3SW-35445-33692

3 vaccinations 14 coded responses 41 check-ins 14 free-text entries 0 call cases

Sex: Female
Age at first dose: 21-25
ZIP prefix: 077 / NJ
Registered: 2021-01-07

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

2021-01-07
Registered in v-safe
2021-01-07
Dose 1 — Moderna
2021-01-07
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-08
Survey response — days 1–6 daily, dose 1
MedDRA: Musculoskeletal stiffness, Pain in extremity — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Free text: Stiff arm in morning, sore but fine with movement

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

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

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Survey response — days 1–6 daily, dose 1
MedDRA: Chills — Feeling: Good · Fever · Chills

Free text: Very mild chills, wax and wane

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Cough & sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Chills, Muscle or body aches

Free text: Possible exposure to COVID-19, brother tested + today (day 7 of my vaccine)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Survey response — day 14, dose 1
MedDRA: Ageusia, Anosmia, COVID-19, Chills, Cough, Fatigue, Oropharyngeal pain, Pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Chills, feverish but no documented fever, confirmed covid + By PCR on 1:14 (7 days post dose 1 moderna). No smell/taste, cough, sore throat, runny nose, fatigue, aches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — day 21, dose 1
MedDRA: COVID-19, Dyspnoea, Fatigue, Oxygen saturation decreased — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Still had confirmed covid 19 infection, while no longer active infection, still having SOB, fatigue, o2 sats ranged 72-97%.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Dose 2 — Moderna
2021-02-03
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-02-04
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Dehydration, Sleep disorder — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Sleep interruption, dehydration, weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal stiffness — Feeling: Fair · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Stiff neck/twinges in neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Neck pain — Feeling: Fair · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Neck soreness/persistent headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-10
Survey response — day 7, dose 2
MedDRA: Hot flush — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Hot flashes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — day 14, dose 2
MedDRA: Arthralgia, Dyspnoea, Fatigue, Injection site pain, Insomnia, Sleep disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue, sleep interruption, joint pain (neck/shoulders), mild pain @ injection site, SOB with pulse ox ranging 88-98% (avg 96-97%)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — day 21, dose 2
Feeling: Good

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

Adult check-in
2021-03-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 42, dose 2
Feeling: Good

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

Adult check-in
2021-08-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-03
Dose 3 — Moderna
2021-11-03
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2021-11-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-11-10
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-17
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-24
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-01
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-08
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-15
Survey response — day 42, dose 3
MedDRA: Headache, Nausea, Vomiting — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Nausea & vomiting (5x) and headache today only 12/15/21 and 99% sure unrelated to vaccine

MedDRA releases: 2024-11 · check-in free text available
2022-02-02
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-04
Survey response — 6 months, dose 3
MedDRA: Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, Sneezing — Feeling: Good · Be unable to do your normal daily activities

Free text: Common head cold with congestion sore throat, sneezing (negative at home antigen test)

MedDRA releases: 2024-11 · check-in free text available
2022-11-03
Survey response — 12 months, dose 3
MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: 2nd episode of covid 19 in July 2022

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Moderna
2	2021-02-03	Moderna
3	2021-11-03	Moderna	No

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-08

Systemic reaction (other): Stiff arm in morning, sore but fine with movement

2021-01-12

Systemic reaction (other): Very mild chills, wax and wane

2021-01-13

Systemic reaction (other): Cough & sore throat

Release 2 — day 7, dose 1

2021-01-14

Systemic reaction (other): Possible exposure to COVID-19, brother tested + today (day 7 of my vaccine)

Release 2 — day 14, dose 1

2021-01-21

Symptoms: Chills, feverish but no documented fever, confirmed covid + By PCR on 1:14 (7 days post dose 1 moderna). No smell/taste, cough, sore throat, runny nose, fatigue, aches.

Release 3 — day 21, dose 1

2021-01-28

Symptoms: Still had confirmed covid 19 infection, while no longer active infection, still having SOB, fatigue, o2 sats ranged 72-97%.

Release 3 — days 1–6 daily, dose 2

2021-02-04

Systemic reaction (other): Sleep interruption, dehydration, weakness

2021-02-05

Systemic reaction (other): Stiff neck/twinges in neck

2021-02-08

Systemic reaction (other): Neck soreness/persistent headache

Release 4 — day 7, dose 2

2021-02-10

Systemic reaction (other): Hot flashes

Release 4 — day 14, dose 2

2021-02-17

Symptoms: Fatigue, sleep interruption, joint pain (neck/shoulders), mild pain @ injection site, SOB with pulse ox ranging 88-98% (avg 96-97%)

Release 10 — day 42, dose 3

2021-12-15

Symptoms: Nausea & vomiting (5x) and headache today only 12/15/21 and 99% sure unrelated to vaccine

Release 11 — 6 months, dose 3

2022-05-04

Symptoms: Common head cold with congestion sore throat, sneezing (negative at home antigen test)

Release 12 — 12 months, dose 3

2022-11-03

Symptoms: 2nd episode of covid 19 in July 2022

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	Ageusia	✓	✓	✓
SD	Anosmia	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Cough	✓	✓	✓
SD	COVID-19	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Injection site pain	✓	✓	✓
SD	Insomnia	✓	✓	○
SD	Nasopharyngitis	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Oxygen saturation decreased	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	SARS-CoV-2 test positive	✓	✓	✓
SD	Sleep disorder	·	·	✓
SD	Sneezing	·	·	✓
SD	Vomiting	·	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dehydration	✓	✓	✓
SRO	Feeling abnormal	○	○	○
SRO	Headache	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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