6AH-32056-22301

3 vaccinations 6 coded responses 36 check-ins 6 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 305 / GA
Registered: 2020-12-23

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

2020-12-23
Registered in v-safe
2020-12-23
Dose 1 — Moderna
2020-12-23
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-30
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-20
Dose 2 — Moderna
2021-01-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-24
Survey response — days 1–6 daily, dose 2
MedDRA: Depression — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Depression

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-01-27
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-02-03
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-02-24
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-03
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-04-21
Survey response — 3 months, dose 2
MedDRA: Haemoglobin decreased — Feeling: Fair · Be unable to do your normal daily activities

Free text: Low hemoglobin- is normally 12.0 or above & is now staying 10.0 - 10.9

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-21
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-09-29
Dose 3 — Moderna
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Hypoaesthesia, Hypoaesthesia oral, Paraesthesia, Paraesthesia oral — Feeling: Fair · Site: Pain, Redness, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Tingling/slight numbness in fingers, feet, top of head, lips

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness

Adult check-in
2021-10-06
Health check-in — day 7, dose 3
Feeling: Fair · Site: Itching · Joint pains, Fatigue or tiredness

Adult check-in
2021-10-13
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-10-20
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-10-27
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-03
Survey response — day 35, dose 3
MedDRA: Rash, Rash erythematous, Self-medication — Feeling: Fair

Free text: Red rash scattered over body. I have ruled out big bites or allergic reaction to foods/bath products/laundry products. Taking Claritin helps somewhat.

MedDRA releases: 2024-11 · check-in free text available
2021-11-10
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-12-29
Survey response — 3 months, dose 3
MedDRA: Cough, Ear pain, Fatigue, Headache, Pyrexia, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Severe headache, fever of 103, severe ear aches, chest congestion, severe fatigue - all lasting for 2 weeks with continued cough & sparadic head ache, ear ache & cough/congestion.

MedDRA releases: 2024-11 · check-in free text available
2022-03-30
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-09-29
Survey response — 12 months, dose 3
MedDRA: Arthralgia, Fatigue, Heart rate increased — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sudden heart rate increase at all hours. Fatigue. Joint pains increased.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-23	Moderna
2	2021-01-20	Moderna
3	2021-09-29	Moderna	No

Free text

Release 2 — days 1–6 daily, dose 2

2021-01-24

Systemic reaction (other): Depression

Release 7 — 3 months, dose 2

2021-04-21

Symptoms: Low hemoglobin- is normally 12.0 or above & is now staying 10.0 - 10.9

Release 9 — days 1–6 daily, dose 3

2021-10-02

Systemic reaction (other): Tingling/slight numbness in fingers, feet, top of head, lips

Release 10 — day 35, dose 3

2021-11-03

Symptoms: Red rash scattered over body. I have ruled out big bites or allergic reaction to foods/bath products/laundry products. Taking Claritin helps somewhat.

Release 10 — 3 months, dose 3

2021-12-29

Symptoms: Severe headache, fever of 103, severe ear aches, chest congestion, severe fatigue - all lasting for 2 weeks with continued cough & sparadic head ache, ear ache & cough/congestion.

Release 12 — 12 months, dose 3

2022-09-29

Symptoms: Sudden heart rate increase at all hours. Fatigue. Joint pains increased.

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	Ear pain	·	·	✓
SD	Fatigue	·	·	✓
SD	Haemoglobin decreased	✓	✓	✓
SD	Headache	·	·	✓
SD	Heart rate increased	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rash	·	·	✓
SD	Rash erythematous	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Self-medication	·	·	✓
SRO	Depression	✓	✓	✓
SRO	Hypoaesthesia	·	·	✓
SRO	Hypoaesthesia oral	·	·	✓
SRO	Paraesthesia	·	·	✓
SRO	Paraesthesia oral	·	·	✓

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