65R-63188-87943

5 vaccinations 11 coded responses 32 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 295 / SC
Registered: 2021-02-18

Relationship: Self
Race: Black or African American
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

2021-02-16
Dose 1 — Moderna
2021-02-18
Registered in v-safe
2021-02-18
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Tachycardia — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Tachycardia, dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-21
Survey response — days 1–6 daily, dose 1
MedDRA: Tachycardia — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Tachycardia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — days 1–6 daily, dose 1
MedDRA: Vision blurred — Feeling: Fair · Muscle or body aches, Diarrhea

Free text: Today I had a moment of blurred vision.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-02
Survey response — day 14, dose 1
MedDRA: Arthralgia, Arthritis, Fatigue, Pre-existing disease — Feeling: Fair

Free text: Generalized tiredness. Increased arthritic aches. Which I attribute to the Vaccine. I just push through it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — day 21, dose 1
MedDRA: Asthenia, Dizziness, Fear, Heart rate increased — Feeling: Fair

Free text: Increased weakness, dizziness and rapid heart rate two days ago . It has improved . I felt that I needed medical care. But was fearful about going to the ER. I hydrated myself layer down and felt better the next day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Dose 2 — Moderna
2021-03-16
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Good · Muscle or body aches

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-20
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Heart rate increased — Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness

Free text: Dizziness, rapid heartbeat.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Muscle or body aches

Adult check-in
2021-03-23
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-30
Survey response — day 14, dose 2
MedDRA: Dyspnoea, Fatigue, Pain, Palpitations, Tachycardia, Vaccine positive rechallenge — Feeling: Fair

Free text: Fatigue/ Tiredness , body aches have increased. Mild Sob with palpitations/ tachycardia . These symptoms have returned 12 days after my 2nd dose of the Vaccine.

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

Adult check-in
2021-04-13
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-20
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-27
Survey response — day 42, dose 2
MedDRA: Dizziness, Heart rate increased, Myalgia — Feeling: Fair

Free text: Rapid heartbeat. Slight dizziness . Muscle aches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-14
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-16
Dose 3 — Moderna
2022-03-16
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-03-17
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-24
Dose 4 — Moderna
2022-09-30
Dose 5 — Moderna
Co-administered: Flu
2022-10-17
Health check-in — day 14, dose 5
Feeling: Good

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

Adult check-in
2022-10-28
Survey response — day 28, dose 5
MedDRA: Cough, Dyspnoea — Feeling: Fair

Free text: Heavy cough, SOB

MedDRA releases: 2024-11 · check-in free text available
2022-11-04
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-11
Survey response — day 42, dose 5
MedDRA: Cough, Dizziness, Pain — Feeling: Fair

Free text: Uncontrolled Cough lasting more than ten days , body aches that have now improved over the pass several days. Dizziness.

MedDRA releases: 2024-11 · check-in free text available
2022-12-30
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2023-03-31
Health check-in — 6 months, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-16	Moderna
2	2021-03-16	Moderna
3	2021-12-16	Moderna	No
4	2022-06-24	Moderna	No
5	2022-09-30	Moderna	Flu

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-18

Systemic reaction (other): Tachycardia, dizziness

2021-02-21

Systemic reaction (other): Tachycardia

2021-02-22

Systemic reaction (other): Today I had a moment of blurred vision.

Release 4 — day 14, dose 1

2021-03-02

Symptoms: Generalized tiredness. Increased arthritic aches. Which I attribute to the Vaccine. I just push through it.

Release 5 — day 21, dose 1

2021-03-09

Symptoms: Increased weakness, dizziness and rapid heart rate two days ago . It has improved . I felt that I needed medical care. But was fearful about going to the ER. I hydrated myself layer down and felt better the next day.

Release 5 — day 0, dose 2

2021-03-16

Systemic reaction (other): None

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): Dizziness, rapid heartbeat.

Release 6 — day 14, dose 2

2021-03-30

Symptoms: Fatigue/ Tiredness , body aches have increased. Mild Sob with palpitations/ tachycardia . These symptoms have returned 12 days after my 2nd dose of the Vaccine.

Release 8 — day 42, dose 2

2021-04-27

Symptoms: Rapid heartbeat. Slight dizziness . Muscle aches.

Release 12 — day 28, dose 5

2022-10-28

Symptoms: Heavy cough, SOB

Release 12 — day 42, dose 5

2022-11-11

Symptoms: Uncontrolled Cough lasting more than ten days , body aches that have now improved over the pass several days. Dizziness.

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	Arthralgia	✓	✓	✓
SD	Arthritis	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Cough	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Fear	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Tachycardia	✓	✓	✓
SD	Vaccine positive rechallenge	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Tachycardia	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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