5RA-20502-17218

3 vaccinations 8 coded responses 38 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 605 / IL
Registered: 2021-04-10

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

2021-04-10
Registered in v-safe
2021-04-10
Dose 1 — Moderna
2021-04-10
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-11
Survey response — days 1–6 daily, dose 1
MedDRA: Pain — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: The pain is so mild I notice it only intermittently.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-17
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-24
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site pain, Injection site swelling — Feeling: Good

Free text: On Sunday the 18th the injection site was red, slightly swollen and hurt. It was better on Monday and gone by Tuesday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-08
Dose 2 — Moderna
2021-05-08
Health check-in — day 0, dose 2
Feeling: Fair · Fever · Fatigue or tiredness

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-13
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal discomfort — Feeling: Fair · Fever · Fatigue or tiredness

Free text: Upset stomach

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fever · Headache

Adult check-in
2021-05-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-22
Survey response — day 14, dose 2
MedDRA: Fatigue, Headache — Feeling: Good · Be unable to work

Free text: Spent two days tired and headachy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-21
Dose 3 — Moderna
2021-11-21
Health check-in — day 0, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-22
Survey response — days 1–6 daily, dose 3
MedDRA: Musculoskeletal stiffness — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea

Free text: Got the shot in my left shoulder and am feeling stiffness in my right shoulder and upper arm but may have just slept wrong.

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Survey response — days 1–6 daily, dose 3
MedDRA: Musculoskeletal stiffness, Oropharyngeal pain — Feeling: Good · Fever · Fatigue or tiredness

Free text: Sore throat, right shoulder stiff, injection was in the left arm but before bed my right shoulder was feeling tight me

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Cough, sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Survey response — days 1–6 daily, dose 3
MedDRA: Nasal congestion, Oropharyngeal pain, Sinusitis — Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Sore throat nasal congestion I think I may have a sinus infection and that is causing some of my symptoms.

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-28
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-07
Health check-in — day 14, dose 3
Feeling: Good

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

Adult check-in
2021-12-20
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-26
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-02
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-20
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-10	Moderna
2	2021-05-08	Moderna
3	2021-11-21	Moderna	No

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-11

Systemic reaction (other): The pain is so mild I notice it only intermittently.

Release 7 — day 14, dose 1

2021-04-24

Symptoms: On Sunday the 18th the injection site was red, slightly swollen and hurt. It was better on Monday and gone by Tuesday.

Release 8 — days 1–6 daily, dose 2

2021-05-13

Systemic reaction (other): Upset stomach

Release 8 — day 14, dose 2

2021-05-22

Symptoms: Spent two days tired and headachy.

Release 10 — days 1–6 daily, dose 3

2021-11-22

Systemic reaction (other): Got the shot in my left shoulder and am feeling stiffness in my right shoulder and upper arm but may have just slept wrong.

2021-11-23

Systemic reaction (other): Sore throat, right shoulder stiff, injection was in the left arm but before bed my right shoulder was feeling tight me

2021-11-24

Systemic reaction (other): Cough, sore throat

2021-11-25

Systemic reaction (other): Sore throat nasal congestion I think I may have a sinus infection and that is causing some of my symptoms.

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	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Cough	·	·	✓
SRO	Musculoskeletal stiffness	·	·	✓
SRO	Nasal congestion	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Sinusitis	·	·	✓

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