemic reaction (other): Phlemy sore throat

2022-11-01

Systemic reaction (other): Still have sore phlegmy throat. Also congested sinuses and ears.

Release 12 — day 7, dose 4

2022-11-04

Systemic reaction (other): Cough and congestion

Release 12 — day 35, dose 4

2022-12-02

Symptoms: Fever, cough, headache, congestion with runny nose and fatigue.

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	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	Arthralgia	·	·	✓
SD	Brain fog	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Hyperhidrosis	·	·	✓
SD	Myalgia	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SRO	Cough	·	·	✓
SRO	Dry throat	✓	✓	✓
SRO	Ear congestion	·	·	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Increased upper airway secretion	·	·	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Injection site mass	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Polymenorrhoea	✓	✓	✓
SRO	Productive cough	·	·	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Self-medication	✓	✓	✓
SRO	Sinus congestion	·	·	✓

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