5DL-32820-28646

4 vaccinations 8 coded responses 28 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 273 / NC
Registered: 2021-04-10

Relationship: Self
Race: N/A
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

2021-04-10
Registered in v-safe
2021-04-10
Dose 1 — Moderna
2021-04-10
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Vomiting

Adult check-in
2021-04-13
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Heart rate increased — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Throbbing headache & rapid heartbeat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — days 1–6 daily, dose 1
MedDRA: Dreamy state — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Chasing dreams

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-17
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-24
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-05-01
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-05-08
Dose 2 — Moderna
2021-05-08
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-09
Survey response — days 1–6 daily, dose 2
MedDRA: Dry mouth — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Dry mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-13
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-16
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-22
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-30
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-13
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-08
Survey response — 3 months, dose 2
MedDRA: Adverse reaction, Arthropod bite, Pre-existing disease, Scab — Feeling: Poor

Free text: When I get a bug bite in years past I could put some cream on the bite & it would disappear in few days but Ive noticed my bug bites appear on my skin and turn into small scabs and last for three weeks.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-06
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-04-07
Dose 3 — Moderna
2022-04-23
Dose 4 — Moderna
2022-05-09
Survey response — day 14, dose 4
MedDRA: Dizziness, Feeling abnormal, Heart rate increased — Feeling: Poor · Be unable to do your normal daily activities

Free text: Dizziness for 5 hrs per day. Rapid heartbeat & light headedness. Takes me 5 hrs from waking up to feel stable.

MedDRA releases: 2024-11 · check-in free text available
2022-05-16
Survey response — day 21, dose 4
MedDRA: Asthenia, Dizziness, Headache — Feeling: Poor · Be unable to do your normal daily activities

Free text: Headache dizzy at times weak no energy

MedDRA releases: 2024-11 · check-in free text available
2022-05-21
Survey response — day 28, dose 4
MedDRA: Asthenia, Dizziness — Feeling: Poor · Be unable to do your normal daily activities

Free text: Weakness & light headed no energy

MedDRA releases: 2024-11 · check-in free text available
2022-06-05
Survey response — day 42, dose 4
MedDRA: Asthenia, Headache — Feeling: Poor · Be unable to do your normal daily activities

Free text: Unstable headache no energy

MedDRA releases: 2024-11 · check-in free text available
2022-07-25
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-10-22
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-10	Moderna
2	2021-05-08	Moderna
3	2022-04-07	Moderna	No
4	2022-04-23	Moderna	No

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-13

Systemic reaction (other): Throbbing headache & rapid heartbeat

2021-04-14

Systemic reaction (other): Chasing dreams

Release 8 — days 1–6 daily, dose 2

2021-05-09

Systemic reaction (other): Dry mouth

Release 9 — 3 months, dose 2

2021-08-08

Symptoms: When I get a bug bite in years past I could put some cream on the bite & it would disappear in few days but Ive noticed my bug bites appear on my skin and turn into small scabs and last for three weeks.

Release 11 — day 14, dose 4

2022-05-09

Symptoms: Dizziness for 5 hrs per day. Rapid heartbeat & light headedness. Takes me 5 hrs from waking up to feel stable.

Release 11 — day 21, dose 4

2022-05-16

Symptoms: Headache dizzy at times weak no energy

Release 11 — day 28, dose 4

2022-05-21

Symptoms: Weakness & light headed no energy

Release 11 — day 42, dose 4

2022-06-05

Symptoms: Unstable headache no energy

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	Adverse reaction	✓	·	✓
SD	Arthropod bite	✓	·	✓
SD	Asthenia	·	·	✓
SD	Dizziness	·	·	✓
SD	Feeling abnormal	·	·	✓
SD	Headache	·	·	✓
SD	Heart rate increased	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Scab	✓	·	✓
SRO	Dreamy state	✓	✓	✓
SRO	Dry mouth	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓

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