6DE-21514-86875

3 vaccinations 9 coded responses 34 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 986 / WA
Registered: 2021-05-18

Relationship: Self
Race: Asian
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

2021-05-10
Dose 1 — Moderna
2021-05-18
Registered in v-safe
2021-05-18
Health check-in — day 7, dose 1
Feeling: Poor · Site: Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-24
Survey response — day 14, dose 1
MedDRA: Arthralgia, Cough, Feeling abnormal, Headache, Injection site swelling, Muscle fatigue, Musculoskeletal stiffness, Nausea, Rash — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Felt very poor 5/17-18. Injection site swollen. Rashes on both arms, legs, feet; a few on soles, palms. DEBILITATING joint pain, especially stiff neck. Muscle fatigue, nauseau, headache. Some coughing; no trouble breathing. Very slowly recovering now

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Survey response — day 21, dose 1
MedDRA: Headache — Feeling: Fair

Free text: Persistent headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Dose 2 — Moderna
2021-06-07
Survey response — day 0, dose 2
MedDRA: Photosensitivity reaction — Feeling: Fair · Site: Pain · Headache, Nausea · Be unable to work

Free text: Photosensitivity

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: Chills, Tremor — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Severe chills -- uncontrollable shaking

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-06-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-06-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-13
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Skin exfoliation — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Peeling skin on fingers, palms; some coughing- more yesterday (forgot to report)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-14
Survey response — day 7, dose 2
MedDRA: Skin exfoliation, Urticaria — Feeling: Fair · Fatigue or tiredness

Free text: Peeling skin & minor hives on fingertips

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-21
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-06-28
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-07-05
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-07-12
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-07-19
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-09-06
Survey response — 3 months, dose 2
MedDRA: Asthenia, Cough, Hypersensitivity, Nasal congestion, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Wake up coughing (about once a week, every week since last contact) despite sleeping upright after first incident. Stuffy nose. Low energy. Worse seasonal allergies than usual? No fever.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-12-06
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-01-17
Dose 3 — Moderna
2022-01-17
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2022-01-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-01-19
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-01-20
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Vomiting · Be unable to do your normal daily activities

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-01-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-22
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Nausea

Adult check-in
2022-01-24
Health check-in — day 7, dose 3
Feeling: Fair · None

Adult check-in
2022-01-31
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-02-07
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-14
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-02-21
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-02-28
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-04-18
Survey response — 3 months, dose 3
MedDRA: Headache, Laryngitis, Nasal congestion, Nausea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Stuffy nose, headache, nauseau, laryngitis

MedDRA releases: 2024-11 · check-in free text available
2022-07-18
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2023-01-17
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-10	Moderna
2	2021-06-07	Moderna
3	2022-01-17	Moderna	No

Free text

Release 8 — day 14, dose 1

2021-05-24

Symptoms: Felt very poor 5/17-18. Injection site swollen. Rashes on both arms, legs, feet; a few on soles, palms. DEBILITATING joint pain, especially stiff neck. Muscle fatigue, nauseau, headache. Some coughing; no trouble breathing. Very slowly recovering now cut off by CDC

Release 8 — day 21, dose 1

2021-05-31

Symptoms: Persistent headache

Release 8 — day 0, dose 2

2021-06-07

Systemic reaction (other): Photosensitivity

Release 8 — days 1–6 daily, dose 2

2021-06-08

Systemic reaction (other): Severe chills -- uncontrollable shaking

Release 9 — days 1–6 daily, dose 2

2021-06-13

Systemic reaction (other): Peeling skin on fingers, palms; some coughing- more yesterday (forgot to report)

Release 9 — day 7, dose 2

2021-06-14

Systemic reaction (other): Peeling skin & minor hives on fingertips

Release 9 — 3 months, dose 2

2021-09-06

Symptoms: Wake up coughing (about once a week, every week since last contact) despite sleeping upright after first incident. Stuffy nose. Low energy. Worse seasonal allergies than usual? No fever.

Release 10 — days 1–6 daily, dose 3

2022-01-20

Systemic reaction (other): Sore throat

Release 11 — 3 months, dose 3

2022-04-18

Symptoms: Stuffy nose, headache, nauseau, laryngitis

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	Asthenia	✓	·	✓
SD	Cough	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypersensitivity	✓	·	✓
SD	Injection site swelling	✓	✓	✓
SD	Laryngitis	·	·	✓
SD	Muscle fatigue	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Nasal congestion	✓	·	✓
SD	Nausea	✓	✓	✓
SD	Pre-existing disease	✓	·	✓
SD	Rash	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Photosensitivity reaction	✓	✓	✓
SRO	Skin exfoliation	✓	✓	✓
SRO	Tremor	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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