3JG-34157-29865

4 vaccinations 6 coded responses 40 check-ins 5 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 210 / MD
Registered: 2021-02-02

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

2021-02-02
Registered in v-safe
2021-02-03
Dose 1 — Moderna
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

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

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-10
Survey response — day 7, dose 1
MedDRA: Sinus congestion — Feeling: Good · Headache, Fatigue or tiredness

Free text: Sinus congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-03
Dose 2 — Moderna
2021-03-03
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Abdominal pain

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — day 14, dose 2
Feeling: Good

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

Adult check-in
2021-04-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-03
Survey response — 6 months, dose 2
MedDRA: Cough, Fatigue, Oropharyngeal pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Sore throat, cough, fatigue

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-05
Dose 3 — Moderna
2022-03-05
Survey response — 12 months, dose 2
MedDRA: Fatigue, Pyrexia, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I had a fever, congestion, and moderate fatigue for about 10 days in early Jan. I waited in line for 2 hours in the freezing cold and still could not get a test at the time so I do not know for sure if I had Covid. Today I am more tired than normal

MedDRA releases: 2024-11 · check-in free text available
2022-05-14
Dose 4 — Moderna
2022-05-14
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-05-15
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-05-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-21
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-28
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-04
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-11
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-18
Survey response — day 35, dose 4
MedDRA: Diarrhoea, Gastrointestinal pain — Feeling: Good

Free text: Intestinal cramps and diarrhea lasting one day

MedDRA releases: 2024-11 · check-in free text available
2022-06-27
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-13
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-12
Survey response — 6 months, dose 4
MedDRA: Fatigue, Nasal congestion — Feeling: Good

Free text: I had a flu shot and that was followed by about a week of nasal congestion and fatigue

MedDRA releases: 2024-11 · check-in free text available
2023-05-14
Survey response — 12 months, dose 4
MedDRA: Brain fog, Fatigue, Respiratory tract congestion, Sinusitis — Feeling: Good · Be unable to work or attend school

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-03	Moderna
2	2021-03-03	Moderna
3	2021-11-05	Moderna	No
4	2022-05-14	Moderna	No

Free text

Release 4 — day 7, dose 1

2021-02-10

Systemic reaction (other): Sinus congestion

Release 9 — 6 months, dose 2

2021-09-03

Symptoms: Sore throat, cough, fatigue

Release 11 — 12 months, dose 2

2022-03-05

Symptoms: I had a fever, congestion, and moderate fatigue for about 10 days in early Jan. I waited in line for 2 hours in the freezing cold and still could not get a test at the time so I do not know for sure if I had Covid. Today I am more tired than normal cut off by CDC

Release 12 — day 35, dose 4

2022-06-18

Symptoms: Intestinal cramps and diarrhea lasting one day

Release 12 — 6 months, dose 4

2022-11-12

Symptoms: I had a flu shot and that was followed by about a week of nasal congestion and 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	Brain fog	·	·	✓
SD	Cough	✓	·	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	✓	·	✓
SD	Gastrointestinal pain	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sinusitis	·	·	✓
SRO	Sinus congestion	✓	✓	✓

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