ZRS-28783-34193

3 vaccinations 11 coded responses 22 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 760 / TX
Registered: 2021-04-21

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

Registered dependents

RSY-76650-16639 Child or adolescent in my care · Female · 2021-12-15

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-22
Dose 1 — Moderna
2021-04-19
Dose 2 — Moderna
2021-04-21
Registered in v-safe
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Nausea

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal stiffness, Oedema peripheral — Feeling: Good

Free text: I had swelling in my armpit of the arm I received the shot. It was noticeably tight in that area. It was gone when I woke up.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-27
Survey response — day 7, dose 2
MedDRA: Musculoskeletal stiffness — Feeling: Good · Headache, Nausea

Free text: Neck stiffness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — day 14, dose 2
MedDRA: Chest discomfort, Headache, Hot flush, Nausea, Pyrexia, SARS-CoV-2 test negative — Feeling: Fair

Free text: I developed chest tightness (sporadic over 2 days), daily headache that comes and goes, daily nausea that comes and goes and had heat flashes and felt feverish for a day then resolved. I have tested for covid 4/30 and was negative and will test today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-31
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-20
Survey response — 3 months, dose 2
MedDRA: Abdominal discomfort, Headache — Feeling: Good

Free text: Ive had a few random, really bad headaches. Ive had upset stomach a few times not related to anything known.

MedDRA releases: 2024-11 · check-in free text available
2021-10-19
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-09
Dose 3 — Moderna
2021-12-15
Survey response — days 1–6 daily, dose 3
MedDRA: Menstrual disorder — Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: My period started the day after my booster injection. I have an IUD and haven't had a period in almost a year.

MedDRA releases: 2024-11 · check-in free text available
2021-12-16
Health check-in — day 7, dose 3
Feeling: Good · Headache

Adult check-in
2021-12-23
Survey response — day 14, dose 3
MedDRA: Headache, Nausea — Feeling: Fair

Free text: Random headaches and waves of nausea

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Survey response — day 21, dose 3
MedDRA: Cough, Fatigue, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cough, congestion, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-01-06
Survey response — day 28, dose 3
MedDRA: Cough, Headache, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school

Free text: Cough, congestion and headache

MedDRA releases: 2024-11 · check-in free text available
2022-01-13
Survey response — day 35, dose 3
MedDRA: Menstrual disorder, Productive cough, Secretion discharge — Feeling: Good

Free text: Still coughing up mucus. I'm having bleeding again which is the second time since my booster dose. Before that I was having no spotting or menstrual cycle because I have an IUD

MedDRA releases: 2024-11 · check-in free text available
2022-01-20
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-10
Survey response — 3 months, dose 3
MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: Fair

Free text: Chronic runny nose and congestion

MedDRA releases: 2024-11 · check-in free text available
2022-06-09
Survey response — 6 months, dose 3
MedDRA: Headache, Nausea — Feeling: Good

Free text: Random headache/nausea

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-22	Moderna
2	2021-04-19	Moderna
3	2021-12-09	Moderna	No

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): I had swelling in my armpit of the arm I received the shot. It was noticeably tight in that area. It was gone when I woke up.

Release 8 — day 7, dose 2

2021-04-27

Systemic reaction (other): Neck stiffness

Release 8 — day 14, dose 2

2021-05-03

Symptoms: I developed chest tightness (sporadic over 2 days), daily headache that comes and goes, daily nausea that comes and goes and had heat flashes and felt feverish for a day then resolved. I have tested for covid 4/30 and was negative and will test today cut off by CDC

Release 9 — 3 months, dose 2

2021-07-20

Symptoms: Ive had a few random, really bad headaches. Ive had upset stomach a few times not related to anything known.

Release 10 — days 1–6 daily, dose 3

2021-12-15

Systemic reaction (other): My period started the day after my booster injection. I have an IUD and haven't had a period in almost a year.

Release 10 — day 14, dose 3

2021-12-23

Symptoms: Random headaches and waves of nausea

Release 10 — day 21, dose 3

2021-12-30

Symptoms: Cough, congestion, fatigue

Release 10 — day 28, dose 3

2022-01-06

Symptoms: Cough, congestion and headache

Release 10 — day 35, dose 3

2022-01-13

Symptoms: Still coughing up mucus. I'm having bleeding again which is the second time since my booster dose. Before that I was having no spotting or menstrual cycle because I have an IUD

Release 11 — 3 months, dose 3

2022-03-10

Symptoms: Chronic runny nose and congestion

Release 12 — 6 months, dose 3

2022-06-09

Symptoms: Random headache/nausea

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	Abdominal discomfort	·	·	✓
SD	Chest discomfort	✓	✓	✓
SD	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Hot flush	✓	✓	✓
SD	Menstrual disorder	·	·	✓
SD	Nausea	✓	✓	✓
SD	Productive cough	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Secretion discharge	·	·	✓
SRO	Menstrual disorder	·	·	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓

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