4E8-16898-02509

4 vaccinations 12 coded responses 30 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 941 / CA
Registered: 2021-02-18

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

2021-01-20
Dose 1 — Moderna
2021-02-17
Dose 2 — Moderna
2021-02-18
Registered in v-safe
2021-02-18
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: My normal temp is 96.7 F

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Pyrexia — Feeling: Good · Site: Pain

Free text: Maybe around noon I was a bit more tired than usualwas still at work so not sure if I had a very mild fever or not

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Feeling hot — Feeling: Good · Fever

Free text: Tired again at noonish today and morning temp 96.9, midday 97 and just now at 5:45 pm 97.5 and I am feeling a bit warm but otherwise fine. My normal temp is 96.8 F

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good · Fever

Free text: My normal temp is 96.8F . Today my temp started at 97.3 F 10:30 am, 98 F now at 3:07 pm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fever · Fatigue or tiredness

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-24
Survey response — day 7, dose 2
MedDRA: Fatigue — Feeling: Good · Fever · Fatigue or tiredness

Free text: Always midday - today was the first morning my temp was normal at 96.6F...felt tired as usual around noon and took my temp at 2 pm - 97.5 F

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-19
Survey response — 3 months, dose 2
MedDRA: Chills, Headache, Nausea, Pyrexia — Feeling: Fair

Free text: Chills headache very mild nausea fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-18
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-10
Dose 3 — Moderna
2022-02-17
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-27
Dose 4 — Moderna
2022-04-28
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-04-29
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Fatigue or tiredness

Adult check-in
2022-04-30
Survey response — days 1–6 daily, dose 4
MedDRA: Pyrexia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Last night 4/29/22 9 pm 101.5 F fever

MedDRA releases: 2024-11 · check-in free text available
2022-05-01
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-02
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-03
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Nausea

Adult check-in
2022-05-04
Health check-in — day 7, dose 4
Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2022-05-12
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-18
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-25
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-01
Survey response — day 35, dose 4
MedDRA: Chills, Fatigue, Headache — Feeling: Fair

Free text: Headache chills fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-06-08
Survey response — day 42, dose 4
MedDRA: Fatigue, Headache, Mental impairment — Feeling: Fair

Free text: Headache trouble thinking fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-07-27
Survey response — 3 months, dose 4
MedDRA: Cough, Lethargy, Nasal congestion, Pyrexia — Feeling: Fair · Be unable to work or attend school

Free text: Fever coughing stuffy nose lethargic

MedDRA releases: 2024-11 · check-in free text available
2022-10-27
Survey response — 6 months, dose 4
MedDRA: Cough, Nasal congestion, Pyrexia, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school

Free text: Positive COVID-19 Ag test 7/22/2022: High Fever / very mild nasal congestion/ extremely occasional cough

MedDRA releases: 2024-11 · check-in free text available
2023-04-27
Survey response — 12 months, dose 4
MedDRA: Chills, Fatigue, Headache, Nausea, Pyrexia — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-20	Moderna
2	2021-02-17	Moderna
3	2021-11-10	Moderna	No
4	2022-04-27	Moderna	No

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-18

Systemic reaction (other): My normal temp is 96.7 F

2021-02-19

Systemic reaction (other): Maybe around noon I was a bit more tired than usualwas still at work so not sure if I had a very mild fever or not

2021-02-20

Systemic reaction (other): Tired again at noonish today and morning temp 96.9, midday 97 and just now at 5:45 pm 97.5 and I am feeling a bit warm but otherwise fine. My normal temp is 96.8 F

2021-02-21

Systemic reaction (other): My normal temp is 96.8F . Today my temp started at 97.3 F 10:30 am, 98 F now at 3:07 pm

Release 4 — day 7, dose 2

2021-02-24

Systemic reaction (other): Always midday - today was the first morning my temp was normal at 96.6F...felt tired as usual around noon and took my temp at 2 pm - 97.5 F

Release 8 — 3 months, dose 2

2021-05-19

Symptoms: Chills headache very mild nausea fever

Release 11 — days 1–6 daily, dose 4

2022-04-30

Systemic reaction (other): Last night 4/29/22 9 pm 101.5 F fever

Release 11 — day 35, dose 4

2022-06-01

Symptoms: Headache chills fatigue

Release 11 — day 42, dose 4

2022-06-08

Symptoms: Headache trouble thinking fatigue

Release 12 — 3 months, dose 4

2022-07-27

Symptoms: Fever coughing stuffy nose lethargic

Release 12 — 6 months, dose 4

2022-10-27

Symptoms: Positive COVID-19 Ag test 7/22/2022: High Fever / very mild nasal congestion/ extremely occasional cough

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	Chills	✓	✓	✓
SD	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Lethargy	·	·	✓
SD	Mental impairment	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nausea	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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