ZQK-26726-74786

4 vaccinations 16 coded responses 53 check-ins 15 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 475 / IN
Registered: 2021-01-14

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

Registered dependents

ZFL-14979-46358 Child or adolescent in my care · Male · 2021-11-05

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-01-14
Registered in v-safe
2021-01-14
Dose 1 — Moderna
2021-01-14
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea, Throat irritation — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Runny nose, scratchy throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea, Throat irritation — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Each day my symptoms get less and less, runny nose, scratchy throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea, Throat irritation — Feeling: Good

Free text: Runny nose, scratchy throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Survey response — day 7, dose 1
MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Runny nose, sore throat, I have been identified as a clise contact to a covid positive person

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-11
Dose 2 — Moderna
2021-02-11
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-12
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, Nausea

Adult check-in
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Pyrexia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Free text: I did have a fever yesterday after my check in but ni fever today so far.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Vertigo — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — days 1–6 daily, dose 2
MedDRA: Vertigo — Feeling: Fair · Site: Pain, Itching · Chills, Headache

Free text: Vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-02-17
Survey response — days 1–6 daily, dose 2
MedDRA: Breast feeding — Feeling: Good · Site: Pain · Headache

Free text: I am breastfeeding and my 18 month old seems to not have any effect on him.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-11
Survey response — day 28, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: More fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-12
Survey response — 6 months, dose 2
MedDRA: Nasal congestion, Rhinorrhoea — Feeling: Good

Free text: Nasal congestion, runny nose, about 3 weeks ago, have resolved now

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-05
Dose 3 — Moderna
2021-11-05
Health check-in — day 0, dose 3
Feeling: Good · None

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

Adult check-in
2021-11-07
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain — Feeling: Good · Site: Pain · Fever · Headache, Nausea

Free text: Sore throat in the morning

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-11
Survey response — days 1–6 daily, dose 3
MedDRA: Rhinorrhoea — Feeling: Good

Free text: Runny nose

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Health check-in — day 7, dose 3
Feeling: Good · None

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

Adult check-in
2021-11-28
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-19
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
2022-05-06
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-03
Dose 4 — Moderna
2022-11-03
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-11-04
Survey response — days 1–6 daily, dose 4
MedDRA: Peripheral swelling — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Free text: Hands swollen

MedDRA releases: 2024-11 · check-in free text available
2022-11-05
Survey response — days 1–6 daily, dose 4
MedDRA: Peripheral swelling — Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Swollen hands

MedDRA releases: 2024-11 · check-in free text available
2022-11-06
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-11-07
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-11-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-09
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache

Adult check-in
2022-11-10
Health check-in — day 7, dose 4
Feeling: Good · Headache

Adult check-in
2022-11-17
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-24
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-12-01
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-12-08
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-15
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-02-02
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2023-05-06
Survey response — 6 months, dose 4
MedDRA: Heart rate increased — Feeling: Good

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-11	Moderna
3	2021-11-05	Moderna	No
4	2022-11-03	Moderna	No

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): Runny nose

2021-01-16

Systemic reaction (other): Runny nose, scratchy throat

2021-01-17

Systemic reaction (other): Each day my symptoms get less and less, runny nose, scratchy throat

2021-01-18

Systemic reaction (other): Runny nose, scratchy throat

Release 2 — day 7, dose 1

2021-01-21

Systemic reaction (other): Runny nose, sore throat, I have been identified as a clise contact to a covid positive person

Release 4 — days 1–6 daily, dose 2

2021-02-13

Systemic reaction (other): I did have a fever yesterday after my check in but ni fever today so far.

2021-02-14

Systemic reaction (other): Vertigo

2021-02-15

Systemic reaction (other): Vertigo

2021-02-17

Systemic reaction (other): I am breastfeeding and my 18 month old seems to not have any effect on him.

Release 5 — day 28, dose 2

2021-03-11

Symptoms: More fatigue

Release 9 — 6 months, dose 2

2021-08-12

Symptoms: Nasal congestion, runny nose, about 3 weeks ago, have resolved now

Release 10 — days 1–6 daily, dose 3

2021-11-07

Systemic reaction (other): Sore throat in the morning

2021-11-11

Systemic reaction (other): Runny nose

Release 12 — days 1–6 daily, dose 4

2022-11-04

Systemic reaction (other): Hands swollen

2022-11-05

Systemic reaction (other): Swollen hands

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	Fatigue	✓	✓	✓
SD	Heart rate increased	·	·	✓
SD	Nasal congestion	✓	·	✓
SD	Rhinorrhoea	✓	·	✓
SRO	Breast feeding	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Peripheral swelling	·	·	✓
SRO	Pyrexia	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Throat irritation	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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