5HS-33048-60011

4 vaccinations 5 coded responses 51 check-ins 5 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 060 / CT
Registered: 2021-03-01

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

2021-03-01
Registered in v-safe
2021-03-02
Dose 1 — Moderna
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to work

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

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Injected limb mobility decreased, Injection site discomfort — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Injection site is stiff -- more effort needed to raise my arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — day 7, dose 1
MedDRA: Chills, Fatigue — Feeling: Good · Site: Pain · Chills, Fatigue or tiredness

Free text: I realize I have had chills pretty consistently for the last 4-5 days. Definitely part of the fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-01
Dose 2 — Moderna
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-08
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-01
Survey response — 3 months, dose 2
MedDRA: Injection site pain — Feeling: Good

Free text: Have had pain at injection site since the first shot on March 2 that has not abated. There should be another question asking if we continue to experience previously reported symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-30
Survey response — 6 months, dose 2
MedDRA: Injection site pain — Feeling: Good

Free text: My arm still hurts at the injection site. We need an option to report on issues experienced at the time of injection that have not abated.

MedDRA releases: 2024-11 · check-in free text available
2021-11-20
Dose 3 — Moderna
2021-11-20
Health check-in — day 0, dose 3
Feeling: Poor · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-21
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-22
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-27
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-12-04
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-11
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-18
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-25
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-01
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-19
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-30
Dose 4 — Moderna
2022-05-03
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-05-04
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school

Adult check-in
2022-05-05
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-05-06
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-07
Health check-in — day 7, dose 4
Feeling: Good · Site: Pain · Chills, Fatigue or tiredness

Adult check-in
2022-05-14
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-22
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-28
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-04
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-11
Survey response — day 42, dose 4
MedDRA: Injection site pain — Feeling: Good

Free text: Pain at injection site

MedDRA releases: 2024-11 · check-in free text available
2022-07-31
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-29
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-30
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-02	Moderna
2	2021-04-01	Moderna
3	2021-11-20	Moderna	No
4	2022-04-30	Moderna	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-08

Systemic reaction (other): Injection site is stiff -- more effort needed to raise my arm

Release 5 — day 7, dose 1

2021-03-09

Systemic reaction (other): I realize I have had chills pretty consistently for the last 4-5 days. Definitely part of the fatigue.

Release 9 — 3 months, dose 2

2021-07-01

Symptoms: Have had pain at injection site since the first shot on March 2 that has not abated. There should be another question asking if we continue to experience previously reported symptoms.

Release 9 — 6 months, dose 2

2021-09-30

Symptoms: My arm still hurts at the injection site. We need an option to report on issues experienced at the time of injection that have not abated.

Release 12 — day 42, dose 4

2022-06-11

Symptoms: Pain at injection site

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 pain	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Injected limb mobility decreased	✓	✓	✓
SRO	Injection site discomfort	✓	✓	✓

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