3P9-28131-35399

5 vaccinations 9 coded responses 42 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 480 / MI
Registered: 2021-01-26

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
Dose 1 — Moderna
2021-01-26
Registered in v-safe
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: No

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: Feeling hot — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Free text: Feel feverish but dont have a fever.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Pyrexia — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Just very tired. Feel feverish on and off but do not have a fever.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-30
Survey response — days 1–6 daily, dose 1
MedDRA: Pyrexia — Feeling: Good · Fever · Fatigue or tiredness

Free text: Feel feverish on and off but do not have a fever.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 1
MedDRA: Anxiety, Feeling hot, Pyrexia, Rheumatoid arthritis — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Felt feverish on and off but dont believe I had a fever. Felt anxious most of the day and I dont know if some of the symptoms are due to the vaccine or RA.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — day 7, dose 1
MedDRA: Pyrexia — Feeling: Poor · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Felt feverish but dont think I had a fever. Not sure if any of the symptoms have to do with the vaccine or not because its been a week today since I had the shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — day 14, dose 1
Feeling: Fair

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

Adult check-in
2021-02-22
Dose 2 — Moderna
2021-02-22
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness, Nausea

Adult check-in
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Pyrexia — Feeling: Good · Site: Pain · Fever · Fatigue or tiredness, Nausea

Free text: No fever just feel feverish

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Fatigue or tiredness, Nausea

Adult check-in
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Pyrexia — Feeling: Good · Site: Pain · Fever · Fatigue or tiredness, Nausea

Free text: Didnt have a fever just felt feverish.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling hot — Feeling: Good · Fever · Fatigue or tiredness, Nausea

Free text: No fever felt feverish.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Fatigue or tiredness, Nausea

Adult check-in
2021-03-01
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-23
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-28
Dose 3 — Moderna
2021-10-28
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-11-04
Health check-in — day 7, dose 3
Feeling: Fair · Fatigue or tiredness

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

Adult check-in
2021-11-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-25
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-02
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-09
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-27
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-28
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-02
Dose 4 — Moderna
2022-08-01
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-10-31
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2022-12-15
Dose 5 — Moderna
2023-06-15
Health check-in — 6 months, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-25	Moderna
2	2021-02-22	Moderna
3	2021-10-28	Moderna	No
4	2022-05-02	Moderna	No
5	2022-12-15	Moderna	No

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-26

Systemic reaction (other): No

2021-01-27

Systemic reaction (other): Feel feverish but dont have a fever.

Release 3 — days 1–6 daily, dose 1

2021-01-28

Systemic reaction (other): Just very tired. Feel feverish on and off but do not have a fever.

2021-01-30

Systemic reaction (other): Feel feverish on and off but do not have a fever.

2021-01-31

Systemic reaction (other): Felt feverish on and off but dont believe I had a fever. Felt anxious most of the day and I dont know if some of the symptoms are due to the vaccine or RA.

Release 3 — day 7, dose 1

2021-02-01

Systemic reaction (other): Felt feverish but dont think I had a fever. Not sure if any of the symptoms have to do with the vaccine or not because its been a week today since I had the shot.

Release 4 — days 1–6 daily, dose 2

2021-02-23

Systemic reaction (other): No fever just feel feverish

2021-02-25

Systemic reaction (other): Didnt have a fever just felt feverish.

2021-02-26

Systemic reaction (other): No fever felt feverish.

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
SRO	Anxiety	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Rheumatoid arthritis	✓	·	✓

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