6QY-64160-31874

3 vaccinations 8 coded responses 32 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 450 / OH
Registered: 2021-01-11

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

2021-01-11
Registered in v-safe
2021-01-11
Dose 1 — Moderna
2021-01-11
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Nasal congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Nasal congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-01-18
Survey response — day 7, dose 1
MedDRA: Paranasal sinus discomfort — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Sinus pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-08
Dose 2 — Moderna
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Dizziness yesterday, worse in the evening some earlier today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Biopsy lymph gland, Nasal congestion — Feeling: Fair · Site: Pain, Redness, Itching · Headache, Fatigue or tiredness

Free text: Nasal congestion, I had a breast US after a Mammo yesterday, my Left axillarry nodes are enlarged, the US Tech told me this is a familiar findings is

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-02-15
Survey response — day 7, dose 2
MedDRA: Chills, Fatigue, Headache, Limb discomfort — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness

Free text: Headache worsened yesterday, tired, chills, my left arm is heavy thinking maybe the edema in my Axillary nodes is decreasing, not sure, also with my HA becoming worse??

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — day 14, dose 2
Feeling: Fair

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

Adult check-in
2021-03-08
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-17
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-22
Survey response — day 42, dose 2
MedDRA: Nasopharyngitis — Feeling: Fair

Free text: Severe cold

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-08
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-06-28
Dose 3 — Moderna
2022-07-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2022-07-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2022-07-05
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-07-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-07-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-07-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-08-02
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-08-09
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-09-27
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-11	Moderna
2	2021-02-08	Moderna
3	2022-06-28	Moderna	No

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): Nasal congestion

2021-01-16

Systemic reaction (other): Nasal congestion

Release 2 — day 7, dose 1

2021-01-18

Systemic reaction (other): Sinus pressure

Release 3 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Dizziness yesterday, worse in the evening some earlier today

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): Dizziness

2021-02-13

Systemic reaction (other): Nasal congestion, I had a breast US after a Mammo yesterday, my Left axillarry nodes are enlarged, the US Tech told me this is a familiar findings is

Release 4 — day 7, dose 2

2021-02-15

Systemic reaction (other): Headache worsened yesterday, tired, chills, my left arm is heavy thinking maybe the edema in my Axillary nodes is decreasing, not sure, also with my HA becoming worse??

Release 6 — day 42, dose 2

2021-03-22

Symptoms: Severe cold

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	Nasopharyngitis	✓	✓	✓
SRO	Biopsy lymph gland	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Paranasal sinus discomfort	✓	✓	✓

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