5KD-53063-50105

2 vaccinations 11 coded responses 17 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 058 / VT
Registered: 2021-05-17

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

2021-05-02
Dose 1 — Moderna
2021-05-17
Registered in v-safe
2021-05-17
Survey response — day 14, dose 1
MedDRA: Vaccination site erythema, Vaccination site swelling — Feeling: Good

Free text: Last week my arm started getting a bump and turned red where my vaccine was given. It was fine at first.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Survey response — day 21, dose 1
MedDRA: Injection site erythema, Injection site pain — Feeling: Fair

Free text: Bright red circle a week after vaccine sore to touch. Redness gone but still sore to touch

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-30
Dose 2 — Moderna
2021-05-30
Health check-in — day 0, dose 2
Feeling: Fair · None

Adult check-in
2021-05-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-01
Survey response — days 1–6 daily, dose 2
MedDRA: Pain — Feeling: Fair · Site: Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Full body aches last night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain — Feeling: Good · Site: Redness, Swelling

Free text: Site is tender to touch

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Myalgia — Feeling: Fair · Site: Redness, Swelling, Itching · Joint pains, Muscle or body aches, Diarrhea

Free text: Joint pain and muscle pain are lower extremities except for injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · Diarrhea

Adult check-in
2021-06-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling · Joint pains

Adult check-in
2021-06-06
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-06-13
Survey response — day 14, dose 2
MedDRA: Diarrhoea — Feeling: Good

Free text: Dirreah

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-20
Survey response — day 21, dose 2
MedDRA: Blood glucose increased, Fatigue, Headache — Feeling: Good

Free text: Very tired. Blood sugars have been high, are slowly going back down. Headache off and on

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-27
Survey response — day 28, dose 2
MedDRA: Cough, Pain in extremity — Feeling: Fair

Free text: Coughing aching legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-05
Survey response — day 35, dose 2
MedDRA: Arthralgia, Cough, Pain in extremity — Feeling: Fair

Free text: I have had a horrible cough since my second vaccination. Achey hips and legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-11
Survey response — day 42, dose 2
MedDRA: Cough — Feeling: Fair

Free text: Still have bad cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-30
Survey response — 6 months, dose 2
MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Poor · Be unable to do your normal daily activities

Free text: A very bad cold!!!! Tested negative 3x for covid

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-02	Moderna
2	2021-05-30	Moderna

Free text

Release 8 — day 14, dose 1

2021-05-17

Symptoms: Last week my arm started getting a bump and turned red where my vaccine was given. It was fine at first.

Release 8 — day 21, dose 1

2021-05-23

Symptoms: Bright red circle a week after vaccine sore to touch. Redness gone but still sore to touch

Release 8 — days 1–6 daily, dose 2

2021-06-01

Systemic reaction (other): Full body aches last night

2021-06-02

Systemic reaction (other): Site is tender to touch

2021-06-03

Systemic reaction (other): Joint pain and muscle pain are lower extremities except for injection site.

Release 9 — day 14, dose 2

2021-06-13

Symptoms: Dirreah

Release 9 — day 21, dose 2

2021-06-20

Symptoms: Very tired. Blood sugars have been high, are slowly going back down. Headache off and on

Release 9 — day 28, dose 2

2021-06-27

Symptoms: Coughing aching legs

Release 9 — day 35, dose 2

2021-07-05

Symptoms: I have had a horrible cough since my second vaccination. Achey hips and legs

Release 9 — day 42, dose 2

2021-07-11

Symptoms: Still have bad cough

Release 10 — 6 months, dose 2

2021-11-30

Symptoms: A very bad cold!!!! Tested negative 3x for covid

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	Arthralgia	✓	✓	✓
SD	Blood glucose increased	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Vaccination site erythema	✓	✓	✓
SD	Vaccination site swelling	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pain	✓	✓	✓

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