439-87134-60123

4 vaccinations 12 coded responses 33 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 787 / TX
Registered: 2021-02-11

Relationship: Self
Race: Other
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

2021-02-11
Registered in v-safe
2021-02-11
Dose 1 — Moderna
2021-02-11
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-02-12
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Tremor — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Shaky hands, general weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities

Free text: Symptoms resolved by noon

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-02-15
Survey response — days 1–6 daily, dose 1
MedDRA: Tremor — Feeling: Fair · Site: Swelling · Muscle or body aches, Nausea

Free text: Shakiness. But felt super great yesterday & till noon today!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-04
Survey response — day 21, dose 1
MedDRA: Sleep disorder, Tinnitus — Feeling: Good

Free text: A pre-existing chronic booming sound in right ear worsened to the point of waking me from deep sleep.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Dose 2 — Moderna
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Euphoric mood, Memory impairment — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Free text: Mild forgetfulness, sinking spells, intermittent euphoria

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Increased appetite — Feeling: Fair · Fatigue or tiredness

Free text: Feeling weak and super hungry

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-03-19
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-07
Survey response — day 28, dose 2
MedDRA: Blood blister — Feeling: Good

Free text: Unusual number of blood blisters on skin - present before last check-in but connection did not occur to me

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — day 35, dose 2
MedDRA: Feeling abnormal — Feeling: Good

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 42, dose 2
MedDRA: Arthralgia, Back pain, Neck pain, Spinal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Unusually strong soreness and pain in neck, upper spine, lower back, knee and ankle. Lasted about two days over the weekend, improved a lot overnight on Monday and continues improving.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Survey response — 3 months, dose 2
MedDRA: Spinal disorder — Feeling: Good

Free text: A feeling of intense spine inflammation one night about three weeks ago. The day before and after I was achy. The whole thing passed in two days.

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

Adult check-in
2021-10-11
Dose 3 — Moderna
Co-administered: Shingles
2022-03-10
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-11
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-12
Dose 4 — Moderna
Co-administered: Shingles
2022-04-16
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-17
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Swelling · Fever · Chills, Fatigue or tiredness

Adult check-in
2022-04-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Swelling · Fatigue or tiredness

Adult check-in
2022-04-21
Health check-in — day 7, dose 4
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2022-05-17
Survey response — day 35, dose 4
MedDRA: Aphonia, Fatigue, Larynx irritation — Feeling: Good · Be unable to work or attend school

Free text: Fatigue, loss of voice, windpipe irritation

MedDRA releases: 2024-11 · check-in free text available
2022-07-12
Survey response — 3 months, dose 4
MedDRA: Oropharyngeal pain, Pre-existing disease — Feeling: Good

Free text: Allergy symptoms and sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-10-11
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-12
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-11	Moderna
2	2021-03-10	Moderna
3	2021-10-11	Moderna	Shingles
4	2022-04-12	Moderna	Shingles

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-12

Systemic reaction (other): Shaky hands, general weakness

2021-02-13

Systemic reaction (other): Symptoms resolved by noon

2021-02-15

Systemic reaction (other): Shakiness. But felt super great yesterday & till noon today!

Release 5 — day 21, dose 1

2021-03-04

Symptoms: A pre-existing chronic booming sound in right ear worsened to the point of waking me from deep sleep.

Release 5 — days 1–6 daily, dose 2

2021-03-12

Systemic reaction (other): Mild forgetfulness, sinking spells, intermittent euphoria

2021-03-15

Systemic reaction (other): Feeling weak and super hungry

Release 7 — day 28, dose 2

2021-04-07

Symptoms: Unusual number of blood blisters on skin - present before last check-in but connection did not occur to me

Release 7 — day 35, dose 2

2021-04-15

Symptoms: Brain fog

Release 7 — day 42, dose 2

2021-04-21

Symptoms: Unusually strong soreness and pain in neck, upper spine, lower back, knee and ankle. Lasted about two days over the weekend, improved a lot overnight on Monday and continues improving.

Release 9 — 3 months, dose 2

2021-06-10

Symptoms: A feeling of intense spine inflammation one night about three weeks ago. The day before and after I was achy. The whole thing passed in two days.

Release 11 — day 35, dose 4

2022-05-17

Symptoms: Fatigue, loss of voice, windpipe irritation

Release 12 — 3 months, dose 4

2022-07-12

Symptoms: Allergy symptoms and sore throat

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	Aphonia	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Blood blister	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Feeling abnormal	✓	✓	✓
SD	Larynx irritation	·	·	✓
SD	Neck pain	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Sleep disorder	✓	✓	✓
SD	Spinal disorder	✓	✓	✓
SD	Spinal pain	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Euphoric mood	✓	✓	✓
SRO	Increased appetite	✓	✓	✓
SRO	Memory impairment	✓	✓	✓
SRO	Tremor	✓	✓	✓

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