5SN-11240-78808

2 vaccinations 9 coded responses 13 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 981 / WA
Registered: 2021-01-14

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-12
Dose 1 — Moderna
2021-01-14
Registered in v-safe
2021-01-20
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: I think my symptoms are from something else

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — day 14, dose 1
MedDRA: Headache, Oropharyngeal pain, Pain, Pyrexia, SARS-CoV-2 test — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: I had a low grade fever for part of the day, two days, and a sore throat upon waking. Because I traveled and was in self- quarantine, I got tested for covid and it was negative. I also had a significant headache yesterday. And strong body aches yeste · Healthcare visit (other): Covid testing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-02
Survey response — day 21, dose 1
MedDRA: Cough, Oropharyngeal pain — Feeling: Fair

Free text: I had a dry cough and sore throat yesterday. It passed after drinking electrolytes and taking vitamins. It did not return today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-11
Dose 2 — Moderna
2021-02-22
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-25
Survey response — day 14, dose 2
MedDRA: Fatigue, Stress — Feeling: Poor · Be unable to do your normal daily activities

Free text: Just very high stress leading to exhaustion.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-11
Survey response — day 28, dose 2
MedDRA: Dyspnoea, Fatigue, Feeling hot, Flushing, Insomnia — Feeling: Poor · Be unable to do your normal daily activities

Free text: I may be low in iron. My breathing feels slightly labored and Im flushed with heat after going to the store briefly. Im also exhausted, but I havent slept well and took a long nap.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 35, dose 2
Feeling: Poor

Adult check-in
2021-03-25
Survey response — day 42, dose 2
MedDRA: Arthralgia, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Fair

Free text: Sharp sore throat off and on and achy joints for a day. My Covid test was negative.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Call 1 — Left Voicemail
2021-05-13
Survey response — 3 months, dose 2
MedDRA: SARS-CoV-2 test negative, Wheezing — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I have a wheeze. I was x-rayed and also tested negative for covid-19.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-12
Survey response — 6 months, dose 2
MedDRA: Localised infection, Respiratory tract congestion, Wheezing — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Infection on my toe/taking antibiotics, and today and yesterday I have a slight wheeze and congestion when I laugh hard.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-12
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-15
Call 1 — Left Voicemail
2022-02-13
Survey response — 12 months, dose 2
MedDRA: Chills, Fatigue, Nausea, Pain — Feeling: Good

Free text: A response to the booster for 36 hours- aches, pain, chills, fatigue, nausea.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-12	Moderna
2	2021-02-11	Moderna

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 2 — day 7, dose 1

2021-01-20

Systemic reaction (other): I think my symptoms are from something else

Release 2 — day 14, dose 1

2021-01-26

Symptoms: I had a low grade fever for part of the day, two days, and a sore throat upon waking. Because I traveled and was in self- quarantine, I got tested for covid and it was negative. I also had a significant headache yesterday. And strong body aches yeste cut off by CDC

Healthcare visit (other): Covid testing

Release 3 — day 21, dose 1

2021-02-02

Symptoms: I had a dry cough and sore throat yesterday. It passed after drinking electrolytes and taking vitamins. It did not return today.

Release 4 — day 14, dose 2

2021-02-25

Symptoms: Just very high stress leading to exhaustion.

Release 5 — day 28, dose 2

2021-03-11

Symptoms: I may be low in iron. My breathing feels slightly labored and Im flushed with heat after going to the store briefly. Im also exhausted, but I havent slept well and took a long nap.

Release 6 — day 42, dose 2

2021-03-25

Symptoms: Sharp sore throat off and on and achy joints for a day. My Covid test was negative.

Release 8 — 3 months, dose 2

2021-05-13

Symptoms: I have a wheeze. I was x-rayed and also tested negative for covid-19.

Release 9 — 6 months, dose 2

2021-08-12

Symptoms: Infection on my toe/taking antibiotics, and today and yesterday I have a slight wheeze and congestion when I laugh hard.

Release 11 — 12 months, dose 2

2022-02-13

Symptoms: A response to the booster for 36 hours- aches, pain, chills, fatigue, nausea.

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
HCVO	SARS-CoV-2 test	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Chills	·	·	✓
SD	Cough	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling hot	✓	✓	✓
SD	Flushing	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Localised infection	✓	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	✓	·	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Stress	✓	✓	✓
SD	Wheezing	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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