3XC-16061-53545

2 vaccinations 7 coded responses 24 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 875 / NM
Registered: 2021-03-17

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

2021-03-17
Registered in v-safe
2021-03-17
Dose 1 — Moderna
2021-03-17
Health check-in — day 0, dose 1
Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — day 7, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-01
Survey response — day 14, dose 1
MedDRA: Fatigue, Pain, Pyrexia — Feeling: Good · Be unable to do your normal daily activities

Free text: Soreness after just my normal exercise. Tiring easily. Needing naps. Occassionally feelinng feverish, mostly at night. One day too tired and sore for normal activity.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — day 21, dose 1
MedDRA: Disturbance in attention, Fatigue, Headache, Immunisation reaction, Pain, SARS-CoV-2 test negative, Urticaria — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Thought I had a cold or flu, but also had hives, so I'm wondering if it was a vaccine reaction. Felt very bad since last Friday until today. Headaches, aches, exhaustion and the hives. Unable to focus. So bad I got a covid test, which was negative.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Dose 2 — Moderna
2021-04-14
Health check-in — day 0, dose 2
Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-21
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-29
Survey response — day 14, dose 2
MedDRA: Fatigue, Headache, Pyrexia, Rash — Feeling: Good

Free text: Periodically feverish, mild headache one day, periods of exhaustion. A rash for a few days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — day 21, dose 2
MedDRA: Asthenia, Fatigue, Headache, Pyrexia, Renal pain — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: A couple of days of mild headaches and exhaustion. Occasional periods of feverishness. Aching kidneys on one of the headache days. Overall, energy low.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-19
Survey response — day 35, dose 2
MedDRA: Rash — Feeling: Good

Free text: Stll having issues with a rash that seems to be migrating around my body.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — day 42, dose 2
MedDRA: Rash — Feeling: Good

Free text: Still have a migrating rash persisting.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-13
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-16
Survey response — 12 months, dose 2
MedDRA: Decreased appetite, Fatigue, Head discomfort, Pain, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Aching all over. Tired. Feverish. Poor appetite. Something that feels like a pre-headache.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Moderna
2	2021-04-14	Moderna

Free text

Release 6 — day 14, dose 1

2021-04-01

Symptoms: Soreness after just my normal exercise. Tiring easily. Needing naps. Occassionally feelinng feverish, mostly at night. One day too tired and sore for normal activity.

Release 7 — day 21, dose 1

2021-04-07

Symptoms: Thought I had a cold or flu, but also had hives, so I'm wondering if it was a vaccine reaction. Felt very bad since last Friday until today. Headaches, aches, exhaustion and the hives. Unable to focus. So bad I got a covid test, which was negative. cut off by CDC

Release 8 — day 14, dose 2

2021-04-29

Symptoms: Periodically feverish, mild headache one day, periods of exhaustion. A rash for a few days.

Release 8 — day 21, dose 2

2021-05-05

Symptoms: A couple of days of mild headaches and exhaustion. Occasional periods of feverishness. Aching kidneys on one of the headache days. Overall, energy low.

Release 8 — day 35, dose 2

2021-05-19

Symptoms: Stll having issues with a rash that seems to be migrating around my body.

Release 8 — day 42, dose 2

2021-05-26

Symptoms: Still have a migrating rash persisting.

Release 11 — 12 months, dose 2

2022-04-16

Symptoms: Aching all over. Tired. Feverish. Poor appetite. Something that feels like a pre-headache.

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	Asthenia	✓	✓	✓
SD	Decreased appetite	·	·	✓
SD	Disturbance in attention	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Head discomfort	·	·	✓
SD	Headache	✓	✓	✓
SD	Immunisation reaction	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Renal pain	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Urticaria	✓	✓	✓

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