3WR-38426-67263

4 vaccinations 8 coded responses 35 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 325 / FL
Registered: 2021-03-03

Relationship: Self
Race: Black or African American
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

2021-03-01
Dose 1 — Moderna
2021-03-03
Registered in v-safe
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Abdominal pain

Adult check-in
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain — Feeling: Good · Abdominal pain

Free text: Abdominal pain was very mild and short in duration. It seems to occur after I eat, but is not severe.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — day 7, dose 1
Feeling: Good · Abdominal pain

Adult check-in
2021-03-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-29
Dose 2 — Moderna
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fever · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-04-05
Health check-in — day 7, dose 2
Feeling: Fair · Fever · Fatigue or tiredness

Adult check-in
2021-04-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-26
Survey response — day 28, dose 2
MedDRA: Feeling hot — Feeling: Good

Free text: With my last check-in I submitted before entering that I have been warm off and on throughout the day, not feverish, just feeling like the room is warm/hot. It has gotten better however.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — day 35, dose 2
MedDRA: Headache, Oropharyngeal pain, Throat irritation — Feeling: Fair

Free text: Headache, light throat irritation/soreness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — day 42, dose 2
MedDRA: Fatigue, Headache, Paranasal sinus hypersecretion — Feeling: Fair

Free text: Sinus drainage, headache, fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-21
Dose 3 — Moderna
2021-12-11
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-14
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-19
Survey response — day 28, dose 3
MedDRA: Feeling hot — Feeling: Good

Free text: Hot off and on.

MedDRA releases: 2024-11 · check-in free text available
2021-12-26
Survey response — day 35, dose 3
MedDRA: Asthenia, Feeling hot, SARS-CoV-2 test negative — Feeling: Fair

Free text: Low energy. Feeling warm/hot even when it's not warm or hot in the room or car. Tested for COVID 12/23 and it was negative.

MedDRA releases: 2024-11 · check-in free text available
2022-01-04
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-09-21
Dose 4 — Moderna
2022-09-28
Health check-in — day 7, dose 4
Feeling: Good · Site: Itching · None

Adult check-in
2022-10-05
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-12
Survey response — day 21, dose 4
MedDRA: Fatigue — Feeling: Good

Free text: Fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-10-19
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-26
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-02
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-21
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-22
Survey response — 6 months, dose 4
MedDRA: Adenoma benign — Feeling: Good

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-01	Moderna
2	2021-03-29	Moderna
3	2021-11-21	Moderna	No
4	2022-09-21	Moderna	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-05

Systemic reaction (other): Abdominal pain was very mild and short in duration. It seems to occur after I eat, but is not severe.

Release 8 — day 28, dose 2

2021-04-26

Symptoms: With my last check-in I submitted before entering that I have been warm off and on throughout the day, not feverish, just feeling like the room is warm/hot. It has gotten better however.

Release 8 — day 35, dose 2

2021-05-03

Symptoms: Headache, light throat irritation/soreness.

Release 8 — day 42, dose 2

2021-05-10

Symptoms: Sinus drainage, headache, fatigue.

Release 10 — day 28, dose 3

2021-12-19

Symptoms: Hot off and on.

Release 10 — day 35, dose 3

2021-12-26

Symptoms: Low energy. Feeling warm/hot even when it's not warm or hot in the room or car. Tested for COVID 12/23 and it was negative.

Release 12 — day 21, dose 4

2022-10-12

Symptoms: Fatigue

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	Adenoma benign	·	·	✓
SD	Asthenia	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling hot	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Paranasal sinus hypersecretion	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Throat irritation	✓	✓	✓
SRO	Abdominal pain	✓	✓	✓

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