37V-31453-56541

3 vaccinations 8 coded responses 23 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 981 / WA
Registered: 2021-04-08

Relationship: Self
Race: Other
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-07
Dose 1 — Moderna
2021-04-08
Registered in v-safe
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Hyperhidrosis, Insomnia, Restless arm syndrome, Restless legs syndrome — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains

Free text: Insomnia big time. Could not sleep at all last night. Restless arms and legs sweating

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: Fatigue, Insomnia, Restless legs syndrome — Feeling: Fair · Site: Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Free text: The reason why I might be tired as because the shot gave me insomnia the night before. Could not sleep at all. Last night I slept okay restless legs crazy bad house

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-21
Survey response — day 14, dose 1
MedDRA: Lymph node pain, Lymphadenopathy, Oropharyngeal discomfort — Feeling: Fair · Be unable to do your normal daily activities

Free text: My gland behind my ear on my neck swelled up very sore throat not feel good on the same side the shot was given on. Upon some research I found out this is one of the side effects that can happen. I have. And verified only on shot side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-05
Dose 2 — Moderna
2021-05-06
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Brain fog, Dizziness, Oropharyngeal pain — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Sore throat and weak. Cloudy head woozi

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Oropharyngeal pain — Feeling: Good · Headache, Fatigue or tiredness

Free text: Swollen gland on same side as shot under my ear. And sore throat. Same thing happened with first shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-12
Survey response — day 7, dose 2
MedDRA: Herpes zoster — Feeling: Poor · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Shingles developed just a few days after second dose period don't know if it's related

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-04
Survey response — 3 months, dose 2
MedDRA: Exposure to SARS-CoV-2, Malaise — Feeling: Good · Be unable to do your normal daily activities

Free text: Roommate fully vaccinated came down with covid virus sick. Thank goodness. Much better 5 days. I started having some symptoms was not tested. He had Pfizer I had moderna. I did not get nearly as bad as him. Breakthrough case they called it

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-03
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-30
Dose 3 — Moderna
2022-05-05
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-05
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-02
Survey response — 12 months, dose 3
MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activities

Free text: Got covid the first week of November after getting my second booster a couple months before.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Moderna
2	2021-05-05	Moderna
3	2021-11-30	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-08

Systemic reaction (other): Insomnia big time. Could not sleep at all last night. Restless arms and legs sweating

2021-04-09

Systemic reaction (other): The reason why I might be tired as because the shot gave me insomnia the night before. Could not sleep at all. Last night I slept okay restless legs crazy bad house

Release 7 — day 14, dose 1

2021-04-21

Symptoms: My gland behind my ear on my neck swelled up very sore throat not feel good on the same side the shot was given on. Upon some research I found out this is one of the side effects that can happen. I have. And verified only on shot side

Release 8 — days 1–6 daily, dose 2

2021-05-06

Systemic reaction (other): Sore throat and weak. Cloudy head woozi

2021-05-08

Systemic reaction (other): Swollen gland on same side as shot under my ear. And sore throat. Same thing happened with first shot

Release 8 — day 7, dose 2

2021-05-12

Systemic reaction (other): Shingles developed just a few days after second dose period don't know if it's related

Release 9 — 3 months, dose 2

2021-08-04

Symptoms: Roommate fully vaccinated came down with covid virus sick. Thank goodness. Much better 5 days. I started having some symptoms was not tested. He had Pfizer I had moderna. I did not get nearly as bad as him. Breakthrough case they called it

Release 12 — 12 months, dose 3

2022-12-02

Symptoms: Got covid the first week of November after getting my second booster a couple months before.

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	COVID-19	·	·	✓
SD	Exposure to SARS-CoV-2	✓	·	✓
SD	Lymph node pain	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Malaise	✓	·	✓
SD	Oropharyngeal discomfort	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Brain fog	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Herpes zoster	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Restless arm syndrome	✓	✓	✓
SRO	Restless legs syndrome	✓	✓	✓

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