2DV-23848-37308

5 vaccinations 11 coded responses 66 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 301 / GA
Registered: 2021-02-03

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

Timeline

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

2021-02-03
Registered in v-safe
2021-02-03
Dose 1 — Moderna
2021-02-03
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-02-08
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good · Muscle or body aches

Free text: Left anterior lower leg pain at shin late last night were level a 7/10 but gone this morning

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

Adult check-in
2021-02-10
Survey response — day 7, dose 1
MedDRA: Abdominal discomfort, Chest discomfort — Feeling: Good · Muscle or body aches

Free text: Have had intermittent discomfort in chest and abdomen which may be has. This began on 2/5. Don't know if it's related. Do have an appointment withy cardiologist tomorrow for my yearly checkup

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-03
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-10
Dose 2 — Moderna
2021-03-10
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-11
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Dysgeusia — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Earlier had metal taste in mouth when drinking, also intermittent dry cogh

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Nasopharyngitis — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Feel like I have a cold

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Nausea, Diarrhea

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-08
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-28
Dose 3 — Moderna
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling · None

Adult check-in
2021-11-01
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain, Rhinorrhoea, Sneezing — Feeling: Fair · Site: Swelling · Fatigue or tiredness

Free text: Sore throat, sneezing,runny nose

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Rhinorrhoea — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Runny nose, intermittent dry cougj

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Survey response — days 1–6 daily, dose 3
MedDRA: Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Stuffy head, sneezing, runny nose

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Survey response — day 7, dose 3
MedDRA: Cough, Nasal congestion — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Cough, nasal congestion

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-02
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-09
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-27
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-28
Survey response — 6 months, dose 3
MedDRA: Gastrooesophageal reflux disease, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Acid reflux · Healthcare visit (other): Saw GI specialist in office

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-02
Call 1 — Left Voicemail
2022-05-04
Call 2 — Left Voicemail
2022-05-04
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-23
Dose 4 — Moderna
2022-06-23
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-06-24
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-06-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2022-06-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2022-06-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Swelling, Itching · None

Adult check-in
2022-06-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-30
Health check-in — day 7, dose 4
Feeling: Fair · None

Adult check-in
2022-07-07
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-07-14
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-07-21
Survey response — day 28, dose 4
MedDRA: Cough, Fatigue, Nasal congestion, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Fair

Free text: Stuffy nose,cough,runny nose,fatigue did not get tested although sx began July 8th as was in place where tests were not readily available. Got home yesterday and rapid covid test was negative. Still have stuffy nose and fatigue hi

MedDRA releases: 2024-11 · check-in free text available
2022-07-28
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-08-04
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-09-22
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-12-12
Dose 5 — Moderna
2022-12-13
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-12-15
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Headache

Adult check-in
2022-12-16
Survey response — days 1–6 daily, dose 5
MedDRA: Laryngitis — Feeling: Fair

Free text: Have laryngitis but is not connected to recent booster

MedDRA releases: 2024-11 · check-in free text available
2022-12-17
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-12-18
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-12-19
Health check-in — day 7, dose 5
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-12-26
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2023-01-02
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2023-01-09
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2023-01-16
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2023-01-23
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-03-13
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2023-06-13
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-03	Moderna
2	2021-03-10	Moderna
3	2021-10-28	Moderna	No
4	2022-06-23	Moderna	No
5	2022-12-12	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-08

Systemic reaction (other): Left anterior lower leg pain at shin late last night were level a 7/10 but gone this morning

Release 4 — day 7, dose 1

2021-02-10

Systemic reaction (other): Have had intermittent discomfort in chest and abdomen which may be has. This began on 2/5. Don't know if it's related. Do have an appointment withy cardiologist tomorrow for my yearly checkup

Release 5 — days 1–6 daily, dose 2

2021-03-11

Systemic reaction (other): Earlier had metal taste in mouth when drinking, also intermittent dry cogh

2021-03-12

Systemic reaction (other): Feel like I have a cold

Release 10 — days 1–6 daily, dose 3

2021-11-01

Systemic reaction (other): Sore throat, sneezing,runny nose

2021-11-02

Systemic reaction (other): Runny nose, intermittent dry cougj

2021-11-03

Systemic reaction (other): Stuffy head, sneezing, runny nose

Release 10 — day 7, dose 3

2021-11-04

Systemic reaction (other): Cough, nasal congestion

Release 11 — 6 months, dose 3

2022-04-28

Symptoms: Acid reflux

Healthcare visit (other): Saw GI specialist in office

Release 12 — day 28, dose 4

2022-07-21

Symptoms: Stuffy nose,cough,runny nose,fatigue did not get tested although sx began July 8th as was in place where tests were not readily available. Got home yesterday and rapid covid test was negative. Still have stuffy nose and fatigue hi

Release 12 — days 1–6 daily, dose 5

2022-12-16

Systemic reaction (other): Have laryngitis but is not connected to recent booster

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
HCVO	Office visit	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Gastrooesophageal reflux disease	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Laryngitis	·	·	✓
SRO	Nasal congestion	·	·	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Sneezing	·	·	✓

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