2K5-14993-54472

5 vaccinations 5 coded responses 39 check-ins 5 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 600 / IL
Registered: 2021-02-27

Relationship: Self
Race: N/A
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

2021-01-29
Dose 1 — Moderna
2021-02-26
Dose 2 — Moderna
2021-02-27
Registered in v-safe
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Body temperature increased — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Had a temp. of 100.8 yesterday. Today is much better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased activity, Fatigue — Feeling: Good · Site: Pain, Swelling, Itching · Fatigue or tiredness

Free text: Not up to working out due to fatigue but much better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site erythema, Injection site warmth — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Free text: Arm is warm and red 2" below injection site and a good 4" in diameter. Still don't feel like working out.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Exercise tolerance decreased — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Free text: Symptoms very mild. Noting decreased endurance while exercising

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

Adult check-in
2021-03-05
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-22
Dose 3 — Moderna
2021-10-27
Survey response — days 1–6 daily, dose 3
MedDRA: Fatigue, Headache, Malaise, Pain in extremity, Peripheral swelling — Feeling: Good · Site: Pain

Free text: The day after the shot, i had maiaise, arm swelling and pain, headache and fatigue. Symptoms gradually improved and are now mostly gone.

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-29
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-07
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-12
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-23
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-07
Dose 4 — Moderna
2022-04-15
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-21
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-28
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-05
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-12
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-19
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-07
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-28
Dose 5 — Moderna
Co-administered: Flu
2022-10-04
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2022-10-05
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-14
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-19
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-26
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-04
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-09
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-28
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-29
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-29	Moderna
2	2021-02-26	Moderna
3	2021-10-22	Moderna	No
4	2022-04-07	Moderna	No
5	2022-09-28	Moderna	Flu

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-28

Systemic reaction (other): Had a temp. of 100.8 yesterday. Today is much better

2021-03-01

Systemic reaction (other): Not up to working out due to fatigue but much better.

2021-03-02

Systemic reaction (other): Arm is warm and red 2" below injection site and a good 4" in diameter. Still don't feel like working out.

2021-03-03

Systemic reaction (other): Symptoms very mild. Noting decreased endurance while exercising

Release 10 — days 1–6 daily, dose 3

2021-10-27

Systemic reaction (other): The day after the shot, i had maiaise, arm swelling and pain, headache and fatigue. Symptoms gradually improved and are now mostly gone.

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	Body temperature increased	✓	✓	✓
SRO	Decreased activity	✓	✓	✓
SRO	Exercise tolerance decreased	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	·	·	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Malaise	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Peripheral swelling	·	·	✓

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