4X5-31575-49850

3 vaccinations 6 coded responses 25 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 452 / OH
Registered: 2021-03-26

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

2021-02-20
Dose 1 — Moderna
2021-03-24
Dose 2 — Moderna
2021-03-26
Registered in v-safe
2021-03-26
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Cough, Fatigue, Hyperhidrosis, Influenza — Feeling: Fair · Site: Itching · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Yesterday I felt as if I had the flu, extremely exhausted, chills and sweating and a slight cough.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — day 14, dose 2
MedDRA: Fatigue, Malaise, Myalgia, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fever yesterday of 100.8 in ear. Muscle aches and malaise, fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-24
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-09-20
Dose 3 — Moderna
2022-09-20
Health check-in — day 0, dose 3
Feeling: Fair · Site: Itching · Chills, Fatigue or tiredness

Adult check-in
2022-09-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2022-09-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-09-24
Survey response — days 1–6 daily, dose 3
MedDRA: Sneezing — Feeling: Good

Free text: Sneezing

MedDRA releases: 2024-11 · check-in free text available
2022-09-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-09-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-09-29
Survey response — day 7, dose 3
MedDRA: Diarrhoea, Dyspepsia, Fatigue, Petechiae, Vomiting — Feeling: Good

Free text: Last Monday night I developed indigestion. The symptoms developed into vomiting and diarrhea at 3amon Tuesday. Felt fatigued throughout Tuesday. Developed petechia on anterior right foot and spot on left ankle and one. Felt better yesterday and am f

MedDRA releases: 2024-11 · check-in free text available
2022-10-04
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-10-11
Survey response — day 21, dose 3
MedDRA: Malaise, Office visit, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Sniffles developed last night. Mild sore throat and mild malaise today. Had a scheduled pre-op physical today and took PCR per protocol. · Healthcare visit (other): My internist

MedDRA releases: 2024-11 · check-in free text available
2022-10-11
Report sent to call center — day 21, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-12
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-18
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-10-25
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-11-01
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-12-21
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2023-03-21
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-20	Moderna
2	2021-03-24	Moderna
3	2022-09-20	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-26

Systemic reaction (other): Yesterday I felt as if I had the flu, extremely exhausted, chills and sweating and a slight cough.

2021-03-30

Systemic reaction (other): No

Release 7 — day 14, dose 2

2021-04-07

Symptoms: Fever yesterday of 100.8 in ear. Muscle aches and malaise, fatigue.

Release 12 — days 1–6 daily, dose 3

2022-09-24

Systemic reaction (other): Sneezing

Release 12 — day 7, dose 3

2022-09-29

Systemic reaction (other): Last Monday night I developed indigestion. The symptoms developed into vomiting and diarrhea at 3amon Tuesday. Felt fatigued throughout Tuesday. Developed petechia on anterior right foot and spot on left ankle and one. Felt better yesterday and am f cut off by CDC

Release 12 — day 21, dose 3

2022-10-11

Symptoms: Sniffles developed last night. Mild sore throat and mild malaise today. Had a scheduled pre-op physical today and took PCR per protocol.

Healthcare visit (other): My internist

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	Fatigue	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Diarrhoea	·	·	✓
SRO	Dyspepsia	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Influenza	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Petechiae	·	·	✓
SRO	Sneezing	·	·	✓
SRO	Vomiting	·	·	✓

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