2RU-20264-15337

3 vaccinations 7 coded responses 24 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 152 / PA
Registered: 2021-10-09

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

2021-09-11
Dose 1 — Moderna
2021-10-09
Registered in v-safe
2021-10-09
Dose 2 — Moderna
2021-10-10
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-10-11
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Mobility decreased, Nausea, Pain, Pyrexia — Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Yesterday after doing this survey, my symptoms got very severesevere chills & high fever. Severe nausea. Today, feeling a lot better, still achy and feverish but I don't feel sick. Yesterday I could not get off the couch.

MedDRA releases: 2024-11 · check-in free text available
2021-10-12
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Pain, Pain in extremity — Feeling: Good · Site: Pain, Redness, Swelling

Free text: Feeling fine today aside from being achy & tired, plus my arm hurts!

MedDRA releases: 2024-11 · check-in free text available
2021-10-13
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Pain — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Feeling pretty good, just tired & slightly achy.

MedDRA releases: 2024-11 · check-in free text available
2021-10-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-10-16
Survey response — day 7, dose 2
MedDRA: Unevaluable event — Feeling: Good

Free text: Feeling great, back to my old self!

MedDRA releases: 2024-11 · check-in free text available
2021-10-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-10-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-11-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-11-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-11-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-01-08
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2022-03-25
Dose 3 — Moderna
2022-03-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-03-27
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Pain in extremity — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Arm hurts very bad, even into my armpit.

MedDRA releases: 2024-11 · check-in free text available
2022-03-28
Survey response — days 1–6 daily, dose 3
MedDRA: Fatigue, Headache, Pain, Self-medication — Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Symptoms are pretty mild, I feel pretty good besides soreness and being a little tired. Woke up with a slight headache but ibuprofen helped.

MedDRA releases: 2024-11 · check-in free text available
2022-03-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-01
Health check-in — day 7, dose 3
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-10
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-04-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-04-24
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-05-01
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-05-06
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-06-24
Survey response — 3 months, dose 3
MedDRA: Chills, Headache, Oropharyngeal pain, Pain, Pyrexia, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I woke up June 18 with a very sore throat, June 19 with extreme sore throat, chills, fever, severe body aches, headache and positive covid 19 test.

MedDRA releases: 2024-11 · check-in free text available
2022-06-24
Report sent to call center — 3 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-27
Call 1 — Could Not Reach Participant
2022-06-30
Call 2 — Left Voicemail
2022-09-23
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-09-11	Moderna	No
2	2021-10-09	Moderna	No
3	2022-03-25	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 2

2021-10-11

Systemic reaction (other): Yesterday after doing this survey, my symptoms got very severesevere chills & high fever. Severe nausea. Today, feeling a lot better, still achy and feverish but I don't feel sick. Yesterday I could not get off the couch.

2021-10-12

Systemic reaction (other): Feeling fine today aside from being achy & tired, plus my arm hurts!

2021-10-13

Systemic reaction (other): Feeling pretty good, just tired & slightly achy.

Release 10 — day 7, dose 2

2021-10-16

Systemic reaction (other): Feeling great, back to my old self!

Release 11 — days 1–6 daily, dose 3

2022-03-27

Systemic reaction (other): Arm hurts very bad, even into my armpit.

2022-03-28

Systemic reaction (other): Symptoms are pretty mild, I feel pretty good besides soreness and being a little tired. Woke up with a slight headache but ibuprofen helped.

Release 12 — 3 months, dose 3

2022-06-24

Symptoms: I woke up June 18 with a very sore throat, June 19 with extreme sore throat, chills, fever, severe body aches, headache and positive covid 19 test.

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	Chills	·	·	✓
SD	Headache	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Axillary pain	·	·	✓
SRO	Chills	·	·	✓
SRO	Fatigue	·	·	✓
SRO	Headache	·	·	✓
SRO	Mobility decreased	·	·	✓
SRO	Nausea	·	·	✓
SRO	Pain	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Pyrexia	·	·	✓
SRO	Self-medication	·	·	✓
SRO	Unevaluable event	·	·	✓

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