2QK-25692-68258

5 vaccinations 10 coded responses 37 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 200 / DC
Registered: 2020-12-29

Relationship: Self
Race: Black or African American
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

2020-12-29
Registered in v-safe
2020-12-29
Dose 1 — Moderna
2020-12-29
Health check-in — day 0, dose 1
Feeling: Fair · None

Adult check-in
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches

Adult check-in
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-01-02
Survey response — days 1–6 daily, dose 1
MedDRA: Productive cough — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: When I cough I bring up a green mucus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Productive cough — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Since I got the vaccine I have developed a green mucus when I cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches

Adult check-in
2021-01-05
Health check-in — day 7, dose 1
Feeling: Fair · Muscle or body aches

Adult check-in
2021-01-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-20
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-01-26
Dose 2 — Moderna
2021-01-26
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-02-02
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-02-10
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-16
Survey response — day 21, dose 2
MedDRA: Injection site pain, Musculoskeletal stiffness — Feeling: Fair · Be unable to do your normal daily activities

Free text: My right arm where I got my shot starting hurting and get stiff

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — day 28, dose 2
MedDRA: Injection site pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Right shoulder and arm hurts all the time now where I got the shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — day 35, dose 2
MedDRA: Arthralgia, Muscle spasms, Pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: My body aches and my joints muscle cramps in my arm that I got the shot in

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-04-28
Survey response — 3 months, dose 2
MedDRA: Pain — Feeling: Fair

Free text: I have severe body aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-28
Survey response — 6 months, dose 2
MedDRA: Fatigue, Urinary tract infection — Feeling: Fair

Free text: Stay tired a lot and have urinary tract infections frequently

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-26
Dose 3 — Moderna
2022-01-26
Survey response — 12 months, dose 2
MedDRA: Pain — Feeling: Fair

Free text: Have lots of body aches

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-06
Dose 4 — Moderna
2022-10-20
Dose 5 — Moderna
2022-10-26
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2022-10-26
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-27
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-11-03
Survey response — day 14, dose 5
MedDRA: Upper respiratory tract infection — Feeling: Fair · Be unable to work or attend school

Free text: Have a upper respiratory infection

MedDRA releases: 2024-11 · check-in free text available
2022-11-12
Survey response — day 21, dose 5
MedDRA: Influenza — Feeling: Fair · Be unable to work or attend school

Free text: I caught the flu

MedDRA releases: 2024-11 · check-in free text available
2022-11-17
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-11-24
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-12-01
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2023-01-19
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2023-04-20
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Moderna
2	2021-01-26	Moderna
3	2021-10-26	Moderna	No
4	2022-05-06	Moderna	No
5	2022-10-20	Moderna	No

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-02

Systemic reaction (other): When I cough I bring up a green mucus

2021-01-03

Systemic reaction (other): Since I got the vaccine I have developed a green mucus when I cough

Release 4 — day 21, dose 2

2021-02-16

Symptoms: My right arm where I got my shot starting hurting and get stiff

Release 4 — day 28, dose 2

2021-02-23

Symptoms: Right shoulder and arm hurts all the time now where I got the shot

Release 4 — day 35, dose 2

2021-03-02

Symptoms: My body aches and my joints muscle cramps in my arm that I got the shot in

Release 8 — 3 months, dose 2

2021-04-28

Symptoms: I have severe body aches

Release 9 — 6 months, dose 2

2021-07-28

Symptoms: Stay tired a lot and have urinary tract infections frequently

Release 11 — 12 months, dose 2

2022-01-26

Symptoms: Have lots of body aches

Release 12 — day 14, dose 5

2022-11-03

Symptoms: Have a upper respiratory infection

Release 12 — day 21, dose 5

2022-11-12

Symptoms: I caught the flu

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
SD	Arthralgia	✓	✓	✓
SD	Fatigue	✓	·	✓
SD	Influenza	·	·	✓
SD	Injection site pain	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Upper respiratory tract infection	·	·	✓
SD	Urinary tract infection	✓	·	✓
SRO	Mucosal discolouration	○	○	○
SRO	Productive cough	✓	✓	✓

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