6MG-32638-56496

4 vaccinations 14 coded responses 45 check-ins 14 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 605 / IL
Registered: 2021-02-08

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

7BG-85126-30837 Child or adolescent in my care · Male · 2021-11-13

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-02
Dose 1 — Moderna
2021-02-08
Registered in v-safe
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-09
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-02-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-23
Survey response — day 21, dose 1
MedDRA: Headache — Feeling: Fair

Free text: Headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Dose 2 — Moderna
2021-03-02
Survey response — day 0, dose 2
MedDRA: Respiratory tract congestion — Feeling: Poor · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Slight congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia oral — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Tingly tongue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-09
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-16
Survey response — day 14, dose 2
MedDRA: Fatigue, Headache, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache, achy legs, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-01
Survey response — 3 months, dose 2
MedDRA: Appendicectomy, Appendicitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Appendicitis + emergency appendectomy on 6/22/2021

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-31
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Dose 3 — Moderna
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy, Pain — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Hurts to raise left arm above head; lymph nodes in left armpit swollen

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-11-05
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-26
Survey response — day 28, dose 3
MedDRA: Cough — Feeling: Good

Free text: Cough

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-28
Survey response — 3 months, dose 3
MedDRA: Fatigue, Headache, Pain, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activities

Free text: Congestion, headache, fatigue, achiness

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-27
Dose 4 — Moderna
2022-09-29
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Swollen lymph nodes in armpit

MedDRA releases: 2024-11 · check-in free text available
2022-09-30
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-01
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2022-10-02
Survey response — days 1–6 daily, dose 4
MedDRA: Rhinorrhoea, Sneezing — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Sniffles, runny nose, sneezing

MedDRA releases: 2024-11 · check-in free text available
2022-10-03
Survey response — days 1–6 daily, dose 4
MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Sore throat, sniffles

MedDRA releases: 2024-11 · check-in free text available
2022-10-04
Survey response — day 7, dose 4
MedDRA: Oropharyngeal pain — Feeling: Fair · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-10-11
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-10-18
Survey response — day 21, dose 4
MedDRA: Headache, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair

Free text: Still congested, mild sore throat, headache

MedDRA releases: 2024-11 · check-in free text available
2022-10-25
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-02
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-09
Survey response — day 42, dose 4
MedDRA: Headache — Feeling: Good

Free text: Headaches in the back left side of my head

MedDRA releases: 2024-11 · check-in free text available
2022-12-27
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-28
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-02	Moderna
2	2021-03-02	Moderna
3	2021-10-29	Moderna	No
4	2022-09-27	Moderna	No

Free text

Release 4 — day 21, dose 1

2021-02-23

Symptoms: Headache

Release 4 — day 0, dose 2

2021-03-02

Systemic reaction (other): Slight congestion

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): Tingly tongue

Release 5 — day 14, dose 2

2021-03-16

Symptoms: Headache, achy legs, fatigue

Release 8 — 3 months, dose 2

2021-06-01

Symptoms: Appendicitis + emergency appendectomy on 6/22/2021

Release 10 — days 1–6 daily, dose 3

2021-10-31

Systemic reaction (other): Hurts to raise left arm above head; lymph nodes in left armpit swollen

Release 10 — day 28, dose 3

2021-11-26

Symptoms: Cough

Release 11 — 3 months, dose 3

2022-01-28

Symptoms: Congestion, headache, fatigue, achiness

Release 12 — days 1–6 daily, dose 4

2022-09-29

Systemic reaction (other): Swollen lymph nodes in armpit

2022-10-02

Systemic reaction (other): Sniffles, runny nose, sneezing

2022-10-03

Systemic reaction (other): Sore throat, sniffles

Release 12 — day 7, dose 4

2022-10-04

Systemic reaction (other): Sore throat

Release 12 — day 21, dose 4

2022-10-18

Symptoms: Still congested, mild sore throat, headache

Release 12 — day 42, dose 4

2022-11-09

Symptoms: Headaches in the back left side of my head

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	Appendicectomy	✓	✓	✓
SD	Appendicitis	✓	✓	✓
SD	Cough	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pain	·	·	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Sneezing	·	·	✓

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