5D8-31957-20026

2 vaccinations 11 coded responses 19 check-ins 11 free-text entries 0 call cases

Sex: —
Age at first dose: 66+
ZIP prefix: 974 / OR
Registered: 2021-02-05

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

2021-01-29
Dose 1 — Moderna
2021-02-05
Registered in v-safe
2021-02-05
Survey response — day 7, dose 1
MedDRA: Injection site erythema, Injection site pain, Injection site pruritus, Urticaria — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Diarrhea

Free text: Oddly enough, Ive had no reactions or symptoms until todayone week after my first immunizationthat I experienced injection site symptoms. Most impressive is the white welt as well as redness, itching and new muscular discomfort.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — day 14, dose 1
MedDRA: Abdominal discomfort, Fatigue, Pain, Rhinorrhoea, Viral infection — Feeling: Poor

Free text: Achey body, low-level fatigue, GI upset, drippy nose. It feels like I just have a little virus, and Im not at all sure it is likely that it is related to the vaccination. I sure wish I knew. I only had vaccination site sx for several days, 7 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-26
Dose 2 — Moderna
2021-02-26
Survey response — day 0, dose 2
MedDRA: Musculoskeletal discomfort, Ocular discomfort — Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Nausea

Free text: Neck and eye socket discomfort

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Tremor — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: One episode of shaking chills.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Tremor — Feeling: Good · Site: Swelling · Muscle or body aches, Fatigue or tiredness

Free text: Shaky legs with fatigue. But able to finally get things done!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Dizziness, Eye pain, Pallor — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Pale. Lightheaded. Eye socket soreness. Occasional cough.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Muscular weakness — Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness

Free text: A little lightheadedness and kinda weak legs, But I was finally able to get out for a nice walk without any untoward effects. In fact, it felt pretty good!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Dizziness, Fatigue, Feeling abnormal, Malaise — Feeling: Poor · Site: Redness, Swelling · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Weak, lightheaded, generally feel ill and super-fatigued. Not at all myself.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Good · Site: Redness · Headache, Fatigue or tiredness

Free text: Im muuuuch better!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — day 7, dose 2
MedDRA: Dizziness — Feeling: Good · Fatigue or tiredness

Free text: Lightheaded

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-21
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-26
Survey response — 12 months, dose 2
MedDRA: Diarrhoea, Muscle spasms — Feeling: Fair

Free text: Intermittent cramps and diarrhea, probably completely unrelated to Covid vaccine

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-29	Moderna
2	2021-02-26	Moderna

Free text

Release 3 — day 7, dose 1

2021-02-05

Systemic reaction (other): Oddly enough, Ive had no reactions or symptoms until todayone week after my first immunizationthat I experienced injection site symptoms. Most impressive is the white welt as well as redness, itching and new muscular discomfort.

Release 4 — day 14, dose 1

2021-02-12

Symptoms: Achey body, low-level fatigue, GI upset, drippy nose. It feels like I just have a little virus, and Im not at all sure it is likely that it is related to the vaccination. I sure wish I knew. I only had vaccination site sx for several days, 7 days

Release 4 — day 0, dose 2

2021-02-26

Systemic reaction (other): Neck and eye socket discomfort

Release 4 — days 1–6 daily, dose 2

2021-02-27

Systemic reaction (other): One episode of shaking chills.

2021-02-28

Systemic reaction (other): Shaky legs with fatigue. But able to finally get things done!

2021-03-01

Systemic reaction (other): Pale. Lightheaded. Eye socket soreness. Occasional cough.

2021-03-02

Systemic reaction (other): A little lightheadedness and kinda weak legs, But I was finally able to get out for a nice walk without any untoward effects. In fact, it felt pretty good!

2021-03-03

Systemic reaction (other): Weak, lightheaded, generally feel ill and super-fatigued. Not at all myself.

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): Im muuuuch better!

Release 5 — day 7, dose 2

2021-03-05

Systemic reaction (other): Lightheaded

Release 11 — 12 months, dose 2

2022-02-26

Symptoms: Intermittent cramps and diarrhea, probably completely unrelated to Covid vaccine

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	Abdominal discomfort	✓	✓	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Muscle spasms	·	·	✓
SD	Pain	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Viral infection	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Muscular weakness	✓	✓	✓
SRO	Musculoskeletal discomfort	✓	✓	✓
SRO	Ocular discomfort	✓	✓	✓
SRO	Pallor	✓	✓	✓
SRO	Tremor	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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