ZNV-87315-07544

3 vaccinations 9 coded responses 27 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 983 / WA
Registered: 2021-05-14

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

2021-05-07
Dose 1 — Moderna
2021-05-14
Registered in v-safe
2021-05-14
Survey response — day 7, dose 1
MedDRA: Immunisation reaction — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: development of "covid arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-05-28
Survey response — day 21, dose 1
MedDRA: Chills, Cough, Fatigue, Oropharyngeal pain, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities

Free text: started with lymphnodes swelling, body pain, fatigue, and migraine. eventually ended up adding sinus symptoms- pressure, sneezing, little bit of cough, very sore throat. chills, but uncertain if fever developed yet.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-06-06
Dose 2 — Moderna
2021-06-20
Survey response — day 14, dose 2
MedDRA: Fatigue, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: worsening nausea and fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-04
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-07-11
Health check-in — day 35, dose 2
Feeling: Poor

Adult check-in
2021-07-18
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-09-05
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-12-05
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-01-05
Dose 3 — Moderna
2022-01-05
Survey response — day 0, dose 3
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache

Free text: dizziness

MedDRA releases: 2024-11 · check-in free text available
2022-01-06
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-01-07
Survey response — days 1–6 daily, dose 3
MedDRA: Muscle spasms — Feeling: Fair · 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: body cramps

MedDRA releases: 2024-11 · check-in free text available
2022-01-08
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Fair · 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: dizziness

MedDRA releases: 2024-11 · check-in free text available
2022-01-09
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Fair · 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: dizziness

MedDRA releases: 2024-11 · check-in free text available
2022-01-10
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: dizziness

MedDRA releases: 2024-11 · check-in free text available
2022-01-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches

Adult check-in
2022-01-12
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-19
Survey response — day 14, dose 3
MedDRA: Fatigue, Nausea, Pain, Pyrexia, Throat irritation — Feeling: Poor · Be unable to do your normal daily activities

Free text: nausea, light fever, cough, severe fatigue, body pains, throat irritation (husband tested positive for covid few days ago, assuming i have as well)

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-02-02
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-09
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-02-16
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-04-06
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-07-06
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2023-01-05
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-07	Moderna
2	2021-06-06	Moderna	No
3	2022-01-05	Moderna	No

Free text

Release 8 — day 7, dose 1

2021-05-14

Systemic reaction (other): development of "covid arm

Release 8 — day 21, dose 1

2021-05-28

Symptoms: started with lymphnodes swelling, body pain, fatigue, and migraine. eventually ended up adding sinus symptoms- pressure, sneezing, little bit of cough, very sore throat. chills, but uncertain if fever developed yet.

Release 9 — day 14, dose 2

2021-06-20

Symptoms: worsening nausea and fatigue

Release 10 — day 0, dose 3

2022-01-05

Systemic reaction (other): dizziness

Release 10 — days 1–6 daily, dose 3

2022-01-07

Systemic reaction (other): body cramps

2022-01-08

Systemic reaction (other): dizziness

2022-01-09

Systemic reaction (other): dizziness

2022-01-10

Systemic reaction (other): dizziness

Release 10 — day 14, dose 3

2022-01-19

Symptoms: nausea, light fever, cough, severe fatigue, body pains, throat irritation (husband tested positive for covid few days ago, assuming i have as well)

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	Chills	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Throat irritation	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Immunisation reaction	✓	✓	✓
SRO	Muscle spasms	·	·	✓

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