3MD-53057-50391

5 vaccinations 2 coded responses 60 check-ins 2 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 236 / VA
Registered: 2021-01-25

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

Registered dependents

BB2-82962-63571 Child or adolescent in my care · Female · 2022-07-09

RH6-22463-98561 Child or adolescent in my care · Male · 2022-07-09

KW9-11092-82632 Child or adolescent in my care · Male · 2022-07-09

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-01-25
Registered in v-safe
2021-01-25
Dose 1 — Moderna
2021-01-25
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea, Diarrhea

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-15
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-03-04
Dose 2 — Moderna
2021-03-04
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · 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: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Pain — Feeling: Good

Free text: Back pain, near spine in upper back. I felt it when along with body aches every day but it persisted once they lapsed.

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

Adult check-in
2021-03-11
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-22
Dose 3 — Moderna
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-29
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-05
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-12
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-21
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-24
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-05-27
Dose 4 — Moderna
2022-05-28
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-05-29
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2022-05-31
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-05
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-06-10
Survey response — day 14, dose 4
MedDRA: Headache, Oropharyngeal pain — Feeling: Poor · Be unable to work or attend school

Free text: Sore throat and headache

MedDRA releases: 2024-11 · check-in free text available
2022-06-19
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-06-24
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-01
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-08
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-08-26
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-27
Dose 5 — Moderna
Co-administered: Flu
2022-09-28
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2022-09-29
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-09-30
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-01
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Diarrhea

Adult check-in
2022-10-02
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-03
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-04
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-11
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-18
Health check-in — day 21, dose 5
Feeling: Good

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

Adult check-in
2022-11-01
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-08
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-27
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-30
Health check-in — 6 months, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-25	Moderna
2	2021-03-04	Moderna
3	2021-10-22	Moderna	No
4	2022-05-27	Moderna	No
5	2022-09-27	Moderna	Flu

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-07

Systemic reaction (other): Back pain, near spine in upper back. I felt it when along with body aches every day but it persisted once they lapsed.

Release 12 — day 14, dose 4

2022-06-10

Symptoms: Sore throat and headache

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	Headache	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	Pain	✓	✓	✓

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