32D-32694-64924

3 vaccinations 9 coded responses 34 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 605 / IL
Registered: 2021-02-10

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

2021-02-10
Registered in v-safe
2021-02-10
Dose 1 — Moderna
2021-02-10
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-02-11
Survey response — days 1–6 daily, dose 1
MedDRA: Pain — Feeling: Good

Free text: The soreness I had for about 18 hours after my first injection are resolved

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-10
Dose 2 — Moderna
2021-03-10
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Good · Site: Pain

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills

Adult check-in
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pruritus, Hypersensitivity, Nasal congestion, Pre-existing disease — Feeling: Good

Free text: My allergies seem to be flaring. Ive had itchy eyes and nasal congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-24
Survey response — day 14, dose 2
MedDRA: Cough, Eye allergy, Rhinitis allergic — Feeling: Fair

Free text: My nasal and eye allergies have really kicked in. In addition this seems to have triggered a cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — day 21, dose 2
MedDRA: Cough, Eye pruritus, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extremely itchy eyes, cough, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-08
Survey response — 6 months, dose 2
MedDRA: Ventricular extrasystoles — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have developed a severe number of PVCs, approximating an extra 10,000-24,000 beats per day. Seeing Cardiologist tomorrow.

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Dose 3 — Moderna
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-28
Survey response — days 1–6 daily, dose 3
MedDRA: Insomnia — Feeling: Good

Free text: Sleeplessness

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-08
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-15
Survey response — day 21, dose 3
MedDRA: Back pain, Fatigue — Feeling: Fair

Free text: Fatigue, back aches

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-29
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-08
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-24
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-27
Survey response — 6 months, dose 3
MedDRA: Fatigue, Oropharyngeal pain, Pain — Feeling: Fair

Free text: Achy, fatigued, slught sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-10-29
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-10	Moderna
2	2021-03-10	Moderna
3	2021-10-25	Moderna	No

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-11

Systemic reaction (other): The soreness I had for about 18 hours after my first injection are resolved

Release 5 — day 0, dose 2

2021-03-10

Systemic reaction (other): None

Release 5 — days 1–6 daily, dose 2

2021-03-16

Systemic reaction (other): My allergies seem to be flaring. Ive had itchy eyes and nasal congestion

Release 6 — day 14, dose 2

2021-03-24

Symptoms: My nasal and eye allergies have really kicked in. In addition this seems to have triggered a cough

Release 6 — day 21, dose 2

2021-03-31

Symptoms: Extremely itchy eyes, cough, fatigue

Release 9 — 6 months, dose 2

2021-09-08

Symptoms: I have developed a severe number of PVCs, approximating an extra 10,000-24,000 beats per day. Seeing Cardiologist tomorrow.

Release 10 — days 1–6 daily, dose 3

2021-10-28

Systemic reaction (other): Sleeplessness

Release 10 — day 21, dose 3

2021-11-15

Symptoms: Fatigue, back aches

Release 11 — 6 months, dose 3

2022-04-27

Symptoms: Achy, fatigued, slught sore throat

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	Back pain	·	·	✓
SD	Cough	✓	✓	✓
SD	Eye allergy	✓	✓	✓
SD	Eye pruritus	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Rhinitis allergic	✓	✓	✓
SD	Ventricular extrasystoles	·	·	✓
SRO	Eye pruritus	✓	✓	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Insomnia	·	·	✓
SRO	Nasal congestion	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	·	✓

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