3KG-33928-38974

5 vaccinations 8 coded responses 59 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 801 / CO
Registered: 2021-01-15

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

2021-01-15
Registered in v-safe
2021-01-15
Dose 1 — Moderna
2021-01-15
Health check-in — day 0, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Nasopharyngitis — Feeling: Good · Site: Pain · Fever · Fatigue or tiredness

Free text: I feel like I have a bad head cold.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Survey response — day 14, dose 1
MedDRA: Injection site pain, Injection site rash, Injection site swelling, Rash pruritic — Feeling: Fair

Free text: On the 8th day after injection, I woke up with pain, swelling, and rash on injection site. Pain lasted 3 days, swelling lasted 3-4 days, and itchy rash lasted 5 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-10
Dose 2 — Moderna
2021-02-10
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Pain of skin — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Every square inch of my skin hurts

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · Headache

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · Fatigue or tiredness

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-17
Survey response — day 7, dose 2
MedDRA: Dizziness, Rash — Feeling: Good

Free text: I forgot to report that on Monday I had a rash all over my abdomen and arms that lasted one day. On Monday and Tuesday I was very dizzy. That is gone today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-28
Dose 3 — Moderna
2021-09-28
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-09-29
Survey response — days 1–6 daily, dose 3
MedDRA: Pain of skin — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Skin hurts all over

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-05
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-02
Survey response — day 35, dose 3
MedDRA: Pyrexia — Feeling: Fair

Free text: Low grade fever

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-28
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-29
Dose 4 — Moderna
2022-03-29
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-03-30
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Adult check-in
2022-03-31
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness

Adult check-in
2022-04-01
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Itching · Fever · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2022-04-02
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Itching · None

Adult check-in
2022-04-03
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-04-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-04-05
Health check-in — day 7, dose 4
Feeling: Fair · Fever · Fatigue or tiredness

Adult check-in
2022-04-13
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-20
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-04-26
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-03
Survey response — day 35, dose 4
MedDRA: Nasopharyngitis — Feeling: Fair

Free text: A very bad cold

MedDRA releases: 2024-11 · check-in free text available
2022-05-10
Survey response — day 42, dose 4
MedDRA: Influenza, Nasopharyngitis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Very bad cold/flu

MedDRA releases: 2024-11 · check-in free text available
2022-06-28
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-08
Dose 5 — Moderna
2022-09-29
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-09-29
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-06
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-13
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-22
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-10
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-11
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Moderna
2	2021-02-10	Moderna
3	2021-09-28	Moderna	No
4	2022-03-29	Moderna	No
5	2022-09-08	Moderna	No

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-17

Systemic reaction (other): I feel like I have a bad head cold.

Release 3 — day 14, dose 1

2021-01-29

Symptoms: On the 8th day after injection, I woke up with pain, swelling, and rash on injection site. Pain lasted 3 days, swelling lasted 3-4 days, and itchy rash lasted 5 days.

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): Every square inch of my skin hurts

Release 4 — day 7, dose 2

2021-02-17

Systemic reaction (other): I forgot to report that on Monday I had a rash all over my abdomen and arms that lasted one day. On Monday and Tuesday I was very dizzy. That is gone today.

Release 9 — days 1–6 daily, dose 3

2021-09-29

Systemic reaction (other): Skin hurts all over

Release 10 — day 35, dose 3

2021-11-02

Symptoms: Low grade fever

Release 11 — day 35, dose 4

2022-05-03

Symptoms: A very bad cold

Release 11 — day 42, dose 4

2022-05-10

Symptoms: Very bad cold/flu

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	Influenza	·	·	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rash pruritic	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Pain of skin	✓	✓	✓
SRO	Rash	✓	✓	✓

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