3V5-22227-61095

4 vaccinations 12 coded responses 29 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 941 / CA
Registered: 2021-04-11

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

2021-04-02
Dose 1 — Moderna
2021-04-11
Registered in v-safe
2021-04-11
Survey response — day 7, dose 1
MedDRA: Fatigue, Nausea — Feeling: Good · Fatigue or tiredness

Free text: I had nausea for the first two days after the first shot. Experienced fatigue, especially the first three days after the first shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — day 14, dose 1
MedDRA: Back pain, Fatigue — Feeling: Good

Free text: Back pain. And still some fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-30
Dose 2 — Moderna
2021-04-30
Survey response — day 0, dose 2
MedDRA: Musculoskeletal stiffness — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness

Free text: Stiffness in the arm, shoulder, and neck on the injection side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · 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

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis — Feeling: Good · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Sweating, mostly noticed at night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Hot flush, Night sweats, Poor quality sleep — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Sweating at night, hot flashes during day and night, less restful sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog, Ear congestion, Fatigue, Hyperhidrosis, Influenza like illness, Paraesthesia — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sweating, tingling in the legs ( flu/fatigue-like), brain fog, congestion in the ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — day 7, dose 2
MedDRA: Back pain, Fatigue, Hot flush, Hyperhidrosis, Muscle spasms, Paraesthesia — Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Back pain, tingling in the legs, exhaustion, sweating, hot flashes, cramps in the legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — day 14, dose 2
MedDRA: Fatigue, Palpitations — Feeling: Good · Be unable to do your normal daily activities

Free text: On Sunday, May 9th, I was tired, lied down, and started to experience palpitations that lasted for almost an hour.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-31
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-30
Survey response — 6 months, dose 2
MedDRA: Malaise, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities

Free text: I have been sick for the past week, but feeling better now. I got tested last weekend, and the COVID-19 qPCR test was negative.

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Dose 3 — Moderna
2022-05-01
Survey response — 12 months, dose 2
MedDRA: Anti-thyroid antibody positive, Autoimmune thyroiditis, Hypersensitivity, Pre-existing disease — Feeling: Good

Free text: More allergies, diagnosed w Hashimotos , have anti-thyroid antibodies

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Dose 4 — Moderna
2022-05-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · Fever · Chills, Joint pains, Fatigue or tiredness

Adult check-in
2022-05-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · Chills, Headache, Fatigue or tiredness

Adult check-in
2022-05-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2022-05-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-05-26
Health check-in — day 7, dose 4
Feeling: Good · Site: Itching · None

Adult check-in
2022-06-02
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-25
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-30
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-21
Survey response — 3 months, dose 4
MedDRA: Brain fog, Chest discomfort, Exposure to SARS-CoV-2, Fatigue, Headache, Hot flush, Hyperhidrosis, Malaise, Oropharyngeal pain, Pain, Paraesthesia, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I have been sick for 4 weeks since a Covid exposure. My symptoms included soar throat, hot flashes and sweating, congestion, headaches, brain fog, aches/tingling in my limbs, tight chest, and extreme fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-11-17
Survey response — 6 months, dose 4
MedDRA: Brain fog, Chest pain, Fatigue, Malaise, Paraesthesia, Post-acute COVID-19 syndrome, Pre-existing disease, Sinusitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I was ill and on medical leave with long COVID symptoms for 15 weeks from July 25, 2022 ( approximately 2 months after the Moderna booster). Main symptoms: Severe fatigue syndrome, brain fog, tingling all over nerves, chest pain, sinusitis,etc

MedDRA releases: 2024-11 · check-in free text available
2023-05-19
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-02	Moderna
2	2021-04-30	Moderna
3	2021-11-17	Moderna	No
4	2022-05-19	Moderna	No

Free text

Release 7 — day 7, dose 1

2021-04-11

Systemic reaction (other): I had nausea for the first two days after the first shot. Experienced fatigue, especially the first three days after the first shot.

Release 7 — day 14, dose 1

2021-04-16

Symptoms: Back pain. And still some fatigue.

Release 8 — day 0, dose 2

2021-04-30

Systemic reaction (other): Stiffness in the arm, shoulder, and neck on the injection side

Release 8 — days 1–6 daily, dose 2

2021-05-04

Systemic reaction (other): Sweating, mostly noticed at night

2021-05-05

Systemic reaction (other): Sweating at night, hot flashes during day and night, less restful sleep

2021-05-06

Systemic reaction (other): Sweating, tingling in the legs ( flu/fatigue-like), brain fog, congestion in the ears

Release 8 — day 7, dose 2

2021-05-08

Systemic reaction (other): Back pain, tingling in the legs, exhaustion, sweating, hot flashes, cramps in the legs

Release 8 — day 14, dose 2

2021-05-14

Symptoms: On Sunday, May 9th, I was tired, lied down, and started to experience palpitations that lasted for almost an hour.

Release 10 — 6 months, dose 2

2021-10-30

Symptoms: I have been sick for the past week, but feeling better now. I got tested last weekend, and the COVID-19 qPCR test was negative.

Release 11 — 12 months, dose 2

2022-05-01

Symptoms: More allergies, diagnosed w Hashimotos , have anti-thyroid antibodies

Release 12 — 3 months, dose 4

2022-08-21

Symptoms: I have been sick for 4 weeks since a Covid exposure. My symptoms included soar throat, hot flashes and sweating, congestion, headaches, brain fog, aches/tingling in my limbs, tight chest, and extreme fatigue.

Release 12 — 6 months, dose 4

2022-11-17

Symptoms: I was ill and on medical leave with long COVID symptoms for 15 weeks from July 25, 2022 ( approximately 2 months after the Moderna booster). Main symptoms: Severe fatigue syndrome, brain fog, tingling all over nerves, chest pain, sinusitis,etc

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	Anti-thyroid antibody positive	·	·	✓
SD	Autoimmune thyroiditis	·	·	✓
SD	Back pain	✓	✓	✓
SD	Brain fog	·	·	✓
SD	Chest discomfort	·	·	✓
SD	Chest pain	·	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Hot flush	·	·	✓
SD	Hyperhidrosis	·	·	✓
SD	Hypersensitivity	·	·	✓
SD	Malaise	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Palpitations	✓	✓	✓
SD	Paraesthesia	·	·	✓
SD	Post-acute COVID-19 syndrome	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinusitis	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	Brain fog	✓	✓	✓
SRO	Ear congestion	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Influenza like illness	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Night sweats	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Poor quality sleep	✓	✓	✓

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