5LF-21422-25708

4 vaccinations 9 coded responses 41 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 956 / CA
Registered: 2021-02-06

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

2021-02-06
Registered in v-safe
2021-02-06
Dose 1 — Moderna
2021-02-06
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Itching · Chills, Headache, Fatigue or tiredness · Be unable to work

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-06
Dose 2 — Moderna
2021-03-06
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Itching · Chills, Headache

Adult check-in
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Do you think that my blood type A might explain why my symptoms are worse than those of my husband (B)?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-05
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-11
Dose 3 — Moderna
2022-03-06
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-11-07
Dose 4 — Moderna
2022-11-07
Survey response — day 0, dose 4
MedDRA: SARS-CoV-2 test positive — Feeling: Poor · Site: Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: I just tested positive for Covid!

MedDRA releases: 2024-11 · check-in free text available
2022-11-08
Survey response — days 1–6 daily, dose 4
MedDRA: COVID-19 — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Free text: I have Covid, so any symptoms have more to do with that than with the shot.

MedDRA releases: 2024-11 · check-in free text available
2022-11-09
Survey response — days 1–6 daily, dose 4
MedDRA: COVID-19 — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: This is supposedly day 6 of my very real Covid infection.

MedDRA releases: 2024-11 · check-in free text available
2022-11-10
Survey response — days 1–6 daily, dose 4
MedDRA: COVID-19 — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Covid seems to be waning, hopefully. This is day 7.

MedDRA releases: 2024-11 · check-in free text available
2022-11-11
Survey response — days 1–6 daily, dose 4
MedDRA: COVID-19 — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Free text: I am now day 7 since Covid onset.

MedDRA releases: 2024-11 · check-in free text available
2022-11-12
Survey response — days 1–6 daily, dose 4
MedDRA: COVID-19 — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: It seems my case of Covid is slowly abating.

MedDRA releases: 2024-11 · check-in free text available
2022-11-13
Survey response — days 1–6 daily, dose 4
MedDRA: COVID-19 — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Covid seems to be nearly over. I will test tomorrow.

MedDRA releases: 2024-11 · check-in free text available
2022-11-14
Survey response — day 7, dose 4
MedDRA: SARS-CoV-2 test positive — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Still testing positive for Covid on day 10 since onset.

MedDRA releases: 2024-11 · check-in free text available
2022-11-21
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-28
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-12-05
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-12-12
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-19
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-02-06
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-05-08
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-06	Moderna
2	2021-03-06	Moderna
3	2021-11-11	Moderna	No
4	2022-11-07	Moderna	No

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-07

Systemic reaction (other): Do you think that my blood type A might explain why my symptoms are worse than those of my husband (B)?

Release 12 — day 0, dose 4

2022-11-07

Systemic reaction (other): I just tested positive for Covid!

Release 12 — days 1–6 daily, dose 4

2022-11-08

Systemic reaction (other): I have Covid, so any symptoms have more to do with that than with the shot.

2022-11-09

Systemic reaction (other): This is supposedly day 6 of my very real Covid infection.

2022-11-10

Systemic reaction (other): Covid seems to be waning, hopefully. This is day 7.

2022-11-11

Systemic reaction (other): I am now day 7 since Covid onset.

2022-11-12

Systemic reaction (other): It seems my case of Covid is slowly abating.

2022-11-13

Systemic reaction (other): Covid seems to be nearly over. I will test tomorrow.

Release 12 — day 7, dose 4

2022-11-14

Systemic reaction (other): Still testing positive for Covid on day 10 since onset.

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
SRO	Adverse reaction	✓	✓	✓
SRO	COVID-19	·	·	✓
SRO	SARS-CoV-2 test positive	·	·	✓

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