6BG-54344-72811

2 vaccinations 11 coded responses 26 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 864 / AZ
Registered: 2021-05-06

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

2021-05-06
Registered in v-safe
2021-05-06
Dose 1 — Moderna
2021-05-06
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-10
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: Nope

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-06-03
Dose 2 — Moderna
2021-06-03
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-06-04
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Fatigue or tiredness

Free text: Nope

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-06
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good · Site: Redness, Itching

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good · Site: Pain, Itching

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Fair · Site: Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good · Site: Itching · Muscle or body aches, Fatigue or tiredness

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-12
Survey response — day 7, dose 2
MedDRA: No adverse event — Feeling: Fair · Site: Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-02
Survey response — day 28, dose 2
MedDRA: Cough, Gait disturbance, Influenza, Pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Just this past week, I feel like I have the flubut no fever. Feel achy and its difficult to put one foot in front of the other, however, Ive had a cough that mirrors a bronchitis cough and I couldve pulled a muscle. Im a retired RN and

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-08
Survey response — day 35, dose 2
MedDRA: Fatigue, Gait disturbance, Pain — Feeling: Fair

Free text: Im just feeling extremely tired and l ache all over. Hard to put one foot in front of the other. Im just plain worn out all the time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-04
Survey response — 3 months, dose 2
MedDRA: Bronchitis, Cough — Feeling: Fair

Free text: Ive had a cough that is like coughing when you have/had bronchitis. I dont have a cold or fever. Just that nasty cough.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-12-03
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-06-04
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-06	Moderna
2	2021-06-03	Moderna

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-10

Systemic reaction (other): Nope

Release 8 — days 1–6 daily, dose 2

2021-06-04

Systemic reaction (other): No

2021-06-05

Systemic reaction (other): Nope

2021-06-06

Systemic reaction (other): No

2021-06-07

Systemic reaction (other): No

2021-06-08

Systemic reaction (other): No

2021-06-09

Systemic reaction (other): No

Release 9 — day 7, dose 2

2021-06-12

Systemic reaction (other): No

Release 9 — day 28, dose 2

2021-07-02

Symptoms: Just this past week, I feel like I have the flubut no fever. Feel achy and its difficult to put one foot in front of the other, however, Ive had a cough that mirrors a bronchitis cough and I couldve pulled a muscle. Im a retired RN and

Release 9 — day 35, dose 2

2021-07-08

Symptoms: Im just feeling extremely tired and l ache all over. Hard to put one foot in front of the other. Im just plain worn out all the time.

Release 9 — 3 months, dose 2

2021-09-04

Symptoms: Ive had a cough that is like coughing when you have/had bronchitis. I dont have a cold or fever. Just that nasty 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	Bronchitis	✓	·	✓
SD	Cough	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gait disturbance	✓	✓	✓
SD	Influenza	✓	✓	✓
SD	Pain	✓	✓	✓
SRO	No adverse event	✓	✓	✓

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