3R8-16807-07858

3 vaccinations 8 coded responses 27 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 752 / TX
Registered: 2021-02-10

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

2021-02-09
Dose 1 — Moderna
2021-02-10
Registered in v-safe
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · Fatigue or tiredness, Nausea

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-16
Health check-in — day 7, dose 1
Feeling: Fair · Site: Redness, Itching · Fatigue or tiredness

Adult check-in
2021-02-23
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-02
Survey response — day 21, dose 1
MedDRA: Diarrhoea, Fatigue — Feeling: Fair · Be unable to work

Free text: Diarrhea, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — day 28, dose 1
MedDRA: Abdominal discomfort, Diarrhoea — Feeling: Fair

Free text: Diarrhea and stomach upset. Not sure its related to the vaccine, but the symptoms did start after getting vaccinated.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Dose 2 — Moderna
2021-03-12
Health check-in — day 0, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Cough, Tinnitus — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Ringing in the ears, sensation of skin hurting, dry cough, underarm pain under injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Cough, Pain of skin, Tinnitus — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Ringing in the ears, sensation of skin hurting, dry cough, underarm pain (under injection site)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Cough — Feeling: Fair · Fever · Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Underarm pain on side of injection, dry cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction, Axillary pain — Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Free text: Underarm pain on side of injection, moderate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-19
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-26
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-16
Survey response — day 35, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-13
Dose 3 — Moderna
2021-09-11
Health check-in — 6 months, dose 2
Feeling: Fair

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

Adult check-in
2022-02-11
Survey response — 6 months, dose 3
MedDRA: Abdominal discomfort, Body temperature increased, Brain fog, COVID-19, Cough, Dizziness, Fatigue, Headache, Lacrimation increased, Musculoskeletal discomfort, Myalgia, Pain, Palpitations, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I have COVID -- fatigue; low fever (<100); sharp, shooting pain in muscles; headache; runny nose, watery eyes; congestion; cough; racing heartbeat; dizziness; discomfort in middle back and gut; brain fog. Some symptoms are lingering for 4 weeks now

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-09	Moderna
2	2021-03-12	Moderna
3	2021-08-13	Moderna	No

Free text

Release 4 — day 21, dose 1

2021-03-02

Symptoms: Diarrhea, fatigue

Release 5 — day 28, dose 1

2021-03-09

Symptoms: Diarrhea and stomach upset. Not sure its related to the vaccine, but the symptoms did start after getting vaccinated.

Release 5 — days 1–6 daily, dose 2

2021-03-13

Systemic reaction (other): Ringing in the ears, sensation of skin hurting, dry cough, underarm pain under injection site

2021-03-14

Systemic reaction (other): Ringing in the ears, sensation of skin hurting, dry cough, underarm pain (under injection site)

2021-03-15

Systemic reaction (other): Underarm pain on side of injection, dry cough

2021-03-16

Systemic reaction (other): Underarm pain on side of injection, moderate

Release 7 — day 35, dose 2

2021-04-16

Symptoms: Fatigue

Release 11 — 6 months, dose 3

2022-02-11

Symptoms: I have COVID -- fatigue; low fever (<100); sharp, shooting pain in muscles; headache; runny nose, watery eyes; congestion; cough; racing heartbeat; dizziness; discomfort in middle back and gut; brain fog. Some symptoms are lingering for 4 weeks now cut off by CDC

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	Abdominal discomfort	✓	✓	✓
SD	Body temperature increased	·	·	✓
SD	Brain fog	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Lacrimation increased	·	·	✓
SD	Musculoskeletal discomfort	·	·	✓
SD	Myalgia	·	·	✓
SD	Pain	·	·	✓
SD	Palpitations	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SRO	Adverse reaction	✓	✓	○
SRO	Axillary pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Pain of skin	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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