ZZ5-56570-99696

3 vaccinations 15 coded responses 26 check-ins 15 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 201 / VA
Registered: 2021-04-22

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

2021-03-24
Dose 1 — Moderna
2021-04-21
Dose 2 — Moderna
2021-04-22
Registered in v-safe
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain, Injection site rash, Injection site swelling, Rash erythematous, Rash papular — Feeling: Poor · 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: Large raised pink swollen sore rash at injection site about 2 inches diameter

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pruritus, Injection site rash, Injection site swelling — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Big circular rash swollen red and itchy at injection site. Expanding in size

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site erythema, Injection site rash, Lymphadenopathy — Feeling: Good · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness

Free text: Large red rash at injection site and swollen lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site rash — Feeling: Good · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness

Free text: Rash at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site rash — Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness

Free text: Rash at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site rash — Feeling: Good · Site: Redness, Swelling

Free text: Rash lingering around injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — day 7, dose 2
MedDRA: Rash — Feeling: Good · Site: Redness

Free text: Rash still present but shrinking and fading

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-02
Survey response — day 42, dose 2
MedDRA: Fatigue, Hypersomnia — Feeling: Good

Free text: Extreme fatigue needing more sleep than usual

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-21
Survey response — 3 months, dose 2
MedDRA: Fatigue, Headache, Nasopharyngitis, Sinus congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extreme fatigue, cold symptoms, headache, heightened sinus congestion

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Dose 3 — Moderna
2021-11-24
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, 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
2021-11-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness, Diarrhea

Adult check-in
2021-11-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-11-30
Health check-in — day 7, dose 3
Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-12-07
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-14
Survey response — day 21, dose 3
MedDRA: Fatigue, Nasopharyngitis, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increasing fatigue, cold symptoms, head congestion

MedDRA releases: 2024-11 · check-in free text available
2021-12-21
Survey response — day 28, dose 3
MedDRA: Fatigue — Feeling: Poor · Be unable to do your normal daily activities

Free text: Extreme exhaustion

MedDRA releases: 2024-11 · check-in free text available
2021-12-28
Survey response — day 35, dose 3
MedDRA: Fatigue, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair

Free text: Runny nose, sore throat, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-01-04
Survey response — day 42, dose 3
MedDRA: Fatigue, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Exhaustion, congestion, sore throat, runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-02-23
Survey response — 3 months, dose 3
MedDRA: Headache, Secretion discharge, Sinus congestion — Feeling: Fair · Be unable to work or attend school

Free text: Lots of sinus congestion and mucus drainage, sometimes with headache

MedDRA releases: 2024-11 · check-in free text available
2022-11-25
Survey response — 12 months, dose 3
MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Congestion, runny nose

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Moderna
2	2021-04-21	Moderna
3	2021-11-23	Moderna	No

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-22

Systemic reaction (other): Large raised pink swollen sore rash at injection site about 2 inches diameter

2021-04-23

Systemic reaction (other): Big circular rash swollen red and itchy at injection site. Expanding in size

2021-04-24

Systemic reaction (other): Large red rash at injection site and swollen lymph nodes

2021-04-25

Systemic reaction (other): Rash at injection site

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Rash at injection site

2021-04-27

Systemic reaction (other): Rash lingering around injection site

Release 8 — day 7, dose 2

2021-04-28

Systemic reaction (other): Rash still present but shrinking and fading

Release 8 — day 42, dose 2

2021-06-02

Symptoms: Extreme fatigue needing more sleep than usual

Release 9 — 3 months, dose 2

2021-07-21

Symptoms: Extreme fatigue, cold symptoms, headache, heightened sinus congestion

Release 10 — day 21, dose 3

2021-12-14

Symptoms: Increasing fatigue, cold symptoms, head congestion

Release 10 — day 28, dose 3

2021-12-21

Symptoms: Extreme exhaustion

Release 10 — day 35, dose 3

2021-12-28

Symptoms: Runny nose, sore throat, fatigue

Release 10 — day 42, dose 3

2022-01-04

Symptoms: Exhaustion, congestion, sore throat, runny nose

Release 11 — 3 months, dose 3

2022-02-23

Symptoms: Lots of sinus congestion and mucus drainage, sometimes with headache

Release 12 — 12 months, dose 3

2022-11-25

Symptoms: Congestion, runny nose

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	Headache	·	·	✓
SD	Hypersomnia	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Secretion discharge	·	·	✓
SD	Sinus congestion	·	·	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	Injection site rash	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Rash erythematous	✓	✓	✓
SRO	Rash papular	✓	✓	✓

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