2RH-21111-72414

4 vaccinations 14 coded responses 26 check-ins 14 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 058 / VT
Registered: 2021-04-04

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

2021-04-04
Registered in v-safe
2021-04-04
Dose 1 — Moderna
2021-04-04
Survey response — day 0, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: I have chronic pain and Mast Cell Activation Syndrome so these symptoms are usual for me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction, Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: I have chronic health conditions that makes the symptoms above usual.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: These other symptoms are usual because of my chronic health problems

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: These all relate to a chronic health problem I have

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Free text: All related to my chronic health problems

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: These symptoms all are from a non Covid chronic health problem

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Related to my chronic health problem

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: All above symptoms are usual for me, related to my chronic health problems

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

Adult check-in
2021-04-25
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-05-02
Dose 2 — Moderna
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: I have chronic pain and chronic migraine so not unusual for me to have these symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: The above symptoms most likely relate to an existing chronic condition I have

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: This is likely related to my chronic health problems

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: These symptoms have to do with my chronic health problems

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction, Pre-existing disease — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Above symptoms are likely from my chronic health problems

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Survey response — day 7, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: These likely are caused by my chronic health problems

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-23
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-31
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-06
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-13
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-01
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-31
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-19
Dose 3 — Moderna
2022-05-02
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-06-03
Dose 4 — Pfizer-BioNTech
2022-12-04
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2023-06-03
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-04	Moderna
2	2021-05-02	Moderna
3	2021-11-19	Moderna	No
4	2022-06-03	Pfizer-BioNTech	No

Free text

Release 6 — day 0, dose 1

2021-04-04

Systemic reaction (other): I have chronic pain and Mast Cell Activation Syndrome so these symptoms are usual for me.

Release 6 — days 1–6 daily, dose 1

2021-04-05

Systemic reaction (other): I have chronic health conditions that makes the symptoms above usual.

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): These other symptoms are usual because of my chronic health problems

2021-04-07

Systemic reaction (other): These all relate to a chronic health problem I have

2021-04-08

Systemic reaction (other): All related to my chronic health problems

2021-04-09

Systemic reaction (other): These symptoms all are from a non Covid chronic health problem

2021-04-10

Systemic reaction (other): Related to my chronic health problem

Release 7 — day 7, dose 1

2021-04-11

Systemic reaction (other): All above symptoms are usual for me, related to my chronic health problems

Release 8 — days 1–6 daily, dose 2

2021-05-03

Systemic reaction (other): I have chronic pain and chronic migraine so not unusual for me to have these symptoms

2021-05-04

Systemic reaction (other): The above symptoms most likely relate to an existing chronic condition I have

2021-05-05

Systemic reaction (other): This is likely related to my chronic health problems

2021-05-06

Systemic reaction (other): These symptoms have to do with my chronic health problems

2021-05-07

Systemic reaction (other): Above symptoms are likely from my chronic health problems

Release 8 — day 7, dose 2

2021-05-09

Systemic reaction (other): These likely are caused by my chronic health problems

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	Adverse reaction	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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