4GT-28543-93167

2 vaccinations 10 coded responses 23 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 16-20
ZIP prefix: 685 / NE
Registered: 2021-02-03

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

2021-02-03
Registered in v-safe
2021-02-03
Dose 1 — Moderna
2021-02-03
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Swelling · Chills, Muscle or body aches, Nausea

Adult check-in
2021-02-04
Survey response — days 1–6 daily, dose 1
MedDRA: Nasopharyngitis — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Cold symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Nasopharyngitis, Oropharyngeal pain — Feeling: Poor · Chills, Muscle or body aches, Fatigue or tiredness

Free text: Sore throat, heavy chest, common cold symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Nasopharyngitis — Feeling: Poor · Fever · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Severe cold symptoms and cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Nasopharyngitis, Secretion discharge — Feeling: Poor · Fever · Chills, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Severe cold symptoms, green mucous, and deep cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Nasopharyngitis — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Severe cold symptoms/ deep cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — days 1–6 daily, dose 1
MedDRA: Nasopharyngitis, Sinusitis — Feeling: Fair · Fatigue or tiredness

Free text: Slight cold symptoms/sinus infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — day 7, dose 1
MedDRA: Nasopharyngitis — Feeling: Fair

Free text: Cold symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-03
Dose 2 — Moderna
2021-03-03
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · Nausea

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-24
Survey response — day 21, dose 2
MedDRA: Influenza like illness — Feeling: Poor · Be unable to do your normal daily activities

Free text: Absolute worse flu like symptoms I have ever had in my life. 3 weeks out from 2nd shot of vaccine, doctors couldnt diagnose anything else.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-08
Survey response — day 35, dose 2
MedDRA: Musculoskeletal chest pain, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: My ribs hurt all of the time, and am having weird aches and pains. Nothing in my lifestyle has changed since vaccine to cause this.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-02
Survey response — 3 months, dose 2
MedDRA: Chest discomfort, Chest pain, Painful respiration — Feeling: Good · Be unable to do your normal daily activities

Free text: Have been having increased chest pain and discomfort. If I move wrong and breath in too deep I get awful pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-03	Moderna
2	2021-03-03	Moderna

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-04

Systemic reaction (other): Cold symptoms

2021-02-05

Systemic reaction (other): Sore throat, heavy chest, common cold symptoms

2021-02-06

Systemic reaction (other): Severe cold symptoms and cough

2021-02-07

Systemic reaction (other): Severe cold symptoms, green mucous, and deep cough

2021-02-08

Systemic reaction (other): Severe cold symptoms/ deep cough

2021-02-09

Systemic reaction (other): Slight cold symptoms/sinus infection

Release 4 — day 7, dose 1

2021-02-10

Systemic reaction (other): Cold symptoms

Release 6 — day 21, dose 2

2021-03-24

Symptoms: Absolute worse flu like symptoms I have ever had in my life. 3 weeks out from 2nd shot of vaccine, doctors couldnt diagnose anything else.

Release 7 — day 35, dose 2

2021-04-08

Symptoms: My ribs hurt all of the time, and am having weird aches and pains. Nothing in my lifestyle has changed since vaccine to cause this.

Release 8 — 3 months, dose 2

2021-06-02

Symptoms: Have been having increased chest pain and discomfort. If I move wrong and breath in too deep I get awful pain.

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	Chest discomfort	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Influenza like illness	✓	✓	✓
SD	Musculoskeletal chest pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Painful respiration	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Secretion discharge	✓	✓	✓
SRO	Sinusitis	✓	✓	✓

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