2BL-30610-60482

4 vaccinations 7 coded responses 41 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 056 / VT
Registered: 2020-12-31

Relationship: Self
Race: White
Ethnicity: 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

2020-12-30
Dose 1 — Moderna
2020-12-31
Registered in v-safe
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

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

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-06
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-27
Dose 2 — Moderna
2021-01-27
Health check-in — day 0, dose 2
Feeling: Good · Fever · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-02-01
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Good · Muscle or body aches

Free text: Slight sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-03
Survey response — day 7, dose 2
MedDRA: Oropharyngeal pain — Feeling: Good · Headache

Free text: Sore throat-slight

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-03
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-25
Dose 3 — Moderna
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Dysgeusia — Feeling: Good · Headache

Free text: Metallic taste in my mouth for the past few days. It hasn't affected my taste.

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-01
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-10
Survey response — day 14, dose 3
MedDRA: Back pain, Fatigue, Respiratory tract congestion — Feeling: Fair

Free text: I have had a sore throat and am stuffing. I don't believe it was from the vaccine. We just returned from an outdoor wedding and reception out of state. We are also rundown due to travel. I am being tested currently.

MedDRA releases: 2024-11 · check-in free text available
2021-11-15
Survey response — day 21, dose 3
MedDRA: Nasopharyngitis — Feeling: Fair

Free text: We travelled for a wedding and returned with head colds.

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Survey response — day 28, dose 3
MedDRA: Neuropathy peripheral — Feeling: Good

Free text: Neuropathy in my right leg

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-06
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-24
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-09-21
Dose 4 — Moderna
2022-10-07
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-12
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-19
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-26
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-02
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-23
Survey response — 3 months, dose 4
MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good

Free text: Normal cold symptoms with multiple negative COVID tests.

MedDRA releases: 2024-11 · check-in free text available
2023-03-22
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-01-27	Moderna
3	2021-10-25	Moderna	No
4	2022-09-21	Moderna	No

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-01

Systemic reaction (other): Slight sore throat

Release 3 — day 7, dose 2

2021-02-03

Systemic reaction (other): Sore throat-slight

Release 10 — days 1–6 daily, dose 3

2021-10-30

Systemic reaction (other): Metallic taste in my mouth for the past few days. It hasn't affected my taste.

Release 10 — day 14, dose 3

2021-11-10

Symptoms: I have had a sore throat and am stuffing. I don't believe it was from the vaccine. We just returned from an outdoor wedding and reception out of state. We are also rundown due to travel. I am being tested currently.

Release 10 — day 21, dose 3

2021-11-15

Symptoms: We travelled for a wedding and returned with head colds.

Release 10 — day 28, dose 3

2021-11-24

Symptoms: Neuropathy in my right leg

Release 12 — 3 months, dose 4

2022-12-23

Symptoms: Normal cold symptoms with multiple negative COVID tests.

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	Back pain	·	·	✓
SD	Fatigue	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Neuropathy peripheral	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Dysgeusia	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓

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