4WW-95830-03329

2 vaccinations 9 coded responses 24 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 726 / AR
Registered: 2021-02-27

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

2021-02-27
Registered in v-safe
2021-02-27
Dose 1 — Moderna
2021-02-27
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-03-06
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-03-13
Survey response — day 14, dose 1
MedDRA: Cough, Epstein-Barr virus infection — Feeling: Poor

Free text: Triggered an Epstein Barr episode... have become extremely achy throughout the week... highened my ashma somewhat with slight cough... no fever at this time... labored daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — day 21, dose 1
MedDRA: Blood glucose abnormal — Feeling: Fair

Free text: Glucose level tests seem to be staying higher than normal (Type II)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-03-31
Dose 2 — Moderna
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Asthma, Cough — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Cough... asthma...

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Asthma, Cough — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Cough and asthma like...

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Asthma, Cough — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Cont. cough and somewhat asthmatic

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: No changes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Same...

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-07
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

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

Adult check-in
2021-04-25
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-30
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-08
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-14
Survey response — day 42, dose 2
MedDRA: Asthenia, Headache, Pain — Feeling: Fair

Free text: Just tremendous headaches... no energy and achiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-01
Survey response — 6 months, dose 2
MedDRA: Cough, Headache, Pain — Feeling: Fair

Free text: Headaches... bronchial cough... achy

MedDRA releases: 2024-11 · check-in free text available
2022-03-31
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-27	Moderna
2	2021-03-31	Moderna

Free text

Release 5 — day 14, dose 1

2021-03-13

Symptoms: Triggered an Epstein Barr episode... have become extremely achy throughout the week... highened my ashma somewhat with slight cough... no fever at this time... labored daily activities

Release 6 — day 21, dose 1

2021-03-21

Symptoms: Glucose level tests seem to be staying higher than normal (Type II)

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): Cough... asthma...

2021-04-02

Systemic reaction (other): Cough and asthma like...

2021-04-03

Systemic reaction (other): Cont. cough and somewhat asthmatic

2021-04-04

Systemic reaction (other): No changes

2021-04-05

Systemic reaction (other): Same...

Release 8 — day 42, dose 2

2021-05-14

Symptoms: Just tremendous headaches... no energy and achiness

Release 9 — 6 months, dose 2

2021-10-01

Symptoms: Headaches... bronchial cough... achy

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	Asthenia	✓	✓	✓
SD	Blood glucose abnormal	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Epstein-Barr virus infection	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Pain	✓	✓	✓
SRO	Asthma	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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