ZYH-31019-35698

5 vaccinations 7 coded responses 45 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 051 / VT
Registered: 2021-03-18

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

2021-03-17
Dose 1 — Moderna
2021-03-18
Registered in v-safe
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-24
Survey response — day 7, dose 1
MedDRA: Fatigue, Migraine, Pre-existing disease — Feeling: Good · Site: Redness, Swelling, Itching

Free text: I had fatigue and headache, but the headache was clearly one of my usual migraines, so Im not reporting it as part of the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — day 14, dose 1
MedDRA: Injection site pruritus, Injection site rash, Injection site swelling — Feeling: Good

Free text: I got a delayed rash at the vaccine site (my upper left arm) that began 7 days after vaccination. First it was severely itchy bumps and swelling, followed by 48 hours of a red, rectangular, flat, itchy rash that measured about 4 inches x 3 inches.

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

Adult check-in
2021-04-14
Dose 2 — Moderna
2021-04-14
Survey response — day 0, dose 2
MedDRA: Vertigo — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Vertigo (moderate)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Vertigo — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-21
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-17
Dose 3 — Moderna
2021-10-13
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-16
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-02-15
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-02-18
Dose 4 — Moderna
2022-02-19
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-02-20
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-02-21
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fever · Fatigue or tiredness

Adult check-in
2022-02-22
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-02-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-02-24
Survey response — days 1–6 daily, dose 4
MedDRA: Pre-existing disease — Feeling: Fair · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Note: I have severe, chronic fatigue on many days anyway before getting any Covid shots

MedDRA releases: 2024-11 · check-in free text available
2022-02-25
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-03-04
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-03-13
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-03-18
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-03-27
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-04-01
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-05-21
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-08-21
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-09-09
Dose 5 — Moderna
2022-09-12
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-09-16
Survey response — day 7, dose 5
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Since Tuesday I've had a swollen supraclavicular lymph node on the same side of my body I got the vaccine (right)

MedDRA releases: 2024-11 · check-in free text available
2022-09-25
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-01
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-07
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-14
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-10-26
Survey response — day 42, dose 5
MedDRA: Menstruation delayed, Menstruation irregular — Feeling: Good

Free text: Menstrual irregularity--My period is about a week late and I think previous Covid boosters may have changed the timing of my cycle slightly as well

MedDRA releases: 2024-11 · check-in free text available
2022-12-09
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-10
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Moderna
2	2021-04-14	Moderna
3	2021-08-17	Moderna	No
4	2022-02-18	Moderna	No
5	2022-09-09	Moderna	No

Free text

Release 6 — day 7, dose 1

2021-03-24

Systemic reaction (other): I had fatigue and headache, but the headache was clearly one of my usual migraines, so Im not reporting it as part of the vaccine

Release 6 — day 14, dose 1

2021-03-31

Symptoms: I got a delayed rash at the vaccine site (my upper left arm) that began 7 days after vaccination. First it was severely itchy bumps and swelling, followed by 48 hours of a red, rectangular, flat, itchy rash that measured about 4 inches x 3 inches.

Release 7 — day 0, dose 2

2021-04-14

Systemic reaction (other): Vertigo (moderate)

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): Vertigo

Release 11 — days 1–6 daily, dose 4

2022-02-24

Systemic reaction (other): Note: I have severe, chronic fatigue on many days anyway before getting any Covid shots

Release 12 — day 7, dose 5

2022-09-16

Systemic reaction (other): Since Tuesday I've had a swollen supraclavicular lymph node on the same side of my body I got the vaccine (right)

Release 12 — day 42, dose 5

2022-10-26

Symptoms: Menstrual irregularity--My period is about a week late and I think previous Covid boosters may have changed the timing of my cycle slightly 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	Injection site pruritus	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Menstruation delayed	·	·	✓
SD	Menstruation irregular	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Migraine	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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