5G7-28729-19163

4 vaccinations 13 coded responses 50 check-ins 13 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 146 / NY
Registered: 2021-01-20

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

2021-01-20
Registered in v-safe
2021-01-20
Dose 1 — Moderna
2021-01-20
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Extreme tiredness and fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-29
Health check-in — day 7, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-10
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-17
Dose 2 — Moderna
2021-02-17
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-19
Survey response — days 1–6 daily, dose 2
MedDRA: Lethargy — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Lethargic

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Nausea

Adult check-in
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Migraine — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Migraine headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: Migraine — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Migrains

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-26
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-28
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-31
Survey response — day 42, dose 2
MedDRA: Fatigue, Feeling hot, Rash — Feeling: Fair

Free text: Very tired, warm but not registering a fever. I had a rash earlier in the week that went away after one day. Surprised to be feeling this way now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-20
Survey response — 6 months, dose 2
MedDRA: Diarrhoea, Fatigue, Headache, Lethargy — Feeling: Fair · Be unable to do your normal daily activities

Free text: Diarrhea, bad headache, periods of complete exhaustion, lethargy I thought I might have been exposed to the Covid variant. Still feeling symptoms

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-26
Dose 3 — Moderna
2021-10-26
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-02
Survey response — day 7, dose 3
MedDRA: Headache — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Splitting headache

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-17
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-23
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-01
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-08
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-25
Survey response — 3 months, dose 3
MedDRA: Back pain, Flank pain, Muscle strain — Feeling: Good

Free text: Mid-back, right side pain. Could be a pulled muscle but it's been there for awhile. Probably nothing but I think anything could be covid related lately

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Survey response — 6 months, dose 3
MedDRA: Fatigue, Headache, Immunisation reaction, Somnolence, Vaccination site pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Bad reaction to the 4th vaccination. Tiredness, headache, rundown feeling, sore arm where vac was given. Slept for 3 days. It only lasted 3 days.

MedDRA releases: 2024-11 · check-in free text available
2022-10-26
Dose 4 — Moderna
2022-10-26
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in
2022-10-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-28
Survey response — days 1–6 daily, dose 4
MedDRA: Fatigue, Headache — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Headache and fatigue really intense

MedDRA releases: 2024-11 · check-in free text available
2022-10-29
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-30
Survey response — days 1–6 daily, dose 4
MedDRA: Fatigue, Mobility decreased, Pain — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The intensity of pain comes and goes. Sometimes I am so exhausted I can't or won't do anything and I have to go to bed. I feel tired all the time.

MedDRA releases: 2024-11 · check-in free text available
2022-10-31
Survey response — days 1–6 daily, dose 4
MedDRA: Fatigue, Lethargy, Pain — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Extreme fatigue, body aches, lethargic

MedDRA releases: 2024-11 · check-in free text available
2022-11-01
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-11-02
Survey response — day 7, dose 4
MedDRA: Unevaluable event — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: We are traveling so no thermometer to measure temperature. It's not too high I don't think

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

Adult check-in
2022-11-18
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-11-23
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-11-30
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-12-07
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2023-01-25
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-20	Moderna
2	2021-02-17	Moderna
3	2021-10-26	Moderna	No
4	2022-10-26	Moderna	No

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-23

Systemic reaction (other): Extreme tiredness and fatigue

Release 4 — days 1–6 daily, dose 2

2021-02-19

Systemic reaction (other): Lethargic

2021-02-21

Systemic reaction (other): Migraine headaches

2021-02-22

Systemic reaction (other): Migrains

Release 6 — day 42, dose 2

2021-03-31

Symptoms: Very tired, warm but not registering a fever. I had a rash earlier in the week that went away after one day. Surprised to be feeling this way now.

Release 9 — 6 months, dose 2

2021-08-20

Symptoms: Diarrhea, bad headache, periods of complete exhaustion, lethargy I thought I might have been exposed to the Covid variant. Still feeling symptoms

Release 10 — day 7, dose 3

2021-11-02

Systemic reaction (other): Splitting headache

Release 11 — 3 months, dose 3

2022-01-25

Symptoms: Mid-back, right side pain. Could be a pulled muscle but it's been there for awhile. Probably nothing but I think anything could be covid related lately

Release 11 — 6 months, dose 3

2022-04-26

Symptoms: Bad reaction to the 4th vaccination. Tiredness, headache, rundown feeling, sore arm where vac was given. Slept for 3 days. It only lasted 3 days.

Release 12 — days 1–6 daily, dose 4

2022-10-28

Systemic reaction (other): Headache and fatigue really intense

2022-10-30

Systemic reaction (other): The intensity of pain comes and goes. Sometimes I am so exhausted I can't or won't do anything and I have to go to bed. I feel tired all the time.

2022-10-31

Systemic reaction (other): Extreme fatigue, body aches, lethargic

Release 12 — day 7, dose 4

2022-11-02

Systemic reaction (other): We are traveling so no thermometer to measure temperature. It's not too high I don't think

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	Back pain	·	·	✓
SD	Diarrhoea	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling hot	✓	✓	✓
SD	Flank pain	·	·	✓
SD	Headache	✓	·	✓
SD	Immunisation reaction	·	·	✓
SD	Lethargy	✓	·	✓
SD	Muscle strain	·	·	✓
SD	Rash	✓	✓	✓
SD	Somnolence	·	·	✓
SD	Vaccination site pain	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	·	·	✓
SRO	Lethargy	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Mobility decreased	·	·	✓
SRO	Pain	·	·	✓
SRO	Unevaluable event	·	·	✓

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