4EV-41151-47553

5 vaccinations 9 coded responses 37 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 537 / WI
Registered: 2021-03-17

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

2021-03-17
Registered in v-safe
2021-03-17
Dose 1 — Moderna
2021-03-17
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Limb discomfort, Reaction to previous exposure to any vaccine — Feeling: Good

Free text: The injected arm felt a little "heavy" as nearly always happens after an immunization of any kind. But not painful.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Survey response — day 14, dose 1
MedDRA: Rash, Rash erythematous, Rash papular — Feeling: Good

Free text: I have the classic Moderna arm rash. Blotchy and red, but not painful or itchy. It started at day 10 and spread for about 2 days. Still there.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-14
Dose 2 — Moderna
2021-04-14
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Poor · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The symptoms started yesterday after my check-in. They seem to be improving this afternoon.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain, Injection site rash, Injection site swelling — Feeling: Good · Site: Pain, Redness, Swelling

Free text: Rash and swelling and tenderness to touch in my arm below the injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site rash — Feeling: Good · Site: Pain, Redness, Swelling · Rash, not including the immediate area around the injection site

Free text: Not sure what immediate area really means. The rash is below the injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-04-21
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-04-28
Health check-in — day 14, dose 2
Feeling: Good

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

Adult check-in
2021-05-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-13
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-24
Dose 3 — Moderna
Co-administered: Flu
2022-04-07
Dose 4 — Moderna
2022-04-14
Survey response — 12 months, dose 2
MedDRA: Chills, Fatigue, Pain — Feeling: Good · Be unable to do your normal daily activities

Free text: After my second booster I had the worst side effects yet. Bad chills, aches, extreme tiredness. But it passed after two days. I also did not get Moderna arm this time.

MedDRA releases: 2024-11 · check-in free text available
2022-09-13
Dose 5 — Moderna
Co-administered: Flu
2022-09-17
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2022-09-18
Survey response — days 1–6 daily, dose 5
MedDRA: Myalgia — Feeling: Good · Site: Redness · Muscle or body aches

Free text: Muscle aches may be unrelated.

MedDRA releases: 2024-11 · check-in free text available
2022-09-19
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-09-20
Health check-in — day 7, dose 5
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-27
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-04
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-11
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-18
Survey response — day 35, dose 5
MedDRA: Cough, Nasopharyngitis, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair

Free text: Cold symptoms: congestion, cough, runny nose.

MedDRA releases: 2024-11 · check-in free text available
2022-10-25
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-13
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-14
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Moderna
2	2021-04-14	Moderna
3	2021-10-24	Moderna	Flu
4	2022-04-07	Moderna	No
5	2022-09-13	Moderna	Flu

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-18

Systemic reaction (other): The injected arm felt a little "heavy" as nearly always happens after an immunization of any kind. But not painful.

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): No

Release 6 — day 14, dose 1

2021-03-31

Symptoms: I have the classic Moderna arm rash. Blotchy and red, but not painful or itchy. It started at day 10 and spread for about 2 days. Still there.

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): The symptoms started yesterday after my check-in. They seem to be improving this afternoon.

2021-04-16

Systemic reaction (other): Rash and swelling and tenderness to touch in my arm below the injection site.

2021-04-17

Systemic reaction (other): Not sure what immediate area really means. The rash is below the injection site.

Release 11 — 12 months, dose 2

2022-04-14

Symptoms: After my second booster I had the worst side effects yet. Bad chills, aches, extreme tiredness. But it passed after two days. I also did not get Moderna arm this time.

Release 12 — days 1–6 daily, dose 5

2022-09-18

Systemic reaction (other): Muscle aches may be unrelated.

Release 12 — day 35, dose 5

2022-10-18

Symptoms: Cold symptoms: congestion, cough, runny nose.

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	Nasopharyngitis	·	·	✓
SD	Pain	·	·	✓
SD	Rash	✓	✓	✓
SD	Rash erythematous	✓	✓	✓
SD	Rash papular	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site rash	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Myalgia	·	·	✓
SRO	No adverse event	✓	✓	✓
SRO	Reaction to previous exposure to any vaccine	✓	✓	✓

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