6E4-19915-25749

3 vaccinations 7 coded responses 27 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 054 / VT
Registered: 2021-02-10

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

2021-02-10
Registered in v-safe
2021-02-10
Dose 1 — Moderna
2021-02-10
Survey response — day 0, dose 1
MedDRA: Breakthrough COVID-19, Pyrexia — Feeling: Good · Fatigue or tiredness

Free text: I am PostCovid starting 12/1/21, back to work 1/6/21 but have evening low grade 100-100.9 temps still

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: last night, 4 brief sharp leg pains (felt either nerve or vessel, not muscle or joint

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Fatigue or tiredness

Adult check-in
2021-02-16
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea — Feeling: Fair · Fever · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — day 7, dose 1
Feeling: Fair · Fever · Fatigue or tiredness

Adult check-in
2021-02-24
Survey response — day 14, dose 1
MedDRA: Fatigue, Memory impairment, Pyrexia — Feeling: Poor · Be unable to work

Free text: Very severe executive function/memory dysfunctionStill have evening low grade temp & extreme fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-10
Dose 2 — Moderna
2021-03-10
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-17
Health check-in — day 7, dose 2
Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-21
Survey response — day 42, dose 2
MedDRA: Fatigue, Headache, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: Headache, increased fatigue above long Covid baseline

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Survey response — 3 months, dose 2
MedDRA: COVID-19, Hyperthyroidism, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Hyperthyroidism symptoms (Thyroid U/S scheduled 6/14/21) and continue of almost daily evening fever since 12/2021 Covid infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-08
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-24
Dose 3 — Moderna
2022-05-25
Survey response — 6 months, dose 3
MedDRA: Arthralgia — Feeling: Good · Be unable to do your normal daily activities

Free text: Increased joint pain

MedDRA releases: 2024-11 · check-in free text available
2022-11-24
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-10	Moderna
2	2021-03-10	Moderna
3	2021-11-24	Moderna	No

Free text

Release 4 — day 0, dose 1

2021-02-10

Systemic reaction (other): I am PostCovid starting 12/1/21, back to work 1/6/21 but have evening low grade 100-100.9 temps still

Release 4 — days 1–6 daily, dose 1

2021-02-11

Systemic reaction (other): last night, 4 brief sharp leg pains (felt either nerve or vessel, not muscle or joint

2021-02-16

Systemic reaction (other): runny nose

Release 4 — day 14, dose 1

2021-02-24

Symptoms: Very severe executive function/memory dysfunctionStill have evening low grade temp & extreme fatigue

Release 7 — day 42, dose 2

2021-04-21

Symptoms: Headache, increased fatigue above long Covid baseline

Release 9 — 3 months, dose 2

2021-06-09

Symptoms: Hyperthyroidism symptoms (Thyroid U/S scheduled 6/14/21) and continue of almost daily evening fever since 12/2021 Covid infection

Release 11 — 6 months, dose 3

2022-05-25

Symptoms: Increased joint pain

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	COVID-19	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hyperthyroidism	✓	✓	✓
SD	Memory impairment	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SRO	Breakthrough COVID-19	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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