4PF-24164-35179

4 vaccinations 5 coded responses 34 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 060 / CT
Registered: 2021-02-26

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-17
Dose 1 — Moderna
2021-02-26
Registered in v-safe
2021-02-26
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-03
Survey response — day 14, dose 1
MedDRA: Fatigue, Headache — Feeling: Good

Free text: Vwey tired, headachy when i never get headaches. May have nothing to do with vaccine but..

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — day 21, dose 1
MedDRA: Abnormal dreams, Back pain, Fatigue, Nausea — Feeling: Fair

Free text: Low back pain which i rarely have but i could have it for other reasons. I am VERY nervous about getting my 2nd Moderma shot. I was very tired a couble of days after receiving my first shot & had VERY vivid dreams that felt loke a panic attack.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Dose 2 — Moderna
2021-03-17
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Free text: Not sure if it is because of the vaccine though, might just be tired!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 21, dose 2
Feeling: Good

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

Adult check-in
2021-04-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-15
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-27
Dose 3 — Moderna
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-03
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-11
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-17
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-24
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-01
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-26
Survey response — 3 months, dose 3
MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion, Sinus disorder — Feeling: Good · Be unable to do your normal daily activities

Free text: Had cold? Sore throat., sinus issues. Conjestion& cough.

MedDRA releases: 2024-11 · check-in free text available
2022-04-05
Dose 4 — Moderna
2022-04-21
Survey response — day 14, dose 4
MedDRA: Cough, Office visit, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: Increased coughing, conjestion & sore throat. · Healthcare visit (other): Dr office

MedDRA releases: 2024-11 · check-in free text available
2022-04-21
Report sent to call center — day 14, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-22
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-04-28
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-03
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-19
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-05
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-17	Moderna
2	2021-03-17	Moderna
3	2021-10-27	Moderna	No
4	2022-04-05	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — day 14, dose 1

2021-03-03

Symptoms: Vwey tired, headachy when i never get headaches. May have nothing to do with vaccine but..

Release 5 — day 21, dose 1

2021-03-10

Symptoms: Low back pain which i rarely have but i could have it for other reasons. I am VERY nervous about getting my 2nd Moderma shot. I was very tired a couble of days after receiving my first shot & had VERY vivid dreams that felt loke a panic attack.

Release 5 — days 1–6 daily, dose 2

2021-03-18

Systemic reaction (other): Not sure if it is because of the vaccine though, might just be tired!

Release 11 — 3 months, dose 3

2022-01-26

Symptoms: Had cold? Sore throat., sinus issues. Conjestion& cough.

Release 11 — day 14, dose 4

2022-04-21

Symptoms: Increased coughing, conjestion & sore throat.

Healthcare visit (other): Dr office

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
HCVO	Office visit	·	·	✓
SD	Abnormal dreams	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Cough	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sinus disorder	·	·	✓
SRO	Fatigue	✓	✓	✓

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