2JB-72775-42893

3 vaccinations 5 coded responses 38 check-ins 6 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 347 / FL
Registered: 2021-03-02

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

2021-03-01
Dose 1 — Moderna
2021-03-02
Registered in v-safe
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Dysgeusia, Paraesthesia — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Free text: Prickly and tingly sensation whole body since shot on March 1. Had metallic taste in throat after shot.

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

Free text: Very slight tingling today, much better. Not sick.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-08
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-29
Dose 2 — Moderna
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, General symptom — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Symptoms started around 3 am today, no hungry.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Self-medication — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: No appetite, took Tylenol, only 6 hours of total sleep last two nights.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: First night Ive had over 3 hours of sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-05
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-28
Dose 3 — Moderna
2021-11-28
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Feeling pins and needles outside arms, upper back, front of thighs. Generalized itching in same places above and between eyebrows and above upper lips and skin on either side of nose.

Adult check-in · check-in free text available
2021-11-29
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-11-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-12-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-12-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · None

Adult check-in
2021-12-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-12-05
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

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

Adult check-in
2021-12-19
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-02
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-09
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-27
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-31
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-12-02
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-01	Moderna
2	2021-03-29	Moderna
3	2021-11-28	Moderna	No

Free text

Release 4 — days 1–6 daily, dose 1

2021-03-02

Systemic reaction (other): Prickly and tingly sensation whole body since shot on March 1. Had metallic taste in throat after shot.

2021-03-03

Systemic reaction (other): Very slight tingling today, much better. Not sick.

Release 6 — days 1–6 daily, dose 2

2021-03-30

Systemic reaction (other): Symptoms started around 3 am today, no hungry.

2021-03-31

Systemic reaction (other): No appetite, took Tylenol, only 6 hours of total sleep last two nights.

2021-04-02

Systemic reaction (other): First night Ive had over 3 hours of sleep

Release 12 — day 0, dose 3

2021-11-28

Systemic reaction (other): Feeling pins and needles outside arms, upper back, front of thighs. Generalized itching in same places above and between eyebrows and above upper lips and skin on either side of 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
SRO	Decreased appetite	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	General symptom	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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