3ZV-33814-68012

4 vaccinations 12 coded responses 47 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 334 / FL
Registered: 2021-03-11

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

2021-03-11
Registered in v-safe
2021-03-11
Dose 1 — Moderna
2021-03-11
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Sinus disorder — Feeling: Good

Free text: Sinus probably not related

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 7, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-03-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-08
Dose 2 — Moderna
2021-04-08
Survey response — day 0, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain

Free text: Can't tell difference with allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
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

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Eye swelling — Feeling: Good · Site: Pain · Headache

Free text: Feel like somebody punched me in the eye very strange swollen but not obvious

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — day 7, dose 2
MedDRA: Eye pain — Feeling: Good · Joint pains

Free text: Eye still hurts.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-29
Survey response — day 21, dose 2
MedDRA: Musculoskeletal stiffness, Myalgia, Pain — Feeling: Fair

Free text: Lots of bodyaches here and there. Some muscle pain stiff neck neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — day 28, dose 2
MedDRA: Fatigue, Oropharyngeal pain — Feeling: Good

Free text: I am much better now, but its important to note for the last 4 weeks Ive felt fatigued and my muscles were sore like achy from not feeling well. Ive pushed through, and finally a couple days ago felt better. Feeling less fatigued

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — day 35, dose 2
MedDRA: Pain, Urticaria — Feeling: Good

Free text: Hives on left forearm, occasional body aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-26
Dose 3 — Moderna
2021-11-27
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-11-28
Survey response — days 1–6 daily, dose 3
MedDRA: Anxiety, Depression — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Depression anxiety

MedDRA releases: 2024-11 · check-in free text available
2021-11-30
Survey response — days 1–6 daily, dose 3
MedDRA: Back pain — Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to work or attend school

Free text: Serious back pain

MedDRA releases: 2024-11 · check-in free text available
2021-12-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-12-05
Survey response — day 7, dose 3
MedDRA: Back pain — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Same back pain.

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-17
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-24
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-31
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-01-09
Survey response — day 42, dose 3
MedDRA: Fatigue, Oral herpes, Pain — Feeling: Fair

Free text: Achy cold sores tired

MedDRA releases: 2024-11 · check-in free text available
2022-02-26
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-05-27
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-26
Survey response — 12 months, dose 3
MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school

Free text: Fine now, but got Covid on September 18, 2022

MedDRA releases: 2024-11 · check-in free text available
2023-01-06
Dose 4 — Moderna
Co-administered: Flu
2023-01-07
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2023-01-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2023-01-09
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fever · Muscle or body aches

Adult check-in
2023-01-10
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2023-01-14
Health check-in — day 7, dose 4
Feeling: Good · Diarrhea

Adult check-in
2023-01-27
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2023-02-03
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2023-02-12
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2023-02-19
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-04-09
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Moderna
2	2021-04-08	Moderna
3	2021-11-26	Moderna	No
4	2023-01-06	Moderna	Flu

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-13

Systemic reaction (other): Sinus probably not related

Release 7 — day 0, dose 2

2021-04-08

Systemic reaction (other): Can't tell difference with allergies

Release 7 — days 1–6 daily, dose 2

2021-04-13

Systemic reaction (other): Feel like somebody punched me in the eye very strange swollen but not obvious

Release 7 — day 7, dose 2

2021-04-16

Systemic reaction (other): Eye still hurts.

Release 8 — day 21, dose 2

2021-04-29

Symptoms: Lots of bodyaches here and there. Some muscle pain stiff neck neck

Release 8 — day 28, dose 2

2021-05-08

Symptoms: I am much better now, but its important to note for the last 4 weeks Ive felt fatigued and my muscles were sore like achy from not feeling well. Ive pushed through, and finally a couple days ago felt better. Feeling less fatigued

Release 8 — day 35, dose 2

2021-05-13

Symptoms: Hives on left forearm, occasional body aches

Release 10 — days 1–6 daily, dose 3

2021-11-28

Systemic reaction (other): Depression anxiety

2021-11-30

Systemic reaction (other): Serious back pain

Release 10 — day 7, dose 3

2021-12-05

Systemic reaction (other): Same back pain.

Release 10 — day 42, dose 3

2022-01-09

Symptoms: Achy cold sores tired

Release 12 — 12 months, dose 3

2022-11-26

Symptoms: Fine now, but got Covid on September 18, 2022

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	COVID-19	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Oral herpes	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Anxiety	·	·	✓
SRO	Back pain	·	·	✓
SRO	Depression	·	·	✓
SRO	Eye pain	✓	✓	✓
SRO	Eye swelling	✓	✓	✓
SRO	Sinus disorder	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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