6CK-11559-79330

3 vaccinations 5 coded responses 38 check-ins 5 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 484 / MI
Registered: 2021-03-19

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

2021-03-18
Dose 1 — Moderna
2021-03-19
Registered in v-safe
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-15
Dose 2 — Moderna
2021-04-15
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills, Fatigue or tiredness, Nausea

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-22
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-29
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-06
Survey response — day 21, dose 2
MedDRA: Feeling hot, Hyperhidrosis, Sneezing, Wheezing — Feeling: Poor · Be unable to do your normal daily activities

Free text: Wheezing, sweating profusely which turned to no sweat and feeling hot but no fever, diarrhea, dizziness, fatigued.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-22
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-27
Survey response — day 42, dose 2
MedDRA: Depression, Dyspnoea, Fatigue, Headache, Musculoskeletal stiffness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue, depression, headaches, stiff/cramped muscles, breathing issues, etc

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-15
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-14
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Eye disorder, Fatigue, Renal disorder, Tooth disorder — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Kidney issues, teeth problems, joint pain, eye problems, exhaustion, etc

MedDRA releases: 2024-11 · check-in free text available
2022-04-15
Survey response — 12 months, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: My health plummeted when I got Covid and got worse when I received my 2 shot dose of the vaccine. I have not recovered.

MedDRA releases: 2024-11 · check-in free text available
2022-09-28
Dose 3 — Moderna
Co-administered: Flu:Pneumonia
2022-09-28
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2022-09-29
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · 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
2022-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-10-05
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain, Swelling · Chills · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-10-12
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-10-19
Survey response — day 21, dose 3
MedDRA: Gastric ulcer — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have developed an ulcer, where my stomach and esophagus meet. I got one after my 2nd COVID shot too.

MedDRA releases: 2024-11 · check-in free text available
2022-10-27
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-11-02
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-11-09
Health check-in — day 42, dose 3
Feeling: Fair

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

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Moderna
2	2021-04-15	Moderna
3	2022-09-28	Moderna	Flu:Pneumonia

Free text

Release 8 — day 21, dose 2

2021-05-06

Symptoms: Wheezing, sweating profusely which turned to no sweat and feeling hot but no fever, diarrhea, dizziness, fatigued.

Release 8 — day 42, dose 2

2021-05-27

Symptoms: Fatigue, depression, headaches, stiff/cramped muscles, breathing issues, etc

Release 10 — 6 months, dose 2

2021-10-14

Symptoms: Kidney issues, teeth problems, joint pain, eye problems, exhaustion, etc

Release 11 — 12 months, dose 2

2022-04-15

Symptoms: My health plummeted when I got Covid and got worse when I received my 2 shot dose of the vaccine. I have not recovered.

Release 12 — day 21, dose 3

2022-10-19

Symptoms: I have developed an ulcer, where my stomach and esophagus meet. I got one after my 2nd COVID shot too.

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	Condition aggravated	·	·	✓
SD	Depression	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Eye disorder	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling hot	✓	✓	✓
SD	Gastric ulcer	·	·	✓
SD	Headache	✓	✓	✓
SD	Hyperhidrosis	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Renal disorder	·	·	✓
SD	Sneezing	✓	✓	✓
SD	Tooth disorder	·	·	✓
SD	Wheezing	✓	✓	✓

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