3T5-17023-16640

2 vaccinations 8 coded responses 24 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 481 / MI
Registered: 2021-01-31

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

2021-01-29
Dose 1 — Moderna
2021-01-31
Registered in v-safe
2021-01-31
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Hyperhidrosis, Pain in extremity, Pyrexia — Feeling: Fair · Site: Pain, Redness · Fever · Chills, Fatigue or tiredness · Be unable to work

Free text: Fever of 101.2 on day after vaccine, sweaty and chills, arm real sore. ,col

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Fair · Site: Pain, Redness, Itching · Fatigue or tiredness

Free text: Little out of breath at times

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea, Hyperhidrosis — Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tiredness

Free text: Shortness of breath, after doing stuff like going up the steps. Sweaty on and off today, mild.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness · Fatigue or tiredness

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-05
Health check-in — day 7, dose 1
Feeling: Fair · Site: Redness · Fever · Fatigue or tiredness

Adult check-in
2021-02-12
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-26
Dose 2 — Moderna
2021-02-26
Health check-in — day 0, dose 2
Feeling: Fair · Fever · Fatigue or tiredness

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Itching · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased, Hyperhidrosis — Feeling: Fair · Site: Pain, Redness, Itching · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: My pulse was beating faster than usual, started yesterday evening. Slowed down now. Get sweaty on n off, from yesterday and continues today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Nasal congestion, Productive cough — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Free text: Forgot to mention had a stuffy nose and slight wet coughs in morning. Pushing myself to go to work today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Cough, Hyperhidrosis — Feeling: Fair · Site: Redness, Itching · Fever · Chills, Fatigue or tiredness

Free text: Get sweaty and chills on and off. Once in awhile a cough.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Site: Redness · Fatigue or tiredness

Free text: Still not feeling right.

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

Adult check-in
2021-03-05
Survey response — day 7, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Fatigue or tiredness

Free text: Little shortness of breath today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-19
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-26
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-02
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
2021-05-28
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-27
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-02-26
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-29	Moderna
2	2021-02-26	Moderna

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-31

Systemic reaction (other): Fever of 101.2 on day after vaccine, sweaty and chills, arm real sore. ,col

2021-02-01

Systemic reaction (other): Little out of breath at times

2021-02-02

Systemic reaction (other): Shortness of breath, after doing stuff like going up the steps. Sweaty on and off today, mild.

Release 4 — days 1–6 daily, dose 2

2021-02-28

Systemic reaction (other): My pulse was beating faster than usual, started yesterday evening. Slowed down now. Get sweaty on n off, from yesterday and continues today.

2021-03-01

Systemic reaction (other): Forgot to mention had a stuffy nose and slight wet coughs in morning. Pushing myself to go to work today.

2021-03-02

Systemic reaction (other): Get sweaty and chills on and off. Once in awhile a cough.

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Still not feeling right.

Release 5 — day 7, dose 2

2021-03-05

Systemic reaction (other): Little shortness of breath today.

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	Chills	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Productive cough	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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