5W4-32156-71156

3 vaccinations 9 coded responses 31 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 328 / FL
Registered: 2021-04-23

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

2021-04-22
Dose 1 — Moderna
2021-04-23
Registered in v-safe
2021-04-23
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Decreased appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 1
MedDRA: Frequent bowel movements, Pollakiuria — Feeling: Poor · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: more frequent ruination and bowl movements

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Hyperhidrosis — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Free text: Still very tired, sweaty a little

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Lymph node pain, Pain, Unevaluable event — Feeling: Poor · Fever · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: my glands are tender and tired, mild body arches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Decreased appetite — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Reduced appetite and energy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — day 7, dose 1
MedDRA: Asthenia, Decreased appetite — Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness

Free text: Lack of and appetite, and energy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 21, dose 1
Feeling: Poor

Adult check-in
2021-05-17
Dose 2 — Moderna
2021-05-20
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Headache, Injection site pain, Injection site pruritus, Injection site swelling — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Just tired, the injection site is a little swollen, sore and itchy.Mild headache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-05-24
Survey response — day 7, dose 2
MedDRA: Injection site erythema, Injection site swelling — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: The injection site is more red and slightly swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Survey response — day 14, dose 2
MedDRA: Fatigue, Injection site pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: The injection site is better, not red.I'm still tired and the site is sore.A little achey.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-14
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-21
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-28
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-18
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2022-05-19
Dose 3 — Moderna
Co-administered: Flu
2022-05-20
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-05-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-28
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain, Swelling · Joint pains, Fatigue or tiredness

Adult check-in
2022-06-03
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-06-10
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-06-16
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-06-26
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-07-05
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-08-20
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2023-05-21
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-22	Moderna
2	2021-05-17	Moderna
3	2022-05-19	Moderna	Flu

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-24

Systemic reaction (other): Decreased appetite

2021-04-25

Systemic reaction (other): more frequent ruination and bowl movements

Release 8 — days 1–6 daily, dose 1

2021-04-26

Systemic reaction (other): Still very tired, sweaty a little

2021-04-27

Systemic reaction (other): my glands are tender and tired, mild body arches

2021-04-28

Systemic reaction (other): Reduced appetite and energy

Release 8 — day 7, dose 1

2021-04-29

Systemic reaction (other): Lack of and appetite, and energy

Release 8 — days 1–6 daily, dose 2

2021-05-20

Systemic reaction (other): Just tired, the injection site is a little swollen, sore and itchy.Mild headache.

Release 8 — day 7, dose 2

2021-05-24

Systemic reaction (other): The injection site is more red and slightly swollen

Release 8 — day 14, dose 2

2021-05-31

Symptoms: The injection site is better, not red.I'm still tired and the site is sore.A little achey.

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	Injection site pain	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Frequent bowel movements	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Lymph node pain	✓	·	✓
SRO	Pain	✓	✓	✓
SRO	Pollakiuria	✓	✓	✓
SRO	Unevaluable event	○	✓	○

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