ZRD-69114-45510

4 vaccinations 15 coded responses 41 check-ins 15 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 531 / WI
Registered: 2021-04-08

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

2021-04-08
Registered in v-safe
2021-04-08
Dose 1 — Moderna
2021-04-08
Health check-in — day 0, dose 1
Feeling: Good · None

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

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-11
Survey response — days 1–6 daily, dose 1
MedDRA: Gingival bleeding — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Bleeding gums after flossing (unusual)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain, Upper-airway cough syndrome — Feeling: Good · Headache · Be unable to do your normal daily activities

Free text: Sore throat & moderately heavy postnasal drip

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 1
MedDRA: Upper-airway cough syndrome — Feeling: Good

Free text: Lots of postnasal drip.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain, Upper-airway cough syndrome — Feeling: Good · Headache

Free text: Soreness in left armpit (same side as injection site); excessive postnasal drip

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — day 7, dose 1
MedDRA: Axillary pain — Feeling: Good

Free text: Soreness in armpit (same side where vaccine given)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 14, dose 1
MedDRA: Injection site pruritus, Injection site rash — Feeling: Good

Free text: Over a week after vaccination shot #1, a rash developed at the injection site, followed by itching.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-05
Dose 2 — Moderna
2021-05-05
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-07
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lymph node tenderness under armpit of injection side; temp of 99 was still high for me, as my normal range is 96.5-97

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-09
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Good · Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-12
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-19
Survey response — day 14, dose 2
MedDRA: Dizziness — Feeling: Good

Free text: Seemed to be having dizzy spells, but theyve since subsided

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — day 21, dose 2
MedDRA: Polymorphic light eruption, Rash — Feeling: Good

Free text: Experienced a polymorphic light eruption (rash) after being exposed to sunlight, even with sunscreen. Never had this before, and didnt know if the vaccine may have played a role in this new immune system activity.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-04
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-03
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-21
Dose 3 — Moderna
2022-06-21
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-20
Dose 4 — Moderna
2022-09-20
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-09-21
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-22
Survey response — days 1–6 daily, dose 4
MedDRA: Dysgeusia, Menstruation irregular, Vaginal haemorrhage — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches

Free text: Vaginal spotting (suspicious because haven't had period in 9 months); bitter taste in mouth

MedDRA releases: 2024-11 · check-in free text available
2022-09-23
Survey response — days 1–6 daily, dose 4
MedDRA: Oropharyngeal pain, Upper-airway cough syndrome — Feeling: Good · Site: Pain, Redness, Swelling

Free text: Sore throat/post-nasal drip

MedDRA releases: 2024-11 · check-in free text available
2022-09-24
Survey response — days 1–6 daily, dose 4
MedDRA: Upper-airway cough syndrome, Vaginal haemorrhage — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Unusual vaginal bleeding; post-nasal drip

MedDRA releases: 2024-11 · check-in free text available
2022-09-25
Survey response — days 1–6 daily, dose 4
MedDRA: Upper-airway cough syndrome, Vaginal haemorrhage — Feeling: Good

Free text: Unusual vaginal bleeding; post-nasal drip

MedDRA releases: 2024-11 · check-in free text available
2022-09-26
Survey response — days 1–6 daily, dose 4
MedDRA: Vaginal haemorrhage — Feeling: Good

Free text: Unusual vaginal bleeding

MedDRA releases: 2024-11 · check-in free text available
2022-09-29
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-04
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-11
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-18
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-25
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-01
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-20
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-21
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-08	Moderna
2	2021-05-05	Moderna
3	2021-12-21	Moderna	No
4	2022-09-20	Moderna	No

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-11

Systemic reaction (other): Bleeding gums after flossing (unusual)

2021-04-12

Systemic reaction (other): Sore throat & moderately heavy postnasal drip

2021-04-13

Systemic reaction (other): Lots of postnasal drip.

2021-04-14

Systemic reaction (other): Soreness in left armpit (same side as injection site); excessive postnasal drip

Release 7 — day 7, dose 1

2021-04-15

Systemic reaction (other): Soreness in armpit (same side where vaccine given)

Release 7 — day 14, dose 1

2021-04-22

Symptoms: Over a week after vaccination shot #1, a rash developed at the injection site, followed by itching.

Release 8 — days 1–6 daily, dose 2

2021-05-07

Systemic reaction (other): Lymph node tenderness under armpit of injection side; temp of 99 was still high for me, as my normal range is 96.5-97

2021-05-09

Systemic reaction (other): Sore throat

Release 8 — day 14, dose 2

2021-05-19

Symptoms: Seemed to be having dizzy spells, but theyve since subsided

Release 8 — day 21, dose 2

2021-05-26

Symptoms: Experienced a polymorphic light eruption (rash) after being exposed to sunlight, even with sunscreen. Never had this before, and didnt know if the vaccine may have played a role in this new immune system activity.

Release 12 — days 1–6 daily, dose 4

2022-09-22

Systemic reaction (other): Vaginal spotting (suspicious because haven't had period in 9 months); bitter taste in mouth

2022-09-23

Systemic reaction (other): Sore throat/post-nasal drip

2022-09-24

Systemic reaction (other): Unusual vaginal bleeding; post-nasal drip

2022-09-25

Systemic reaction (other): Unusual vaginal bleeding; post-nasal drip

2022-09-26

Systemic reaction (other): Unusual vaginal bleeding

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	Dizziness	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Polymorphic light eruption	✓	✓	✓
SD	Rash	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Dysgeusia	·	·	✓
SRO	Gingival bleeding	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Menstruation irregular	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Upper-airway cough syndrome	✓	✓	✓
SRO	Vaginal haemorrhage	·	·	✓

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