4E2-11395-91763

3 vaccinations 11 coded responses 37 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 271 / NC
Registered: 2021-03-23

Relationship: Self
Race: Black or African American
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

2021-03-23
Registered in v-safe
2021-03-23
Dose 1 — Moderna
2021-03-23
Health check-in — day 0, dose 1
Feeling: Fair · Headache, Nausea

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea

Adult check-in
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Palpitations — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Heart palpitations. I have mitral valve prolapse and it seems to be giving more symptoms after the shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-01
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-08
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-13
Survey response — day 21, dose 1
MedDRA: Menstrual disorder — Feeling: Poor · Be unable to do your normal daily activities

Free text: My period is exponentially worse than it is usually. Ive read this is an issue with some menstruating women so I decided to mention.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Dose 2 — Moderna
2021-04-20
Health check-in — day 0, dose 2
Feeling: Fair · None

Adult check-in
2021-04-21
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 · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Malaise — Feeling: Good · Muscle or body aches

Free text: I would just like to note that the day after I got my shot, I felt terrible. Like worse than Ive felt with the flu. Or strep throat.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-05-04
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-11
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-18
Survey response — day 28, dose 2
MedDRA: Cough, Malaise, Nasal congestion, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: I was very sick last week. Fever, coughing, stuffy nose. Lasted Tuesday-Sunday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Survey response — day 35, dose 2
MedDRA: Cough, Fatigue, Insomnia, Pain, Pyrexia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: On two separate occasions I have had a fever that kept me out of work multiple days. Achy, fever, small cough. Tired. Unable to sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-06
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-20
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-19
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Myalgia, Nasopharyngitis — Feeling: Good · Be unable to do your normal daily activities

Free text: Increased joint/muscle aches. Multiple colds.

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Dose 3 — Moderna
2021-11-21
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-22
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-23
Survey response — days 1–6 daily, dose 3
MedDRA: Menstrual disorder — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Menstrual issues

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-26
Health check-in — day 7, dose 3
Feeling: Poor · Site: Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-05
Health check-in — day 14, dose 3
Feeling: Fair

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

Adult check-in
2021-12-19
Survey response — day 28, dose 3
MedDRA: Fatigue — Feeling: Fair

Free text: Fatigue.

MedDRA releases: 2024-11 · check-in free text available
2021-12-25
Survey response — day 35, dose 3
MedDRA: Fatigue, Pain, Pyrexia, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities

Free text: Increasing ashes and pain, fever, fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-20
Survey response — 3 months, dose 3
MedDRA: Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: I've been congested since I got the booster in November.

MedDRA releases: 2024-11 · check-in free text available
2022-05-21
Survey response — 6 months, dose 3
MedDRA: Cough, Nasopharyngitis, Respiratory tract congestion — Feeling: Good

Free text: I've had some cold symptoms. Coughing. Stuffy head.

MedDRA releases: 2024-11 · check-in free text available
2022-11-19
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-23	Moderna
2	2021-04-20	Moderna
3	2021-11-19	Moderna	No

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-26

Systemic reaction (other): Heart palpitations. I have mitral valve prolapse and it seems to be giving more symptoms after the shot.

Release 7 — day 21, dose 1

2021-04-13

Symptoms: My period is exponentially worse than it is usually. Ive read this is an issue with some menstruating women so I decided to mention.

Release 7 — days 1–6 daily, dose 2

2021-04-25

Systemic reaction (other): I would just like to note that the day after I got my shot, I felt terrible. Like worse than Ive felt with the flu. Or strep throat.

Release 8 — day 28, dose 2

2021-05-18

Symptoms: I was very sick last week. Fever, coughing, stuffy nose. Lasted Tuesday-Sunday.

Release 8 — day 35, dose 2

2021-05-29

Symptoms: On two separate occasions I have had a fever that kept me out of work multiple days. Achy, fever, small cough. Tired. Unable to sleep

Release 10 — 6 months, dose 2

2021-10-19

Symptoms: Increased joint/muscle aches. Multiple colds.

Release 10 — days 1–6 daily, dose 3

2021-11-23

Systemic reaction (other): Menstrual issues

Release 10 — day 28, dose 3

2021-12-19

Symptoms: Fatigue.

Release 10 — day 35, dose 3

2021-12-25

Symptoms: Increasing ashes and pain, fever, fatigue

Release 11 — 3 months, dose 3

2022-02-20

Symptoms: I've been congested since I got the booster in November.

Release 11 — 6 months, dose 3

2022-05-21

Symptoms: I've had some cold symptoms. Coughing. Stuffy head.

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	Arthralgia	·	·	✓
SD	Cough	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Menstrual disorder	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Pain	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Malaise	✓	✓	✓
SRO	Menstrual disorder	·	·	✓
SRO	Palpitations	✓	✓	✓

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