3XT-32199-20612

2 vaccinations 11 coded responses 21 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 209 / MD
Registered: 2021-03-06

Relationship: Self
Race: N/A
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

2021-03-06
Registered in v-safe
2021-03-06
Dose 1 — Moderna
2021-03-06
Survey response — day 0, dose 1
MedDRA: Immediate post-injection reaction, Neck pain, Sensitive skin — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Free text: Sore neck, within 15 minutes of shot , then facial sensitivity around jae, cheek and under eyed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Neck pain — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Free text: Neck sore on side I received shot, much more sore than where shot went in

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Free text: Increasingly sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Neck pain — Feeling: Good · Joint pains

Free text: Sore neck since shot, same side as shoy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Neck pain — Feeling: Good

Free text: Neck still a bit sore on side of shot administered

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-20
Survey response — day 14, dose 1
MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache for 4 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — day 21, dose 1
MedDRA: Asthenia, Fatigue, Headache, Neck pain — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Not new, reported before, but intense fatigue, no energy. Often a headache first thing in morning. The pain on side of neck, same side where I got shot is often very sore. Twice sore on other side. I am never sick. All this since first shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Dose 2 — Moderna
2021-04-03
Survey response — day 0, dose 2
MedDRA: Neck pain — Feeling: Good · Site: Pain

Free text: Sore neck after shot

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

Free text: No oain today but fever was bad for 16 hours yesterday, over 101.5,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Breathing felt labored last night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-10
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-17
Survey response — day 14, dose 2
MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activities

Free text: Never had headaches before first covid shot. Now they are a regular thing

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

Adult check-in
2021-05-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-06	Moderna
2	2021-04-03	Moderna

Free text

Release 5 — day 0, dose 1

2021-03-06

Systemic reaction (other): Sore neck, within 15 minutes of shot , then facial sensitivity around jae, cheek and under eyed

Release 5 — days 1–6 daily, dose 1

2021-03-07

Systemic reaction (other): Neck sore on side I received shot, much more sore than where shot went in

2021-03-08

Systemic reaction (other): Increasingly sore throat

2021-03-09

Systemic reaction (other): Sore neck since shot, same side as shoy

2021-03-11

Systemic reaction (other): Neck still a bit sore on side of shot administered

Release 6 — day 14, dose 1

2021-03-20

Symptoms: Headache for 4 days

Release 6 — day 21, dose 1

2021-03-27

Symptoms: Not new, reported before, but intense fatigue, no energy. Often a headache first thing in morning. The pain on side of neck, same side where I got shot is often very sore. Twice sore on other side. I am never sick. All this since first shot.

Release 6 — day 0, dose 2

2021-04-03

Systemic reaction (other): Sore neck after shot

Release 6 — days 1–6 daily, dose 2

2021-04-05

Systemic reaction (other): No oain today but fever was bad for 16 hours yesterday, over 101.5,

Release 7 — days 1–6 daily, dose 2

2021-04-07

Systemic reaction (other): Breathing felt labored last night

Release 7 — day 14, dose 2

2021-04-17

Symptoms: Never had headaches before first covid shot. Now they are a regular thing

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	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Neck pain	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Sensitive skin	✓	✓	✓

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