5CD-30666-24577

2 vaccinations 8 coded responses 26 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 126 / NY
Registered: 2021-02-28

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

2021-02-28
Registered in v-safe
2021-02-28
Dose 1 — Moderna
2021-02-28
Survey response — day 0, dose 1
MedDRA: Headache — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Headache-mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Dysgeusia — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: A tinny tastw in my mouth yesterday and this morning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Pain — Feeling: Good · Muscle or body aches

Free text: The pain was like pings during the night. One ping on center of chest? Them right side. Then upper thigh (L), then a ping on upper L leg, then ankle, the underside of toe on (R) side. These were isolated pungs of pain, thw first one lasting the longest.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

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

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

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

Adult check-in
2021-03-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-27
Dose 2 — Moderna
2021-03-27
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Poor quality sleep — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Interrupted sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Last mite I had 100.2 fever, took tylenol

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Anxiety — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Anxiety

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Sleep disorder — Feeling: Fair · Site: Itching · Muscle or body aches · Be unable to do your normal daily activities

Free text: Sleep disturbance

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-04-03
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · Joint pains, Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-17
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-24
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-01
Survey response — day 35, dose 2
MedDRA: Injection site pruritus — Feeling: Fair

Free text: I am saying yes because the injection site finally healed. It took so long. Still itches now and then.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-25
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-03-27
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-28	Moderna
2	2021-03-27	Moderna

Free text

Release 4 — day 0, dose 1

2021-02-28

Systemic reaction (other): Headache-mild

Release 4 — days 1–6 daily, dose 1

2021-03-01

Systemic reaction (other): A tinny tastw in my mouth yesterday and this morning

2021-03-02

Systemic reaction (other): The pain was like pings during the night. One ping on center of chest? Them right side. Then upper thigh (L), then a ping on upper L leg, then ankle, the underside of toe on (R) side. These were isolated pungs of pain, thw first one lasting the longest.

Release 6 — days 1–6 daily, dose 2

2021-03-28

Systemic reaction (other): Interrupted sleep

2021-03-29

Systemic reaction (other): Last mite I had 100.2 fever, took tylenol

2021-03-30

Systemic reaction (other): Anxiety

2021-03-31

Systemic reaction (other): Sleep disturbance

Release 8 — day 35, dose 2

2021-05-01

Symptoms: I am saying yes because the injection site finally healed. It took so long. Still itches now and then.

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	Injection site pruritus	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Poor quality sleep	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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