5TJ-35441-60831

5 vaccinations 11 coded responses 47 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 194 / PA
Registered: 2021-01-28

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

2021-01-27
Dose 1 — Moderna
2021-01-28
Registered in v-safe
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-01-31
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Insomnia last night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Nausea

Adult check-in
2021-02-03
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-25
Dose 2 — Moderna
2021-02-25
Survey response — day 0, dose 2
MedDRA: Hyperhidrosis — Feeling: Fair · Headache

Free text: sweating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Nausea — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Hyperhidrosis, Pyrexia, Somnolence — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Fever has just returned to 98.6f,sweating,drowsy,tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Sluggishness — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Feel drowsy at times

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Pyrexia, Throat irritation — Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Mild scratchy throat, fever was last night it is now 98.7, tiredness goes from mod to severe to mod

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-27
Survey response — 6 months, dose 2
MedDRA: Back pain, Fatigue, Pollakiuria, Urine analysis abnormal — Feeling: Fair · Be unable to do your normal daily activities

Free text: I think I may have a UTI with symptoms of UA frequency, mild back ache, fatigue and mildly concentrated urine.I Plan to increase fluids, observe and if not better in 7-10 days Ill call family doctor

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-28
Dose 3 — Moderna
2022-02-27
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-20
Dose 4 — Moderna
2022-04-28
Health check-in — day 7, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-04
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-11
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-18
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-25
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-01
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-20
Survey response — 3 months, dose 4
MedDRA: Back pain, Cough, Fatigue, Sneezing — Feeling: Poor · Be unable to do your normal daily activities

Free text: Fatigue,cough,sneezing,pain in upper back

MedDRA releases: 2024-11 · check-in free text available
2022-09-27
Dose 5 — Moderna
2022-09-27
Health check-in — day 0, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-09-28
Survey response — days 1–6 daily, dose 5
MedDRA: Tinnitus — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Ringing in ears

MedDRA releases: 2024-11 · check-in free text available
2022-09-29
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-30
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-01
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-02
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-03
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-04
Health check-in — day 7, dose 5
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-11
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-10-18
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-25
Survey response — day 28, dose 5
MedDRA: Blood pressure increased, Cough, Exposure to SARS-CoV-2, Fatigue, Rhinorrhoea, Tinnitus — Feeling: Fair · Be unable to do your normal daily activities

Free text: >fatigue, runny nose, sporadic dry cough, High B/P 153/89,ringing in ears Son who lives w me is + Covid x 3 days

MedDRA releases: 2024-11 · check-in free text available
2022-11-01
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-11-08
Survey response — day 42, dose 5
MedDRA: Back pain, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sore throat, runny nose, backache

MedDRA releases: 2024-11 · check-in free text available
2022-12-27
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-28
Health check-in — 6 months, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-27	Moderna
2	2021-02-25	Moderna
3	2021-11-28	Moderna	No
4	2022-04-20	Moderna	No
5	2022-09-27	Moderna	No

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-31

Systemic reaction (other): Insomnia last night

Release 4 — day 0, dose 2

2021-02-25

Systemic reaction (other): sweating

Release 4 — days 1–6 daily, dose 2

2021-02-26

Systemic reaction (other): Nausea

2021-02-27

Systemic reaction (other): Fever has just returned to 98.6f,sweating,drowsy,tired

2021-02-28

Systemic reaction (other): Feel drowsy at times

2021-03-03

Systemic reaction (other): Mild scratchy throat, fever was last night it is now 98.7, tiredness goes from mod to severe to mod

Release 9 — 6 months, dose 2

2021-08-27

Symptoms: I think I may have a UTI with symptoms of UA frequency, mild back ache, fatigue and mildly concentrated urine.I Plan to increase fluids, observe and if not better in 7-10 days Ill call family doctor

Release 12 — 3 months, dose 4

2022-07-20

Symptoms: Fatigue,cough,sneezing,pain in upper back

Release 12 — days 1–6 daily, dose 5

2022-09-28

Systemic reaction (other): Ringing in ears

Release 12 — day 28, dose 5

2022-10-25

Symptoms: >fatigue, runny nose, sporadic dry cough, High B/P 153/89,ringing in ears Son who lives w me is + Covid x 3 days

Release 12 — day 42, dose 5

2022-11-08

Symptoms: Sore throat, runny nose, backache

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	Back pain	✓	·	✓
SD	Blood pressure increased	·	·	✓
SD	Cough	·	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Fatigue	✓	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pollakiuria	✓	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sneezing	·	·	✓
SD	Tinnitus	·	·	✓
SD	Urine analysis abnormal	✓	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Sluggishness	✓	✓	✓
SRO	Somnolence	✓	✓	✓
SRO	Throat irritation	✓	✓	✓
SRO	Tinnitus	·	·	✓

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