2NP-17254-28210

4 vaccinations 4 coded responses 35 check-ins 4 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 380 / TN
Registered: 2021-03-12

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

2021-03-04
Dose 1 — Moderna
2021-03-12
Registered in v-safe
2021-03-12
Survey response — day 7, dose 1
MedDRA: Angioedema, Body temperature decreased, Depressed mood, Dizziness, Fatigue, Feeling abnormal, Feeling hot, Headache, Heart rate increased, Hyperhidrosis, Immediate post-injection reaction, Malaise, Nail discolouration, Nausea, Pain, Papule, Skin discolouration, Swelling, Urticaria — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: 5 min after shot-medium dizzy for 45 min, extremely hot w sweat running down face, rapid heart few min, big bump hives on neck and chest esp. Left shot side. Felt terrible 4 days-95.6 temp, body aches, purple arms and lavendar toe nails, headache, nauseous, very low/bad feeling. Day 5 and 6 easily tired but better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-25
Health check-in — day 21, dose 1
Feeling: Poor

Adult check-in
2021-04-02
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-04-06
Dose 2 — Moderna
2021-04-06
Survey response — day 0, dose 2
MedDRA: Dizziness, Immediate post-injection reaction, Palpitations — Feeling: Poor · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: After shot I was a little light headed and heart raced a little. Reaction not as bad as first shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Chills, Fatigue, Influenza like illness, Nausea, Pain — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Fist shot lots of nausea, chills, fatigue. 2nd shot lots of body and joint aches. Feel like flue. A Little nausea.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-13
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-20
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-28
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-07
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-05
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-30
Dose 3 — Moderna
2022-04-06
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-10-08
Dose 4 — Moderna
2022-10-08
Survey response — day 0, dose 4
MedDRA: Balance disorder, Dizziness — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Light headed, wobbly

MedDRA releases: 2024-11 · check-in free text available
2022-10-09
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-10
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-11
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-12
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-13
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-14
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-15
Health check-in — day 7, dose 4
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-22
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-10-29
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-11-05
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-12
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-19
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-07
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-09
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-04	Moderna
2	2021-04-06	Moderna
3	2021-12-30	Moderna	No
4	2022-10-08	Moderna	No

Free text

Release 5 — day 7, dose 1

2021-03-12

Systemic reaction (other): 5 min after shot-medium dizzy for 45 min, extremely hot w sweat running down face, rapid heart few min, big bump hives on neck and chest esp. Left shot side. Felt terrible 4 days-95.6 temp, body aches, purple arms and lavendar toe nails, headache, nauseous, very low/bad feeling. Day 5 and 6 easily tired but better.

Release 7 — day 0, dose 2

2021-04-06

Systemic reaction (other): After shot I was a little light headed and heart raced a little. Reaction not as bad as first shot.

Release 7 — days 1–6 daily, dose 2

2021-04-07

Systemic reaction (other): Fist shot lots of nausea, chills, fatigue. 2nd shot lots of body and joint aches. Feel like flue. A Little nausea.

Release 12 — day 0, dose 4

2022-10-08

Systemic reaction (other): Light headed, wobbly

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	Angioedema	✓	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Balance disorder	·	·	✓
SRO	Body temperature decreased	✓	·	✓
SRO	Chills	✓	✓	✓
SRO	Depressed mood	✓	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	·	✓
SRO	Feeling hot	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Influenza like illness	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Nail discolouration	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Papule	○	✓	○
SRO	Skin discolouration	✓	✓	✓
SRO	Swelling	✓	·	✓
SRO	Urticaria	○	✓	○

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