2NT-91101-28952

3 vaccinations 5 coded responses 31 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 113 / NY
Registered: 2021-02-04

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

2021-02-04
Registered in v-safe
2021-02-04
Dose 1 — Moderna
2021-02-04
Survey response — day 0, dose 1
MedDRA: Anxiety, Nervousness — Feeling: Good

Free text: Anxiety shakey

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · Headache, Fatigue or tiredness

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · Headache, Fatigue or tiredness

Adult check-in
2021-02-07
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Good · Fatigue or tiredness

Free text: Just feel a little odd but OK

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-05
Dose 2 — Moderna
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Nausea

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-12
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 42, dose 2
Feeling: Good

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

Adult check-in
2021-09-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-14
Dose 3 — Moderna
2021-10-30
Survey response — day 14, dose 3
MedDRA: Malaise — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I really didn't have any new symptoms I just wanted to tell you that after I got the booster I was sick for two full days maybe even 2 1/2

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Health check-in — day 21, dose 3
Feeling: Fair

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

Adult check-in
2021-11-18
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-25
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-13
Survey response — 3 months, dose 3
MedDRA: Asthenia, Fatigue, Nasopharyngitis, Office visit, Oropharyngeal pain, Pain — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Tired achy But that may be due to age. I did have a bad cold for two weeks that started out with a sore throat but I had the first test and the long test and they were both negative. No energy · Healthcare visit (other): Dr office visit

MedDRA releases: 2024-11 · check-in free text available
2022-01-13
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-18
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-16
Survey response — 6 months, dose 3
MedDRA: Hypersensitivity — Feeling: Good

Free text: Allergies that I never had

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Moderna
2	2021-03-05	Moderna
3	2021-10-14	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 3 — day 0, dose 1

2021-02-04

Systemic reaction (other): Anxiety shakey

Release 3 — days 1–6 daily, dose 1

2021-02-07

Systemic reaction (other): Just feel a little odd but OK

Release 10 — day 14, dose 3

2021-10-30

Symptoms: I really didn't have any new symptoms I just wanted to tell you that after I got the booster I was sick for two full days maybe even 2 1/2

Release 10 — 3 months, dose 3

2022-01-13

Symptoms: Tired achy But that may be due to age. I did have a bad cold for two weeks that started out with a sore throat but I had the first test and the long test and they were both negative. No energy

Healthcare visit (other): Dr office visit

Release 11 — 6 months, dose 3

2022-04-16

Symptoms: Allergies that I never had

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	Asthenia	·	·	✓
SD	Fatigue	·	·	✓
SD	Hypersensitivity	·	·	✓
SD	Malaise	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SRO	Anxiety	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Nervousness	✓	✓	✓

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