5BG-14397-37291

4 vaccinations 10 coded responses 37 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 553 / MN
Registered: 2020-12-30

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

2020-12-30
Registered in v-safe
2020-12-30
Dose 1 — Moderna
2020-12-30
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Feeling abnormal, Pain — Feeling: Fair · Site: Pain · Chills, Muscle or body aches

Free text: Just odd -chilly -achy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Rhinorrhoea — Feeling: Good

Free text: Slight Cough & runny nose (MN climate?...)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Rhinorrhoea — Feeling: Good

Free text: Dry cough, runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Survey response — day 7, dose 1
MedDRA: Cough, Rhinorrhoea — Feeling: Good

Free text: Slight cough runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-27
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-03
Dose 2 — Moderna
2021-02-03
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-04
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Feeling abnormal, Pain — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: From my toes nails to my head hair I ache: chills all night into today; I feel like I was hit by a truck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-05
Survey response — 3 months, dose 2
MedDRA: Seasonal allergy — Feeling: Good

Free text: Seasonal allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-03
Dose 3 — Moderna
2022-02-03
Survey response — 12 months, dose 2
MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I had Covid in October

MedDRA releases: 2024-11 · check-in free text available
2022-03-04
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-24
Dose 4 — Moderna
2022-06-03
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-06-03
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-06-07
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-14
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-21
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-28
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-05
Survey response — day 42, dose 4
MedDRA: Asthenia, Cough, Eye disorder, Photophobia, Rhinorrhoea, SARS-CoV-2 test positive — Feeling: Poor · Be unable to work or attend school

Free text: I tested + for covid today on a at home test. Runny nose, slight cough, eyes are wiggy- sensitive to light. Weak but not as terrible as others I know who have had it.

MedDRA releases: 2024-11 · check-in free text available
2022-08-23
Survey response — 3 months, dose 4
MedDRA: Chills, Cough, Eye pain, Headache, Malaise, Pain, SARS-CoV-2 test positive, Unevaluable event — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: July 4 I tested positive for Covid and was sick with temp chills severe cough and headaches eye aches pain all over

MedDRA releases: 2024-11 · check-in free text available
2022-08-23
Report sent to call center — 3 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-08-24
Call 1 — Left Voicemail
2022-11-22
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-05-24
Survey response — 12 months, dose 4
MedDRA: Cough, Sinusitis — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-02-03	Moderna
3	2021-12-03	Moderna	No
4	2022-05-24	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-31

Systemic reaction (other): Just odd -chilly -achy

2021-01-03

Systemic reaction (other): Slight Cough & runny nose (MN climate?...)

2021-01-04

Systemic reaction (other): Dry cough, runny nose

Release 1 — day 7, dose 1

2021-01-06

Systemic reaction (other): Slight cough runny nose

Release 3 — days 1–6 daily, dose 2

2021-02-04

Systemic reaction (other): From my toes nails to my head hair I ache: chills all night into today; I feel like I was hit by a truck

Release 8 — 3 months, dose 2

2021-05-05

Symptoms: Seasonal allergies

Release 11 — 12 months, dose 2

2022-02-03

Symptoms: I had Covid in October

Release 12 — day 42, dose 4

2022-07-05

Symptoms: I tested + for covid today on a at home test. Runny nose, slight cough, eyes are wiggy- sensitive to light. Weak but not as terrible as others I know who have had it.

Release 12 — 3 months, dose 4

2022-08-23

Symptoms: July 4 I tested positive for Covid and was sick with temp chills severe cough and headaches eye aches pain all over

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	Asthenia	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Eye disorder	·	·	✓
SD	Eye pain	·	·	✓
SD	Headache	·	·	✓
SD	Malaise	·	·	✓
SD	Pain	·	·	✓
SD	Photophobia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Seasonal allergy	✓	✓	✓
SD	Sinusitis	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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