44M-30321-73915

5 vaccinations 11 coded responses 59 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 453 / OH
Registered: 2021-01-21

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

2021-01-21
Registered in v-safe
2021-01-21
Dose 1 — Moderna
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Joint pains

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-11
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-18
Dose 2 — Moderna
2021-02-18
Survey response — day 0, dose 2
MedDRA: Eye pain — Feeling: Good · Site: Pain, Itching · Headache

Free text: Eyes hurt a little

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-04
Survey response — day 14, dose 2
MedDRA: Fatigue, Headache, Muscle discomfort — Feeling: Good

Free text: On tuesday experienced slight headache and fatigue and sore muscles but am again fine today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-19
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-27
Dose 3 — Moderna
2021-10-27
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-03
Survey response — day 7, dose 3
MedDRA: Rhinorrhoea, Sneezing — Feeling: Good

Free text: Runny nose multiple sneezing

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

Adult check-in
2021-11-17
Survey response — day 21, dose 3
MedDRA: Headache, Rhinorrhoea — Feeling: Good

Free text: Runny nose and slight headache

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-01
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-08
Survey response — day 42, dose 3
MedDRA: Abdominal discomfort, Headache — Feeling: Fair

Free text: Bad headache upset stomach

MedDRA releases: 2024-11 · check-in free text available
2022-01-26
Survey response — 3 months, dose 3
MedDRA: Cough, Headache, Oropharyngeal pain, SARS-CoV-2 test positive — Feeling: Good

Free text: Tested positive for covid January 6th.'2022 horrible headache..very sore throat..cough

MedDRA releases: 2024-11 · check-in free text available
2022-04-19
Dose 4 — Moderna
2022-04-19
Health check-in — day 0, dose 4
Feeling: Good · Site: Itching · Headache, Muscle or body aches

Adult check-in
2022-04-20
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches

Adult check-in
2022-04-21
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-04-22
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-04-23
Survey response — days 1–6 daily, dose 4
MedDRA: Blister infected, Pre-existing disease — Feeling: Good · Muscle or body aches

Free text: Unexplained infected blister on inside of second toe left foot and rt knee area on surgical scar .surgery was 8 months ago.both appeared overnight 2 days after vaccine.

MedDRA releases: 2024-11 · check-in free text available
2022-04-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-26
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-03
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-10
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-17
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-24
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-31
Survey response — day 42, dose 4
MedDRA: Gastrointestinal disorder, Headache, Myalgia, Oropharyngeal pain — Feeling: Fair

Free text: Intestinal issues. Headache..sore throat..sore muscles

MedDRA releases: 2024-11 · check-in free text available
2022-07-19
Survey response — 3 months, dose 4
MedDRA: Gastrointestinal disorder, Influenza like illness — Feeling: Fair

Free text: Flu like intestinal issues

MedDRA releases: 2024-11 · check-in free text available
2022-09-24
Dose 5 — Moderna
Co-administered: Flu
2022-10-01
Health check-in — day 7, dose 5
Feeling: Good · Site: Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-08
Survey response — day 14, dose 5
MedDRA: Vertigo — Feeling: Good · Be unable to do your normal daily activities

Free text: Vertigo lasted 5 days slowly improvrd

MedDRA releases: 2024-11 · check-in free text available
2022-10-17
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-22
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-29
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-05
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2022-12-26
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-25
Survey response — 6 months, dose 5
MedDRA: Cough, Fatigue, Gastrointestinal disorder, Pyrexia, Rhinorrhoea — Feeling: Good

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Moderna
2	2021-02-18	Moderna
3	2021-10-27	Moderna	No
4	2022-04-19	Moderna	No
5	2022-09-24	Moderna	Flu

Free text

Release 4 — day 0, dose 2

2021-02-18

Systemic reaction (other): Eyes hurt a little

Release 5 — day 14, dose 2

2021-03-04

Symptoms: On tuesday experienced slight headache and fatigue and sore muscles but am again fine today

Release 10 — day 7, dose 3

2021-11-03

Systemic reaction (other): Runny nose multiple sneezing

Release 10 — day 21, dose 3

2021-11-17

Symptoms: Runny nose and slight headache

Release 10 — day 42, dose 3

2021-12-08

Symptoms: Bad headache upset stomach

Release 11 — 3 months, dose 3

2022-01-26

Symptoms: Tested positive for covid January 6th.'2022 horrible headache..very sore throat..cough

Release 11 — days 1–6 daily, dose 4

2022-04-23

Systemic reaction (other): Unexplained infected blister on inside of second toe left foot and rt knee area on surgical scar .surgery was 8 months ago.both appeared overnight 2 days after vaccine.

Release 11 — day 42, dose 4

2022-05-31

Symptoms: Intestinal issues. Headache..sore throat..sore muscles

Release 12 — 3 months, dose 4

2022-07-19

Symptoms: Flu like intestinal issues

Release 12 — day 14, dose 5

2022-10-08

Symptoms: Vertigo lasted 5 days slowly improvrd

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	Abdominal discomfort	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	✓	✓	✓
SD	Influenza like illness	·	·	✓
SD	Muscle discomfort	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Vertigo	·	·	✓
SRO	Blister infected	·	·	✓
SRO	Eye pain	✓	✓	✓
SRO	Pre-existing disease	·	·	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Sneezing	·	·	✓

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