53E-16382-77898

2 vaccinations 13 coded responses 26 check-ins 13 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 924 / CA
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
Survey response — day 0, dose 1
MedDRA: Asthma, Pollution, Pre-existing disease — Feeling: Good · Headache, Fatigue or tiredness

Free text: Well I have Asthma and air quality is real bad today so anything I feel today so far is just that so far not from the 1st dose vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: Asthma, Pre-existing disease, Wheezing — Feeling: Good · Site: Pain, Redness, Swelling · Chills, Muscle or body aches, Fatigue or tiredness

Free text: Intermittent wheezing but air quality is bad today and I do have Asthma so dont know if its related to the vaccine necessarily

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Osteoarthritis, Pain, Pre-existing disease — Feeling: Fair · Site: Pain, Redness, Itching · Fatigue or tiredness

Free text: I kind of hurt all over but I really can't tell if it's from the vaccine or that I have osteoarthritis throughout my body but feels more painful today

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

Free text: Im still very tired feeling and sleepy just cant seem to nap though

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Site: Itching

Free text: Not today thx

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
Survey response — day 7, dose 1
MedDRA: Hypersensitivity — Feeling: Good · Fatigue or tiredness

Free text: Could be due to allergies today but who knows for sure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-04
Dose 2 — Moderna
2021-05-04
Survey response — day 0, dose 2
MedDRA: Unevaluable event — Feeling: Good · Site: Redness

Free text: I just got this vaccine about 45 minutes ago so ask me these questions tomorrow but later on today like tonight may be different though

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Pre-existing disease — Feeling: Fair · Site: Pain · Chills, Muscle or body aches · Be unable to do your normal daily activities

Free text: Chills come and go I dont feel feverish but who knows for sure as I have other issues not related to vaccine going on

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Myalgia, Pain — Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: The chills come and go so I didnt check box because it could be my A/C I dont have a lot of pain or muscle pain but I still have it though

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: No adverse event — Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness

Free text: No thanks

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: Nope

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: Back pain — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: I have lower back pain today

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: Good · None

Adult check-in
2021-05-11
Survey response — day 7, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
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
2021-06-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-03
Health check-in — 3 months, dose 2
Feeling: Fair

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

Adult check-in
2022-05-04
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

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

Free text

Release 7 — day 0, dose 1

2021-04-06

Systemic reaction (other): Well I have Asthma and air quality is real bad today so anything I feel today so far is just that so far not from the 1st dose vaccine

Release 7 — days 1–6 daily, dose 1

2021-04-07

Systemic reaction (other): Intermittent wheezing but air quality is bad today and I do have Asthma so dont know if its related to the vaccine necessarily

2021-04-08

Systemic reaction (other): I kind of hurt all over but I really can't tell if it's from the vaccine or that I have osteoarthritis throughout my body but feels more painful today

2021-04-09

Systemic reaction (other): Im still very tired feeling and sleepy just cant seem to nap though

2021-04-10

Systemic reaction (other): Not today thx

Release 7 — day 7, dose 1

2021-04-13

Systemic reaction (other): Could be due to allergies today but who knows for sure

Release 8 — day 0, dose 2

2021-05-04

Systemic reaction (other): I just got this vaccine about 45 minutes ago so ask me these questions tomorrow but later on today like tonight may be different though

Release 8 — days 1–6 daily, dose 2

2021-05-05

Systemic reaction (other): Chills come and go I dont feel feverish but who knows for sure as I have other issues not related to vaccine going on

2021-05-06

Systemic reaction (other): The chills come and go so I didnt check box because it could be my A/C I dont have a lot of pain or muscle pain but I still have it though

2021-05-07

Systemic reaction (other): No thanks

2021-05-08

Systemic reaction (other): Nope

2021-05-09

Systemic reaction (other): I have lower back pain today

Release 8 — day 7, dose 2

2021-05-11

Systemic reaction (other): No

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	Asthma	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Osteoarthritis	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pollution	○	✓	○
SRO	Pre-existing disease	✓	✓	✓
SRO	Somnolence	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓
SRO	Wheezing	✓	✓	✓

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