5VJ-35945-20755

5 vaccinations 7 coded responses 40 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 947 / CA
Registered: 2021-03-24

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

2021-03-24
Registered in v-safe
2021-03-24
Dose 1 — Moderna
2021-03-24
Survey response — day 0, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Chills, Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-31
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-07
Survey response — day 14, dose 1
MedDRA: Immunisation reaction, Injection site pruritus — Feeling: Good

Free text: I got mild Covid arm - extreme itchiness near site of injection. It was last Thursday or Friday 4/1-2 and lasted two days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — day 21, dose 1
MedDRA: Nasopharyngitis — Feeling: Good

Free text: Somehow, I caught a very mild cold. Symptoms almost completely gone at three days. This despite hand washing, social distancing and double masking.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Dose 2 — Moderna
2021-04-21
Survey response — day 0, dose 2
MedDRA: Tension headache — Feeling: Good · Site: Pain

Free text: My head feels "tight" - headache is probably coming.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Syncope — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Fainting - once when I got up this morning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Myalgia, Renal pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: New ache at left kidney-probably muscle pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Fever · Headache, Muscle or body aches

Adult check-in
2021-04-28
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

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

Adult check-in
2021-05-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-16
Dose 3 — Moderna
2022-04-01
Dose 4 — Moderna
2022-04-15
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-22
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-01
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-06
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-13
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-01
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-23
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-09-30
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-09-30
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-07
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-14
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-21
Survey response — day 28, dose 5
MedDRA: Diarrhoea, Headache, Nausea, Vomiting — Feeling: Fair · Be unable to do your normal daily activities

Free text: A few instances of long duration (a couple of days) headache with nausea vomiting and diarrhea since the vaccine - familiar symptoms but more frequent and severe than usual.

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-04
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-24
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-24
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Moderna
2	2021-04-21	Moderna
3	2021-11-16	Moderna	No
4	2022-04-01	Moderna	No
5	2022-09-23	Pfizer-BioNTech	Flu

Free text

Release 6 — day 0, dose 1

2021-03-24

Systemic reaction (other): No

Release 7 — day 14, dose 1

2021-04-07

Symptoms: I got mild Covid arm - extreme itchiness near site of injection. It was last Thursday or Friday 4/1-2 and lasted two days.

Release 7 — day 21, dose 1

2021-04-14

Symptoms: Somehow, I caught a very mild cold. Symptoms almost completely gone at three days. This despite hand washing, social distancing and double masking.

Release 7 — day 0, dose 2

2021-04-21

Systemic reaction (other): My head feels "tight" - headache is probably coming.

Release 7 — days 1–6 daily, dose 2

2021-04-22

Systemic reaction (other): Fainting - once when I got up this morning.

2021-04-24

Systemic reaction (other): New ache at left kidney-probably muscle pain.

Release 12 — day 28, dose 5

2022-10-21

Symptoms: A few instances of long duration (a couple of days) headache with nausea vomiting and diarrhea since the vaccine - familiar symptoms but more frequent and severe than usual.

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	Diarrhoea	·	·	✓
SD	Headache	·	·	✓
SD	Immunisation reaction	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Nausea	·	·	✓
SD	Vomiting	·	·	✓
SRO	Myalgia	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Renal pain	✓	✓	✓
SRO	Syncope	✓	✓	✓
SRO	Tension headache	✓	✓	✓

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