66B-43396-73130

2 vaccinations 11 coded responses 16 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 802 / CO
Registered: 2021-02-25

Relationship: Self
Race: White
Ethnicity: 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

2021-01-26
Dose 1 — Moderna
2021-02-25
Registered in v-safe
2021-02-25
Dose 2 — Moderna
2021-02-25
Survey response — day 0, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Site: Pain, Redness · Fever · Joint pains

Free text: Diabetic type 1

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains

Adult check-in
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Free text: Coughing for 3 days moderate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Good · Joint pains

Free text: My back is sore but I dont think its from the shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Rhinorrhoea — Feeling: Good · Joint pains

Free text: Coughing runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — day 7, dose 2
MedDRA: Nasal congestion — Feeling: Fair · Fever · Headache, Joint pains, Fatigue or tiredness

Free text: Stuffy nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-18
Survey response — day 21, dose 2
MedDRA: Cough, Rash — Feeling: Fair

Free text: Deep cough. Rash on right leg.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — day 28, dose 2
MedDRA: Dry skin, Rash — Feeling: Good

Free text: About two weeks after my second shot I started getting like a rash on the inside of my thighs very dry skin feels like sand. No itching but it feels gross like tiny pimples and sand.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — day 35, dose 2
MedDRA: Arthralgia, Cough, Pre-existing disease, Rash, Seasonal allergy — Feeling: Good · Be unable to do your normal daily activities

Free text: I am coughing more now, but it could be spring allergies. I did have a rash on my legs two weeks after the vaccination. It did go away. I have extremely excruciatingly painful arthritis and joint pain in my wrists, But I did break both Of them 10/29

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — day 42, dose 2
MedDRA: Cough, Fatigue, Productive cough — Feeling: Fair · Be unable to do your normal daily activities

Free text: More phlegm in my chest and throat and lots of coughing. Frequent fatigue. I have never had a Covid test.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue. Joint pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-26
Survey response — 6 months, dose 2
MedDRA: Cough, Hypogeusia, Hyposmia, Nasal congestion, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fever 100 to 101.5. Coughing, very stuffed up nose. Loss of some smell and taste.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-25
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-26	Moderna
2	2021-02-25	Moderna

Free text

Release 4 — day 0, dose 2

2021-02-25

Systemic reaction (other): Diabetic type 1

Release 4 — days 1–6 daily, dose 2

2021-02-28

Systemic reaction (other): Coughing for 3 days moderate

2021-03-01

Systemic reaction (other): My back is sore but I dont think its from the shot

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Coughing runny nose

Release 5 — day 7, dose 2

2021-03-04

Systemic reaction (other): Stuffy nose

Release 5 — day 21, dose 2

2021-03-18

Symptoms: Deep cough. Rash on right leg.

Release 6 — day 28, dose 2

2021-03-25

Symptoms: About two weeks after my second shot I started getting like a rash on the inside of my thighs very dry skin feels like sand. No itching but it feels gross like tiny pimples and sand.

Release 6 — day 35, dose 2

2021-04-01

Symptoms: I am coughing more now, but it could be spring allergies. I did have a rash on my legs two weeks after the vaccination. It did go away. I have extremely excruciatingly painful arthritis and joint pain in my wrists, But I did break both Of them 10/29 cut off by CDC

Release 7 — day 42, dose 2

2021-04-08

Symptoms: More phlegm in my chest and throat and lots of coughing. Frequent fatigue. I have never had a Covid test.

Release 8 — 3 months, dose 2

2021-05-27

Symptoms: Fatigue. Joint pain.

Release 9 — 6 months, dose 2

2021-08-26

Symptoms: Fever 100 to 101.5. Coughing, very stuffed up nose. Loss of some smell and taste.

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	Cough	✓	✓	✓
SD	Dry skin	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Hypogeusia	✓	·	✓
SD	Hyposmia	✓	·	✓
SD	Nasal congestion	✓	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Productive cough	✓	✓	✓
SD	Pyrexia	✓	·	✓
SD	Rash	✓	✓	✓
SD	Seasonal allergy	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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