45M-71991-79565

4 vaccinations 13 coded responses 55 check-ins 13 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 124 / NY
Registered: 2021-03-30

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

2021-03-30
Registered in v-safe
2021-03-30
Dose 1 — Moderna
2021-03-30
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Dizzy

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

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — day 7, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-27
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-28
Dose 2 — Moderna
2021-04-28
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Weight on chest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-05-05
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-05-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-26
Survey response — day 28, dose 2
MedDRA: Headache, Migraine — Feeling: Good · Be unable to do your normal daily activities

Free text: Headaches every afternoon - about 60% of the time headaches become migraines.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-29
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Fatigue, Headache, Oropharyngeal pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sore throat, exhaustion, fatigue, aching joints, severe headaches

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-30
Dose 3 — Moderna
2021-12-01
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-12-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-12-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-12-07
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-12-14
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-21
Survey response — day 21, dose 3
MedDRA: Chills, Headache, Mental impairment, Nausea, Oropharyngeal pain, Pain, Throat irritation — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sore, scratchy throat, severe and persistent headaches, chills, aches, nausea, difficulty thinking. Haven't taken a Covid test.

MedDRA releases: 2024-11 · check-in free text available
2021-12-28
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-01-04
Survey response — day 35, dose 3
MedDRA: Headache — Feeling: Poor · Be unable to do your normal daily activities

Free text: Persistent headache from the front of my head to my temples - had it for weeks and weeks

MedDRA releases: 2024-11 · check-in free text available
2022-01-11
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-03-01
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-05-31
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-06-02
Dose 4 — Moderna
2022-06-02
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-06-03
Survey response — days 1–6 daily, dose 4
MedDRA: Oropharyngeal pain — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-06-04
Survey response — days 1–6 daily, dose 4
MedDRA: Cough, Lymph node pain, Lymphadenopathy — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Lymph nodes swollen and painful, light cough

MedDRA releases: 2024-11 · check-in free text available
2022-06-06
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Headache

Free text: Lymph node left underarm still swollen, shot was in left arm

MedDRA releases: 2024-11 · check-in free text available
2022-06-07
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-06-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-06-09
Health check-in — day 7, dose 4
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-06-16
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-06-23
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-30
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-07-07
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-14
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-09-01
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-12-03
Survey response — 6 months, dose 4
MedDRA: Anxiety, Depression, Heart rate increased, Heart rate irregular — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Depression, anxiety, rapid, irregular heart rate

MedDRA releases: 2024-11 · check-in free text available
2023-06-02
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-30	Moderna
2	2021-04-28	Moderna
3	2021-11-30	Moderna	No
4	2022-06-02	Moderna	No

Free text

Release 6 — day 0, dose 1

2021-03-30

Systemic reaction (other): Dizzy

Release 6 — days 1–6 daily, dose 1

2021-04-03

Systemic reaction (other): Dizzy

2021-04-05

Systemic reaction (other): Dizzy

Release 8 — day 0, dose 2

2021-04-28

Systemic reaction (other): Dizzy

Release 8 — days 1–6 daily, dose 2

2021-04-29

Systemic reaction (other): Weight on chest

Release 8 — day 28, dose 2

2021-05-26

Symptoms: Headaches every afternoon - about 60% of the time headaches become migraines.

Release 9 — 3 months, dose 2

2021-07-29

Symptoms: Sore throat, exhaustion, fatigue, aching joints, severe headaches

Release 10 — day 21, dose 3

2021-12-21

Symptoms: Sore, scratchy throat, severe and persistent headaches, chills, aches, nausea, difficulty thinking. Haven't taken a Covid test.

Release 10 — day 35, dose 3

2022-01-04

Symptoms: Persistent headache from the front of my head to my temples - had it for weeks and weeks

Release 11 — days 1–6 daily, dose 4

2022-06-03

Systemic reaction (other): Sore throat

2022-06-04

Systemic reaction (other): Lymph nodes swollen and painful, light cough

2022-06-06

Systemic reaction (other): Lymph node left underarm still swollen, shot was in left arm

Release 12 — 6 months, dose 4

2022-12-03

Symptoms: Depression, anxiety, rapid, irregular heart rate

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	Anxiety	·	·	✓
SD	Arthralgia	✓	·	✓
SD	Chills	·	·	✓
SD	Depression	·	·	✓
SD	Fatigue	✓	·	✓
SD	Headache	✓	✓	✓
SD	Heart rate increased	·	·	✓
SD	Heart rate irregular	·	·	✓
SD	Mental impairment	·	·	✓
SD	Migraine	✓	✓	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pain	·	·	✓
SD	Throat irritation	·	·	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Cough	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Oropharyngeal pain	·	·	✓

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