673-17611-87154

4 vaccinations 12 coded responses 30 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 530 / WI
Registered: 2021-04-01

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

D2L-16927-25321 Child or adolescent in my care · Male · 2021-11-27

L6L-18912-47130 Child or adolescent in my care · Female · 2022-08-19

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-04
Dose 1 — Moderna
2021-04-01
Registered in v-safe
2021-04-01
Dose 2 — Moderna
2021-04-01
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Night sweats — Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Night sweats

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

Adult check-in
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Sinus congestion — Feeling: Good · Site: Pain · Headache

Free text: Sinus congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-22
Survey response — day 21, dose 2
MedDRA: Fatigue, Headache — Feeling: Good · Be unable to do your normal daily activities

Free text: The day before my period started I had fatigue and headache similar to the days after the 2nd shot. I do not usually have these symptoms pre-menstration.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-01
Survey response — 3 months, dose 2
MedDRA: Cough, Fatigue, Headache, Respiratory tract congestion, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activities

Free text: Congestion and cough, headache and runny nose, lasted a couple days. Some fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-26
Dose 3 — Moderna
2021-11-27
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-11-28
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness

Free text: Runny nose, sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-11-30
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair

Free text: Sore throat, cough, congestion

MedDRA releases: 2024-11 · check-in free text available
2021-12-01
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Fatigue or tiredness

Free text: Cough, congestion, sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-12-02
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cough, sore throat, congestion

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Survey response — day 7, dose 3
MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Headache, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cough, congestion

MedDRA releases: 2024-11 · check-in free text available
2021-12-18
Survey response — day 21, dose 3
MedDRA: Cough — Feeling: Fair

Free text: Cough

MedDRA releases: 2024-11 · check-in free text available
2021-12-24
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-31
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-08
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-26
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-05-28
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-28
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2022-12-27
Dose 4 — Pfizer-BioNTech
2023-03-30
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-04	Moderna
2	2021-04-01	Moderna
3	2021-11-26	Moderna	No
4	2022-12-27	Pfizer-BioNTech	No

Free text

Release 6 — days 1–6 daily, dose 2

2021-04-03

Systemic reaction (other): Night sweats

2021-04-05

Systemic reaction (other): Sinus congestion

Release 7 — day 21, dose 2

2021-04-22

Symptoms: The day before my period started I had fatigue and headache similar to the days after the 2nd shot. I do not usually have these symptoms pre-menstration.

Release 9 — 3 months, dose 2

2021-07-01

Symptoms: Congestion and cough, headache and runny nose, lasted a couple days. Some fatigue

Release 10 — days 1–6 daily, dose 3

2021-11-27

Systemic reaction (other): Sore throat

2021-11-28

Systemic reaction (other): Sore throat

2021-11-29

Systemic reaction (other): Runny nose, sore throat

2021-11-30

Systemic reaction (other): Sore throat, cough, congestion

2021-12-01

Systemic reaction (other): Cough, congestion, sore throat

2021-12-02

Systemic reaction (other): Cough, sore throat, congestion

Release 10 — day 7, dose 3

2021-12-03

Systemic reaction (other): Cough, congestion

Release 10 — day 21, dose 3

2021-12-18

Symptoms: Cough

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	Cough	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SRO	Cough	·	·	✓
SRO	Night sweats	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Sinus congestion	✓	✓	✓

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