22B-57294-60014

2 vaccinations 11 coded responses 25 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 053 / VT
Registered: 2021-01-18

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

2021-01-18
Registered in v-safe
2021-01-18
Dose 1 — Moderna
2021-01-18
Health check-in — day 0, dose 1
Feeling: Fair · Headache

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Swelling · None

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-01-25
Survey response — day 7, dose 1
MedDRA: Adverse reaction, Unevaluable event — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: These are baseline for me. Very unlikely to be from the vaccination.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-08
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-15
Dose 2 — Moderna
2021-02-15
Survey response — day 0, dose 2
MedDRA: Fatigue, Insomnia — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work

Free text: Fatigue may be at least partially due to only having 5 hours of sleep last night.

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

Free text: Unusual mild malaise.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-19
Survey response — days 1–6 daily, dose 2
MedDRA: Nasopharyngitis — Feeling: Poor · Fever · Headache · Be unable to do your normal daily activities

Free text: Started what seems like a head cold today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Myalgia, Nasopharyngitis — Feeling: Fair · Site: Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Head cold symptoms went away, but I have had muscle aches, which seem to be getting better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — day 7, dose 2
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-08
Survey response — day 21, dose 2
MedDRA: Pain in jaw, Pre-existing disease — Feeling: Fair

Free text: Jaw pain. I have TMJ and I normally dont feel pain from it. But I have a new night guard. I strongly doubt this has any relationship to the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-22
Survey response — day 35, dose 2
MedDRA: Fatigue, Headache, Malaise, Pre-existing disease — Feeling: Fair

Free text: Allergy issues, with fatigue, headache and some allergy-associated malaise. Most likely seasonal. I doubt it is related to the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — day 42, dose 2
MedDRA: Viral infection — Feeling: Fair

Free text: Got a bug. Seems like a virus. Got it 4 days after a small social gathering. Mostly better now, but got Covid test today. Asked doctors office if I should get test and was told yes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Survey response — 3 months, dose 2
MedDRA: Pre-existing disease — Feeling: Fair

Free text: Just allergy issues. My allergist retired, so I dont get any more allergy shots. Just use an air purifier, 3 homeopathic remedies and an herbal supplement for my allergies. I strongly doubt anything is due to the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-16
Survey response — 6 months, dose 2
MedDRA: Abdominal discomfort, Hypersensitivity, Pre-existing disease — Feeling: Fair

Free text: Inherited a cat and have been having some allergy symptoms on occasion. Also some stomach upset.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-15
Survey response — 12 months, dose 2
MedDRA: Angina pectoris, Dyspepsia — Feeling: Good

Free text: Indigestion, Mon cardiac chest pain (wearing Ziopatch to make sure).

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-18	Moderna
2	2021-02-15	Moderna

Free text

Release 2 — day 7, dose 1

2021-01-25

Systemic reaction (other): These are baseline for me. Very unlikely to be from the vaccination.

Release 4 — day 0, dose 2

2021-02-15

Systemic reaction (other): Fatigue may be at least partially due to only having 5 hours of sleep last night.

Release 4 — days 1–6 daily, dose 2

2021-02-16

Systemic reaction (other): Unusual mild malaise.

2021-02-19

Systemic reaction (other): Started what seems like a head cold today.

2021-02-21

Systemic reaction (other): Head cold symptoms went away, but I have had muscle aches, which seem to be getting better.

Release 5 — day 21, dose 2

2021-03-08

Symptoms: Jaw pain. I have TMJ and I normally dont feel pain from it. But I have a new night guard. I strongly doubt this has any relationship to the vaccine.

Release 6 — day 35, dose 2

2021-03-22

Symptoms: Allergy issues, with fatigue, headache and some allergy-associated malaise. Most likely seasonal. I doubt it is related to the vaccine.

Release 6 — day 42, dose 2

2021-03-29

Symptoms: Got a bug. Seems like a virus. Got it 4 days after a small social gathering. Mostly better now, but got Covid test today. Asked doctors office if I should get test and was told yes.

Release 8 — 3 months, dose 2

2021-05-17

Symptoms: Just allergy issues. My allergist retired, so I dont get any more allergy shots. Just use an air purifier, 3 homeopathic remedies and an herbal supplement for my allergies. I strongly doubt anything is due to the vaccine.

Release 9 — 6 months, dose 2

2021-08-16

Symptoms: Inherited a cat and have been having some allergy symptoms on occasion. Also some stomach upset.

Release 11 — 12 months, dose 2

2022-02-15

Symptoms: Indigestion, Mon cardiac chest pain (wearing Ziopatch to make sure).

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	Angina pectoris	·	·	✓
SD	Dyspepsia	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypersensitivity	✓	·	✓
SD	Malaise	✓	✓	✓
SD	Pain in jaw	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Viral infection	✓	✓	✓
SRO	Adverse reaction	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Unevaluable event	✓	✓	○

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