ZJ9-28610-22492

2 vaccinations 5 coded responses 26 check-ins 5 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 037 / NH
Registered: 2021-04-03

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

2021-04-03
Registered in v-safe
2021-04-03
Dose 1 — Moderna
2021-04-03
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site warmth — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Injection site warmth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · Fatigue or tiredness

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

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

Adult check-in
2021-04-10
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-17
Survey response — day 14, dose 1
MedDRA: Arthralgia, Fatigue, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Myalgia — Feeling: Good · Be unable to do your normal daily activities

Free text: Day 7: Injection site itching, redness (2 dia)Day 8: Injection site pain, swelling, redness 2; fatigue; myalgia; joint painDay 9: injection site redness 3; myalgiaDay 12: fatigue, myalgia, injection site red ring 4Day 14: fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-05-01
Dose 2 — Moderna
2021-05-01
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Joint pains, Fatigue or tiredness

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

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

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-05-08
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-15
Survey response — day 14, dose 2
MedDRA: Fatigue, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth, Post inflammatory pigmentation change — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Fatigue, injection site tenderness, itching, warmth, swelling, post-inflammatory hyperpigmentation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-29
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-12
Survey response — day 42, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increased fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-31
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-30
Survey response — 6 months, dose 2
MedDRA: Fatigue, Increased viscosity of upper respiratory secretion, Sinus congestion, Somnolence — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue & drowsiness, sinus congestion, thick sinus mucus

MedDRA releases: 2024-11 · check-in free text available
2022-05-01
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-03	Moderna
2	2021-05-01	Moderna

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-04

Systemic reaction (other): Injection site warmth

Release 7 — day 14, dose 1

2021-04-17

Symptoms: Day 7: Injection site itching, redness (2 dia)Day 8: Injection site pain, swelling, redness 2; fatigue; myalgia; joint painDay 9: injection site redness 3; myalgiaDay 12: fatigue, myalgia, injection site red ring 4Day 14: fatigue

Release 8 — day 14, dose 2

2021-05-15

Symptoms: Fatigue, injection site tenderness, itching, warmth, swelling, post-inflammatory hyperpigmentation

Release 9 — day 42, dose 2

2021-06-12

Symptoms: Increased fatigue

Release 10 — 6 months, dose 2

2021-10-30

Symptoms: Fatigue & drowsiness, sinus congestion, thick sinus mucus

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	Fatigue	✓	✓	✓
SD	Increased viscosity of upper respiratory secretion	·	·	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Post inflammatory pigmentation change	✓	✓	✓
SD	Sinus congestion	·	·	✓
SD	Somnolence	·	·	✓
SRO	Injection site warmth	✓	✓	✓

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