5QL-22816-39631

3 vaccinations 5 coded responses 40 check-ins 4 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 300 / GA
Registered: 2021-04-01

Relationship: Self
Race: Asian
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

2021-04-01
Registered in v-safe
2021-04-01
Dose 1 — Moderna
2021-04-01
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness

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

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

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

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

Adult check-in
2021-04-08
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-15
Survey response — day 14, dose 1
MedDRA: Heart rate increased, Hypertension, Pre-existing disease — Feeling: Good

Free text: Today I had a higher heart rate and blood pressure than past days. But Im not sure its related to vaccine. I have high blood pressure, but meds usually manage it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-29
Dose 2 — Moderna
2021-04-29
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-06
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-10
Survey response — day 42, dose 2
MedDRA: Cough, Dyspnoea, Hypopnoea, Seasonal allergy — Feeling: Good

Free text: I just realized in the last 2 weeks, I occasionally have mild breathing shallowness/shortness of breath that makes me cough a bit. Its subtle enough that I thought it could be seasonal allergies. But I thought Id report it just in case.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-04
Dose 3 — Pfizer-BioNTech
2022-01-04
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-01-05
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-01-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-01-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-01-11
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-20
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-25
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-01
Survey response — day 28, dose 3
MedDRA: Chills, Dizziness, Fatigue, Headache — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: (May be due to allergies) headache, dizziness, chills, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-02-08
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-15
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-07
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-07-05
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2023-01-04
Survey response — 12 months, dose 3
MedDRA: Fatigue, Headache, Pain, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Moderna
2	2021-04-29	Moderna
3	2022-01-04	Pfizer-BioNTech	No

Free text

Release 7 — day 14, dose 1

2021-04-15

Symptoms: Today I had a higher heart rate and blood pressure than past days. But Im not sure its related to vaccine. I have high blood pressure, but meds usually manage it.

Release 8 — day 0, dose 2

2021-04-29

Systemic reaction (other): Dizziness

Release 9 — day 42, dose 2

2021-06-10

Symptoms: I just realized in the last 2 weeks, I occasionally have mild breathing shallowness/shortness of breath that makes me cough a bit. Its subtle enough that I thought it could be seasonal allergies. But I thought Id report it just in case.

Release 11 — day 28, dose 3

2022-02-01

Symptoms: (May be due to allergies) headache, dizziness, chills, fatigue

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	Chills	·	·	✓
SD	Cough	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Heart rate increased	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Hypopnoea	✓	✓	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Seasonal allergy	✓	✓	✓
SRO	Dizziness	✓	✓	✓

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