4VM-31693-90762

2 vaccinations 8 coded responses 24 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 801 / CO
Registered: 2021-04-06

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

2021-04-06
Registered in v-safe
2021-04-06
Dose 1 — Moderna
2021-04-06
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion — Feeling: Good · Site: Pain · Chills

Free text: Nasal congestion

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

Adult check-in
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair

Free text: Beginning 2 days after the vaccination, I wake up each morning with an unproductive cough, some chest congestion, and a runny nose. This lasts about one hour, but can last longer if I remain lying in bed.

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

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-04
Dose 2 — Moderna
2021-05-04
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — days 1–6 daily, dose 2
MedDRA: Rash, Rash erythematous, Rash pruritic, Self-medication — Feeling: Good · Joint pains

Free text: Had red rash over torso (from neck to legs) yesterday; took Benadryl, which helped ease rash and itchiness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Dyspnoea, Respiratory tract congestion — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Beginning two days ago, Ive woken in the morning with a cough and chest congestion. My breathing has been noticeably labored when I go for daily walks.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-05-11
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-05-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-02
Survey response — day 28, dose 2
MedDRA: Fatigue, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: A feeling of overwhelming tiredness. I get very tired to the point of exhaustion, similar to when I had a severe case of anemia.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-15
Survey response — day 42, dose 2
MedDRA: Chest discomfort, Dyspnoea — Feeling: Good

Free text: I have steadily felt a heaviness in my chest over the past 3 weeks. Breathing is more labored when I go outside for a brisk walk. When I speak (whether Im walking or resting), I run out of breath, often ending a sentence in a whisper.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-05-04
Survey response — 12 months, dose 2
MedDRA: Cough, Headache, Oropharyngeal pain, Rhinorrhoea, Sinus congestion — Feeling: Good · Be unable to do your normal daily activities

Free text: Two weeks ago, stuffy sinuses, runny nose, cough lasting 3 days, headache, sore throat, but NO fever.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-06	Moderna
2	2021-05-04	Moderna

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-08

Systemic reaction (other): Nasal congestion

2021-04-10

Systemic reaction (other): Beginning 2 days after the vaccination, I wake up each morning with an unproductive cough, some chest congestion, and a runny nose. This lasts about one hour, but can last longer if I remain lying in bed.

Release 8 — days 1–6 daily, dose 2

2021-05-05

Systemic reaction (other): Sore throat

2021-05-07

Systemic reaction (other): Had red rash over torso (from neck to legs) yesterday; took Benadryl, which helped ease rash and itchiness.

2021-05-09

Systemic reaction (other): Beginning two days ago, Ive woken in the morning with a cough and chest congestion. My breathing has been noticeably labored when I go for daily walks.

Release 8 — day 28, dose 2

2021-06-02

Symptoms: A feeling of overwhelming tiredness. I get very tired to the point of exhaustion, similar to when I had a severe case of anemia.

Release 9 — day 42, dose 2

2021-06-15

Symptoms: I have steadily felt a heaviness in my chest over the past 3 weeks. Breathing is more labored when I go outside for a brisk walk. When I speak (whether Im walking or resting), I run out of breath, often ending a sentence in a whisper.

Release 11 — 12 months, dose 2

2022-05-04

Symptoms: Two weeks ago, stuffy sinuses, runny nose, cough lasting 3 days, headache, sore throat, but NO fever.

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	Cough	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinus congestion	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Rash erythematous	✓	✓	✓
SRO	Rash pruritic	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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