4S7-16007-14943

2 vaccinations 10 coded responses 25 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 207 / MD
Registered: 2021-03-12

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

2021-03-12
Registered in v-safe
2021-03-12
Dose 1 — Moderna
2021-03-12
Survey response — day 0, dose 1
MedDRA: No adverse event — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Pain, Pre-existing disease — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Free text: Due to pre-existing chronic pain issues it is challenging to distinguish which is which. Sorry.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Chills — Feeling: Good · Site: Itching · Fever · Headache, Fatigue or tiredness

Free text: The chills were of short duration not prolonged

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Musculoskeletal stiffness — Feeling: Good · Fatigue or tiredness, Nausea

Free text: Just a little stiff in the large muscles but not enough to make me unable to work.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-19
Survey response — day 7, dose 1
MedDRA: Chills — Feeling: Good · Chills, Muscle or body aches, Fatigue or tiredness

Free text: Chills were limited to about an hour.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-09
Dose 2 — Moderna
2021-04-09
Survey response — day 0, dose 2
MedDRA: Feeling abnormal — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Pyrexia — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Fatigue or tiredness, Nausea

Free text: Yesterday was very feverish; I missed the checkin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Sluggishness — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Very sluggish in morning but improves as day continues. Not much appetite.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain — Feeling: Good · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness

Free text: Just the waning pain in my left underarm lymph glands.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Fair

Free text: Keep coughing a dry cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 7, dose 2
Feeling: Fair · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-04-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-08
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-09
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-12	Moderna
2	2021-04-09	Moderna

Free text

Release 5 — day 0, dose 1

2021-03-12

Systemic reaction (other): None

Release 5 — days 1–6 daily, dose 1

2021-03-13

Systemic reaction (other): Due to pre-existing chronic pain issues it is challenging to distinguish which is which. Sorry.

2021-03-16

Systemic reaction (other): The chills were of short duration not prolonged

2021-03-17

Systemic reaction (other): Just a little stiff in the large muscles but not enough to make me unable to work.

Release 6 — day 7, dose 1

2021-03-19

Systemic reaction (other): Chills were limited to about an hour.

Release 7 — day 0, dose 2

2021-04-09

Systemic reaction (other): Brain fog

Release 7 — days 1–6 daily, dose 2

2021-04-12

Systemic reaction (other): Yesterday was very feverish; I missed the checkin

2021-04-13

Systemic reaction (other): Very sluggish in morning but improves as day continues. Not much appetite.

2021-04-14

Systemic reaction (other): Just the waning pain in my left underarm lymph glands.

2021-04-15

Systemic reaction (other): Keep coughing a dry 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
SRO	Chills	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Sluggishness	✓	✓	✓

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