3ML-28698-04993

4 vaccinations 6 coded responses 44 check-ins 6 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 303 / GA
Registered: 2021-01-25

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

2021-01-25
Registered in v-safe
2021-01-25
Dose 1 — Moderna
2021-01-25
Health check-in — day 0, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Pain — Feeling: Good · Site: Pain · Headache, Muscle or body aches

Free text: Mild aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Pyrexia, Sluggishness — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Yesterday after checked in saying I felt fine, I started to run a low fever and felt sluggish. Better this morning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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
Survey response — day 14, dose 1
MedDRA: Lymphadenopathy, Sluggishness — Feeling: Good

Free text: I had a couple of evenings of feeling very sluggish with slight swollen glands.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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
2021-02-25
Dose 2 — Moderna
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Headache

Adult check-in
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Pyrexia — Feeling: Fair · Site: Pain, Itching · Fever · Headache, Fatigue or tiredness

Free text: Find for first 8 hours after shot then fever and chills. The second night had 101.4 fever and then woke up next morning feeling better and no fever. Fever came back third night (99.5) and gone again in morning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-04
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-08-30
Dose 3 — Moderna
2021-08-31
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-09-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches

Adult check-in
2021-09-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness · Headache, Fatigue or tiredness

Adult check-in
2021-09-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · Headache

Adult check-in
2021-09-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-09-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-09-06
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-09-13
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-09-20
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-09-29
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-11
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-11-29
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-02-28
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-24
Dose 4 — Pfizer-BioNTech
2022-05-14
Survey response — day 14, dose 4
MedDRA: COVID-19 — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Came down with Covid 2 1/2 weeks after receiving fourth shot

MedDRA releases: 2024-11 · check-in free text available
2022-05-15
Survey response — day 21, dose 4
MedDRA: COVID-19, Nausea, Syncope — Feeling: Poor · Be unable to work or attend school

Free text: Had a fainting episode today and nauseous. Again from the Covid that I have right now

MedDRA releases: 2024-11 · check-in free text available
2022-05-22
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-29
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-05
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-26
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-25	Moderna
2	2021-02-25	Moderna
3	2021-08-30	Moderna	No
4	2022-04-24	Pfizer-BioNTech	No

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-26

Systemic reaction (other): Mild aches

2021-01-27

Systemic reaction (other): Yesterday after checked in saying I felt fine, I started to run a low fever and felt sluggish. Better this morning.

Release 3 — day 14, dose 1

2021-02-08

Symptoms: I had a couple of evenings of feeling very sluggish with slight swollen glands.

Release 4 — days 1–6 daily, dose 2

2021-02-28

Systemic reaction (other): Find for first 8 hours after shot then fever and chills. The second night had 101.4 fever and then woke up next morning feeling better and no fever. Fever came back third night (99.5) and gone again in morning

Release 11 — day 14, dose 4

2022-05-14

Symptoms: Came down with Covid 2 1/2 weeks after receiving fourth shot

Release 11 — day 21, dose 4

2022-05-15

Symptoms: Had a fainting episode today and nauseous. Again from the Covid that I have right now

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	Lymphadenopathy	✓	✓	✓
SD	Nausea	·	·	✓
SD	Sluggishness	✓	✓	✓
SD	Syncope	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Sluggishness	✓	✓	✓

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