6PG-57487-52367

2 vaccinations 9 coded responses 24 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 913 / CA
Registered: 2021-03-07

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

2021-03-06
Dose 1 — Moderna
2021-03-07
Registered in v-safe
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: it came on me really suddenly and I felt like I was stoned for about an hour and then it went away.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: no

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Vision blurred — Feeling: Fair · Chills, Fatigue or tiredness, Nausea · Be unable to work

Free text: Little blurred vision but none of these lasted for a really long time but I did not wanna take a chance of going into my car and driving anywhere do you have those feelings were reoccur

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Impaired driving ability — Feeling: Fair · Fever

Free text: very light headed and little dizzy .... it on ly lasted around 2 hrs. I will not get in my car to drive when this comes on

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — day 7, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: So far today all is well

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-03
Dose 2 — Moderna
2021-04-03
Survey response — day 0, dose 2
MedDRA: Dizziness, Limb discomfort — Feeling: Good

Free text: slightly light headed, my arms feel very heavy. just had the vaccine two hours ago.

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

Free text: I can deal with it its been a very sleepy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling · None · Be unable to work

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness

Free text: The fatigue comes and goes one day I feel absolutely great normal and then like this morning its just like I didnt have any energy and that is totally unlike me but no problem

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-01
Survey response — day 28, dose 2
MedDRA: Diverticulitis — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Diverticulitis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-05
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-06	Moderna
2	2021-04-03	Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-07

Systemic reaction (other): it came on me really suddenly and I felt like I was stoned for about an hour and then it went away.

2021-03-08

Systemic reaction (other): no

2021-03-10

Systemic reaction (other): Little blurred vision but none of these lasted for a really long time but I did not wanna take a chance of going into my car and driving anywhere do you have those feelings were reoccur

2021-03-12

Systemic reaction (other): very light headed and little dizzy .... it on ly lasted around 2 hrs. I will not get in my car to drive when this comes on

Release 5 — day 7, dose 1

2021-03-13

Systemic reaction (other): So far today all is well

Release 6 — day 0, dose 2

2021-04-03

Systemic reaction (other): slightly light headed, my arms feel very heavy. just had the vaccine two hours ago.

Release 6 — days 1–6 daily, dose 2

2021-04-04

Systemic reaction (other): I can deal with it its been a very sleepy

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): The fatigue comes and goes one day I feel absolutely great normal and then like this morning its just like I didnt have any energy and that is totally unlike me but no problem

Release 8 — day 28, dose 2

2021-05-01

Symptoms: Diverticulitis

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	Diverticulitis	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Impaired driving ability	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Somnolence	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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