5RF-34032-41022

2 vaccinations 8 coded responses 12 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 615 / IL
Registered: 2021-05-22

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

2021-04-25
Dose 1 — Moderna
2021-05-21
Dose 2 — Moderna
2021-05-22
Registered in v-safe
2021-05-22
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Mobility decreased, Myalgia — Feeling: Poor · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Hard to walk up and down stairs, knees and muscles really are hurting.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Dyspnoea, Muscle tightness — Feeling: Good · Fatigue or tiredness

Free text: I had meant to say yesterday that my chest and back muscles felt very tight yesterday and are much better today. Still not breathing in as deeply as I know I can. felt

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Cough, Oropharyngeal pain, Paranasal sinus discomfort — Feeling: Fair · Site: Swelling · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I have a sore throat, and sinus pressure, coughing and tight chest. My husband has these symptoms too. We. Think it may be from our window air conditioner we just put back in the window 2 nights ago. It was stored in the shed.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Survey response — days 1–6 daily, dose 2
MedDRA: Laryngitis, Self-medication — Feeling: Fair · Site: Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I have laringytis today. I haven't had this is YEARS. I am drinking hot tea with honey, elderberry juice and vinegar.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Cough, Fatigue, Laryngitis, Pyrexia — Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: For the past 3 days I have had laringytis. I haven't had this in years. As I've already documented I had my shot last Friday and then two nights with a window air conditioner and then tight chest, coughing, slight fever that comes and goes, tired and strong case of laringytis. Symptoms are improving. Being retired I have the means to rest and have been following online laringytis health care suggestions.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-30
Survey response — day 7, dose 2
MedDRA: Cough, Fatigue, Self-medication, Sinusitis — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I am fighting a sinus infection. Got a sinus rinse and Flonase . I am coughing and feel so tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Survey response — day 14, dose 2
MedDRA: Cough, Office visit, Self-medication, Sinusitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: I went to Urgent Care yesterday and got an antibiotic and a steroid for my ongoing sinus infection and cough. Had been using nasel rinse, Flonase, Musinex and ibprorphin.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-20
Survey response — day 28, dose 2
MedDRA: Cough — Feeling: Good

Free text: Continuing to have a cough.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-25	Moderna
2	2021-05-21	Moderna

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-22

Systemic reaction (other): Hard to walk up and down stairs, knees and muscles really are hurting.

2021-05-23

Systemic reaction (other): I had meant to say yesterday that my chest and back muscles felt very tight yesterday and are much better today. Still not breathing in as deeply as I know I can. felt

2021-05-24

Systemic reaction (other): I have a sore throat, and sinus pressure, coughing and tight chest. My husband has these symptoms too. We. Think it may be from our window air conditioner we just put back in the window 2 nights ago. It was stored in the shed.

2021-05-25

Systemic reaction (other): I have laringytis today. I haven't had this is YEARS. I am drinking hot tea with honey, elderberry juice and vinegar.

2021-05-27

Systemic reaction (other): For the past 3 days I have had laringytis. I haven't had this in years. As I've already documented I had my shot last Friday and then two nights with a window air conditioner and then tight chest, coughing, slight fever that comes and goes, tired and strong case of laringytis. Symptoms are improving. Being retired I have the means to rest and have been following online laringytis health care suggestions.

Release 8 — day 7, dose 2

2021-05-30

Systemic reaction (other): I am fighting a sinus infection. Got a sinus rinse and Flonase . I am coughing and feel so tired.

Release 8 — day 14, dose 2

2021-06-04

Symptoms: I went to Urgent Care yesterday and got an antibiotic and a steroid for my ongoing sinus infection and cough. Had been using nasel rinse, Flonase, Musinex and ibprorphin.

Release 9 — day 28, dose 2

2021-06-20

Symptoms: Continuing to have a cough.

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	Cough	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Laryngitis	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Muscle tightness	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Paranasal sinus discomfort	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Sinusitis	✓	✓	✓

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