55C-30636-83579

3 vaccinations 9 coded responses 39 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 441 / OH
Registered: 2021-05-05

Relationship: Self
Race: Black or African American
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

2021-05-04
Dose 1 — Moderna
2021-05-05
Registered in v-safe
2021-05-05
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Chills, Injection site pain — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: injection site achiness and soreness, feeling weak, and chilled

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-07
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Pain

Free text: Slight pain/ tenderness in and around the Injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-11
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-06-01
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-06-08
Dose 2 — Moderna
2021-06-09
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: Leg cramps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog, Fatigue, Hangover, Headache, Nasal congestion — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: I still feel very fatigue and the feeling of having a hangover: brain fog, headache, feel like I have nasal congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog, Nasal congestion — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Free text: I still have the feeling of brain fog or nasal congestion just not as much

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-12
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog — Feeling: Fair · Site: Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Still having the brain fog/ head contested feeling but not as much

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-06-14
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Respiratory tract congestion — Feeling: Fair · Site: Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Still have mild head congestion feeling and a consistent dull headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Survey response — day 7, dose 2
MedDRA: Brain fog, Headache, Respiratory tract congestion — Feeling: Fair · Site: Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Still having mild brain fog/ head congestion/ dull headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-30
Survey response — day 21, dose 2
MedDRA: Cough, Fatigue, Influenza like illness, Pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative, Self-medication — Feeling: Fair · Be unable to work or attend school

Free text: As of 06/23/2021, I had flu like symptoms: feverish, body achiness, chest congestion, fatigue, cough. A rapid Covid test was negative. Return to work that Friday. Addressed symptoms with OTC medication.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-06
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-07-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-07
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-12-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-11
Dose 3 — Moderna
2022-01-12
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-01-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-01-14
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-16
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · None

Adult check-in
2022-01-18
Health check-in — day 7, dose 3
Feeling: Good · Site: Itching · None

Adult check-in
2022-01-26
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-02-02
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-02-09
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-15
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-22
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-13
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-07-12
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2023-01-11
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-04	Moderna
2	2021-06-08	Moderna
3	2022-01-11	Moderna	No

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-05

Systemic reaction (other): injection site achiness and soreness, feeling weak, and chilled

2021-05-07

Systemic reaction (other): Slight pain/ tenderness in and around the Injection site

Release 9 — days 1–6 daily, dose 2

2021-06-09

Systemic reaction (other): Leg cramps

2021-06-10

Systemic reaction (other): I still feel very fatigue and the feeling of having a hangover: brain fog, headache, feel like I have nasal congestion

2021-06-11

Systemic reaction (other): I still have the feeling of brain fog or nasal congestion just not as much

2021-06-12

Systemic reaction (other): Still having the brain fog/ head contested feeling but not as much

2021-06-14

Systemic reaction (other): Still have mild head congestion feeling and a consistent dull headache

Release 9 — day 7, dose 2

2021-06-15

Systemic reaction (other): Still having mild brain fog/ head congestion/ dull headache

Release 9 — day 21, dose 2

2021-06-30

Symptoms: As of 06/23/2021, I had flu like symptoms: feverish, body achiness, chest congestion, fatigue, cough. A rapid Covid test was negative. Return to work that Friday. Addressed symptoms with OTC medication.

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	Cough	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Influenza like illness	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Self-medication	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Brain fog	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Hangover	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓

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