54N-85917-94366

2 vaccinations 8 coded responses 23 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 898 / NV
Registered: 2021-01-19

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

2021-01-19
Registered in v-safe
2021-01-19
Dose 1 — Moderna
2021-01-19
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-28
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-02
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-09
Survey response — day 21, dose 1
MedDRA: Chills, Feeling hot, Headache, Oropharyngeal pain, Pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Chills, sore throat, feel hot but no fever, headache, body aches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-02-23
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-02-26
Dose 2 — Moderna
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Fever · Headache, Abdominal pain

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-03-05
Health check-in — day 7, dose 2
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-03-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-21
Survey response — day 21, dose 2
MedDRA: Fatigue, Migraine, Pain, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Migraines, body aches, runny nose, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — day 28, dose 2
MedDRA: Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Body aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — day 35, dose 2
MedDRA: Ear pain — Feeling: Good

Free text: Ear pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — day 42, dose 2
MedDRA: Cough, Ear pain, Headache, Laryngitis, Nausea, Oropharyngeal pain, Pain, Respiratory tract congestion, Rhinorrhoea, Sinus pain — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Laryngitis, sore throat, cough, headache, body aches, nausea, runny nose, congestion, sinus pain, right ear pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Survey response — 3 months, dose 2
MedDRA: Dizziness, Migraine, Norovirus infection — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Suspected norovirus, migraine, dizzinessI had confirmed close exposure, tested negative 3 times.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-29
Survey response — 6 months, dose 2
MedDRA: Chest discomfort, Cough, Laryngitis, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cough, sore throat, chest heaviness, laryngitis. Negative Covid test x2

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-26
Survey response — 12 months, dose 2
MedDRA: Chest pain, Heart rate decreased, Ventricular extrasystoles — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Frequent PVC's, low heart rate, chest pain.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-19	Moderna
2	2021-02-26	Moderna

Free text

Release 3 — day 21, dose 1

2021-02-09

Symptoms: Chills, sore throat, feel hot but no fever, headache, body aches.

Release 6 — day 21, dose 2

2021-03-21

Symptoms: Migraines, body aches, runny nose, fatigue

Release 6 — day 28, dose 2

2021-03-26

Symptoms: Body aches

Release 6 — day 35, dose 2

2021-04-02

Symptoms: Ear pain

Release 7 — day 42, dose 2

2021-04-09

Symptoms: Laryngitis, sore throat, cough, headache, body aches, nausea, runny nose, congestion, sinus pain, right ear pain.

Release 8 — 3 months, dose 2

2021-05-28

Symptoms: Suspected norovirus, migraine, dizzinessI had confirmed close exposure, tested negative 3 times.

Release 9 — 6 months, dose 2

2021-08-29

Symptoms: Cough, sore throat, chest heaviness, laryngitis. Negative Covid test x2

Release 11 — 12 months, dose 2

2022-02-26

Symptoms: Frequent PVC's, low heart rate, chest pain.

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	Chest pain	·	·	✓
SD	Chills	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling hot	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heart rate decreased	·	·	✓
SD	Laryngitis	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Norovirus infection	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	·	✓
SD	Sinus pain	✓	✓	✓
SD	Ventricular extrasystoles	·	·	✓

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