56J-27984-64804

5 vaccinations 16 coded responses 50 check-ins 16 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 295 / SC
Registered: 2021-03-12

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

2021-03-09
Dose 1 — Moderna
2021-03-12
Registered in v-safe
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Neck pain — Feeling: Good

Free text: Neck pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-30
Survey response — day 21, dose 1
MedDRA: Headache, Neck pain — Feeling: Good

Free text: Headache and neck pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Dose 2 — Moderna
2021-04-06
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness

Adult check-in
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cough

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

Free text: Felt flush in the face early in the day as if i had a fever but felt better before i had a chance to take my temperature

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Induration, Muscle spasms — Feeling: Fair · Site: Redness · Muscle or body aches, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Muscle cramping along with them feeling hard, in upper abdominal area and neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms — Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Muscle spasms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness · Chills, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-13
Survey response — day 7, dose 2
MedDRA: Sunburn — Feeling: Fair · Fatigue or tiredness

Free text: I normally don't get sunburn but i got bad sunburn doing yard work

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — day 14, dose 2
MedDRA: Fatigue, Palpitations, Photophobia — Feeling: Good

Free text: Had some heart palpatations that were out of the ordinary plus seem more sensitive to the sun. Also more tired still than usual

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — day 21, dose 2
MedDRA: Fatigue, Injection site pain, Injection site swelling — Feeling: Fair

Free text: Have a lump in arm around infection site, it seems to be getting more painful. Also feel very fatigued

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — day 28, dose 2
MedDRA: Injection site pain — Feeling: Fair

Free text: Arm pain is worse it is near vaccine injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-18
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-06
Survey response — 3 months, dose 2
MedDRA: Headache, Neck pain — Feeling: Fair

Free text: Neck pains and headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-09
Dose 3 — Moderna
2021-10-05
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-09
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-03-10
Survey response — 6 months, dose 3
MedDRA: Ageusia, Heart rate increased — Feeling: Fair · Be unable to do your normal daily activities

Free text: I lost my abilty to tasty spicy for about a week and a half and have had a high resting heart rate for about 3 weeks

MedDRA releases: 2024-11 · check-in free text available
2022-04-21
Dose 4 — Moderna
2022-04-22
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-04-23
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-04-24
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-25
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2022-04-26
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-04-27
Survey response — days 1–6 daily, dose 4
MedDRA: Cough, Dyspnoea, Sinus congestion — Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Cough, sinus congestion, slight difficulty breathing

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Survey response — day 7, dose 4
MedDRA: Sinus congestion — Feeling: Fair · Fever · Headache, Fatigue or tiredness

Free text: Sinus congestion

MedDRA releases: 2024-11 · check-in free text available
2022-05-05
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-12
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-19
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-26
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-02
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-23
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-18
Dose 5 — Moderna
2022-10-19
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-20
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-21
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2022-10-22
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2022-10-24
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-10-26
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-11-01
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-11-08
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-11-15
Survey response — day 28, dose 5
MedDRA: Headache — Feeling: Fair

Free text: Headaches

MedDRA releases: 2024-11 · check-in free text available
2022-11-22
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-11-30
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2023-01-17
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2023-04-18
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Moderna
2	2021-04-06	Moderna
3	2021-09-09	Moderna	No
4	2022-04-21	Moderna	No
5	2022-10-18	Moderna	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-13

Systemic reaction (other): Neck pain

Release 6 — day 21, dose 1

2021-03-30

Symptoms: Headache and neck pain

Release 7 — days 1–6 daily, dose 2

2021-04-07

Systemic reaction (other): Cough

2021-04-08

Systemic reaction (other): Cough

2021-04-09

Systemic reaction (other): Felt flush in the face early in the day as if i had a fever but felt better before i had a chance to take my temperature

2021-04-10

Systemic reaction (other): Muscle cramping along with them feeling hard, in upper abdominal area and neck

2021-04-11

Systemic reaction (other): Muscle spasms

Release 7 — day 7, dose 2

2021-04-13

Systemic reaction (other): I normally don't get sunburn but i got bad sunburn doing yard work

Release 7 — day 14, dose 2

2021-04-20

Symptoms: Had some heart palpatations that were out of the ordinary plus seem more sensitive to the sun. Also more tired still than usual

Release 8 — day 21, dose 2

2021-04-28

Symptoms: Have a lump in arm around infection site, it seems to be getting more painful. Also feel very fatigued

Release 8 — day 28, dose 2

2021-05-04

Symptoms: Arm pain is worse it is near vaccine injection site

Release 9 — 3 months, dose 2

2021-07-06

Symptoms: Neck pains and headaches

Release 11 — 6 months, dose 3

2022-03-10

Symptoms: I lost my abilty to tasty spicy for about a week and a half and have had a high resting heart rate for about 3 weeks

Release 11 — days 1–6 daily, dose 4

2022-04-27

Systemic reaction (other): Cough, sinus congestion, slight difficulty breathing

Release 11 — day 7, dose 4

2022-04-29

Systemic reaction (other): Sinus congestion

Release 12 — day 28, dose 5

2022-11-15

Symptoms: Headaches

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	Ageusia	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heart rate increased	·	·	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Photophobia	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dyspnoea	·	·	✓
SRO	Flushing	✓	✓	✓
SRO	Induration	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Sinus congestion	·	·	✓
SRO	Sunburn	✓	✓	✓

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