2XR-13443-78812

3 vaccinations 11 coded responses 41 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 020 / MA
Registered: 2021-03-10

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

2021-03-10
Registered in v-safe
2021-03-10
Dose 1 — Moderna
2021-03-10
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain, Insomnia, Mobility decreased — Feeling: Good · Site: Pain

Free text: Slight pain at the injection site and trouble sleeping on that side. However today I was able to lift my arm over my head

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Sleep disorder — Feeling: Good · Site: Pain

Free text: Trouble sleeping on injection arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-31
Survey response — day 21, dose 1
MedDRA: Chills, Rash — Feeling: Fair

Free text: Slight rash and chills

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Dose 2 — Moderna
2021-04-07
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Nasal congestion — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Stufffy nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain, Muscular weakness — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Free text: Rubbery legs, like Bambi or being hit by a truck . Injection site tender

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Tenderness at the vaccine site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain — Feeling: Fair · Site: Redness · Rash, not including the immediate area around the injection site

Free text: My clothes clothes are rubbing against the injection site causing mild pain and two inches above there

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness · Fatigue or tiredness

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-04-14
Survey response — day 7, dose 2
MedDRA: Adverse reaction — Feeling: Good

Free text: Not today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 14, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — day 21, dose 2
Feeling: Good

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

Adult check-in
2021-05-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-19
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
2021-10-08
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-31
Dose 3 — Moderna
2021-10-31
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to work or attend school

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-11-07
Survey response — day 7, dose 3
MedDRA: Arthralgia — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Very mild joint pains it was nice to walk outside today

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Survey response — day 14, dose 3
MedDRA: Fatigue — Feeling: Fair

Free text: Just mild fatigue

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

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

Adult check-in
2021-12-05
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-12
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-30
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-01
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-31
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Moderna
2	2021-04-07	Moderna
3	2021-10-31	Moderna	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-12

Systemic reaction (other): Slight pain at the injection site and trouble sleeping on that side. However today I was able to lift my arm over my head

2021-03-15

Systemic reaction (other): Trouble sleeping on injection arm

Release 6 — day 21, dose 1

2021-03-31

Symptoms: Slight rash and chills

Release 7 — days 1–6 daily, dose 2

2021-04-08

Systemic reaction (other): Stufffy nose

2021-04-09

Systemic reaction (other): Rubbery legs, like Bambi or being hit by a truck . Injection site tender

2021-04-10

Systemic reaction (other): Tenderness at the vaccine site

2021-04-11

Systemic reaction (other): My clothes clothes are rubbing against the injection site causing mild pain and two inches above there

Release 7 — day 7, dose 2

2021-04-14

Systemic reaction (other): Not today

Release 7 — day 14, dose 2

2021-04-21

Symptoms: Fatigue

Release 10 — day 7, dose 3

2021-11-07

Systemic reaction (other): Very mild joint pains it was nice to walk outside today

Release 10 — day 14, dose 3

2021-11-14

Symptoms: Just mild fatigue

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	Fatigue	✓	✓	✓
SD	Rash	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Arthralgia	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Muscular weakness	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓

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