32N-28005-84333

2 vaccinations 11 coded responses 23 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 891 / NV
Registered: 2021-02-03

Relationship: Self
Race: White
Ethnicity: 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

2021-02-03
Registered in v-safe
2021-02-03
Dose 1 — Moderna
2021-02-03
Survey response — day 0, dose 1
MedDRA: Chest discomfort, Cough, Decreased appetite — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: lack appetite. chest is tight. slight cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite, Eye pain, Fatigue, Headache, Somnolence, Throat irritation — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness · Be unable to work

Free text: throat is raw. eyes hurt. less tired than yesterda. slept most of day 1. head still hurts. had no appetite day 1.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — days 1–6 daily, dose 1
MedDRA: Brain fog, Decreased appetite, Fatigue, Feeling abnormal, Throat irritation — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: raw throat ,tired, mild brain fog since day 1. appetite returning, tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-02-10
Health check-in — day 7, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-02-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-24
Survey response — day 21, dose 1
MedDRA: Arthralgia, Secretion discharge, Throat irritation — Feeling: Fair

Free text: elbows hurts. throat is raw. some mucous from upper lung

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Dose 2 — Moderna
2021-03-03
Survey response — day 0, dose 2
MedDRA: Arthralgia, Back pain, Cough, Neck pain, Productive cough — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: neck/ shoulder/back pain, slight cough/flem

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal discomfort, Arthralgia, Chills, Decreased appetite, Dyspnoea, Fatigue, Feeling abnormal, Headache, Nasal congestion, Pain in jaw, Peripheral coldness, Secretion discharge — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: stuffy nose. very col hands and feet. chills all night and day. intence headache. fatigue. no appetite. disvomfort in the stomach. mucous. hRd to breTh at night. foggy brain. joint pain. jaw hurts

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Alopecia — Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: some hair loss 2nd day after shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 2
MedDRA: Alopecia, Decreased appetite — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Free text: no apoetite. some hair loss

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-17
Survey response — day 14, dose 2
MedDRA: Decreased appetite, Fatigue, Headache, Nasal congestion, Productive cough, Throat irritation — Feeling: Fair · Be unable to work

Free text: very tired, stuffy nose, raw throat,some flem, less appetite and headaches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-07
Survey response — day 35, dose 2
MedDRA: Arthralgia, Back pain, Eye pain, Fatigue, Headache, Nasal congestion, Oropharyngeal pain, Throat irritation, Vision blurred — Feeling: Fair

Free text: very tired. hurting joints . blurry vision. headaches. soar and raw throat. stuffy sinus. backache. eyes hurt

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — day 42, dose 2
MedDRA: Chills, Decreased appetite, Fatigue, Headache, Hot flush, Myalgia, Oropharyngeal pain, Sinus congestion, Vision blurred — Feeling: Fair · Be unable to do your normal daily activities

Free text: very fatigued. throat is hurting all the time, sinus is not clear. constant headache. chest flutters and tightening, shoulder and upper back muscle ache, blurry vision at times,less of an appetite . a chill sometimes or a hot flash

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-03	Moderna
2	2021-03-03	Moderna

Free text

Release 3 — day 0, dose 1

2021-02-03

Systemic reaction (other): lack appetite. chest is tight. slight cough

Release 3 — days 1–6 daily, dose 1

2021-02-04

Systemic reaction (other): throat is raw. eyes hurt. less tired than yesterda. slept most of day 1. head still hurts. had no appetite day 1.

2021-02-05

Systemic reaction (other): raw throat ,tired, mild brain fog since day 1. appetite returning, tired

Release 4 — day 21, dose 1

2021-02-24

Symptoms: elbows hurts. throat is raw. some mucous from upper lung

Release 5 — day 0, dose 2

2021-03-03

Systemic reaction (other): neck/ shoulder/back pain, slight cough/flem

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): stuffy nose. very col hands and feet. chills all night and day. intence headache. fatigue. no appetite. disvomfort in the stomach. mucous. hRd to breTh at night. foggy brain. joint pain. jaw hurts

2021-03-08

Systemic reaction (other): some hair loss 2nd day after shot

2021-03-09

Systemic reaction (other): no apoetite. some hair loss

Release 5 — day 14, dose 2

2021-03-17

Symptoms: very tired, stuffy nose, raw throat,some flem, less appetite and headaches.

Release 7 — day 35, dose 2

2021-04-07

Symptoms: very tired. hurting joints . blurry vision. headaches. soar and raw throat. stuffy sinus. backache. eyes hurt

Release 7 — day 42, dose 2

2021-04-14

Symptoms: very fatigued. throat is hurting all the time, sinus is not clear. constant headache. chest flutters and tightening, shoulder and upper back muscle ache, blurry vision at times,less of an appetite . a chill sometimes or a hot flash

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	Back pain	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Decreased appetite	✓	✓	✓
SD	Eye pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hot flush	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Productive cough	✓	✓	✓
SD	Secretion discharge	✓	✓	✓
SD	Sinus congestion	✓	✓	✓
SD	Throat irritation	✓	✓	✓
SD	Vision blurred	✓	✓	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Alopecia	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Brain fog	✓	·	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓
SRO	Peripheral coldness	✓	✓	✓
SRO	Productive cough	✓	✓	✓
SRO	Secretion discharge	✓	✓	✓
SRO	Somnolence	✓	✓	✓
SRO	Throat irritation	✓	✓	✓

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