6UG-23140-66393

5 vaccinations 10 coded responses 44 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 225 / VA
Registered: 2021-02-07

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

2021-02-03
Dose 1 — Moderna
2021-02-07
Registered in v-safe
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-09
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Coughing some congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — day 7, dose 1
Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-17
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-25
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-03
Dose 2 — Moderna
2021-03-03
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Diarrhoea, Dizziness, Fatigue, Headache, Pyrexia, Tinnitus — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Fatigue Went to work today without fever but by afternoon fever, chills, headache, dizzy, ringing sound in my ears. Very tired. Had diarrhea during the night. Considering staying home tomorrow or working half day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Tinnitus — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site

Free text: Dizziness ringing sounds in ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · 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 · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-10
Survey response — day 7, dose 2
MedDRA: Fatigue, Headache, Pyrexia — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Feel ok in AM; fever headache come back every afternoon and evening . Fatigue consistent. Am reporting to work anyway as it is necessary.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-24
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-31
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-02
Survey response — 6 months, dose 2
MedDRA: Headache, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache nausea Headache isnt leaving Made appointment with ENT

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-24
Dose 3 — Moderna
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Swelling · Fever · Headache, Fatigue or tiredness

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

Adult check-in
2021-10-31
Health check-in — day 7, dose 3
Feeling: Fair · Site: Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-11-07
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-14
Survey response — day 21, dose 3
MedDRA: Fatigue, Headache, Hypersomnia, Pyrexia — Feeling: Good

Free text: Really very tired Sleeping longer Headache Low fever at times

MedDRA releases: 2024-11 · check-in free text available
2021-11-21
Survey response — day 28, dose 3
MedDRA: Dizziness, Ear pain, Fatigue, Headache, Oropharyngeal pain, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Dizzy, ear ache, sore throat, dab headache, fever, tired

MedDRA releases: 2024-11 · check-in free text available
2021-11-28
Survey response — day 35, dose 3
MedDRA: Cough, Ear pain, Headache, Throat irritation — Feeling: Good · Be unable to do your normal daily activities

Free text: Scratchy voice with some coughing. Earache almost gone. No more headache. No noticeable fever.

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-23
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-09
Dose 4 — Moderna
2022-04-19
Health check-in — day 7, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-04-23
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-30
Survey response — day 21, dose 4
MedDRA: Diarrhoea, Headache, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Congestion, headache, diarrhea

MedDRA releases: 2024-11 · check-in free text available
2022-05-07
Survey response — day 28, dose 4
MedDRA: Pyrexia — Feeling: Fair

Free text: Fever

MedDRA releases: 2024-11 · check-in free text available
2022-05-14
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-05-21
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-11
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-11
Dose 5 — Pfizer-BioNTech
2022-10-08
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-10-13
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-10-16
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-23
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-12
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-12
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-03	Moderna
2	2021-03-03	Moderna
3	2021-10-24	Moderna	No
4	2022-04-09	Moderna	No
5	2022-09-11	Pfizer-BioNTech	No

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-09

Systemic reaction (other): Coughing some congestion

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): Fatigue Went to work today without fever but by afternoon fever, chills, headache, dizzy, ringing sound in my ears. Very tired. Had diarrhea during the night. Considering staying home tomorrow or working half day.

2021-03-05

Systemic reaction (other): Dizziness ringing sounds in ears

Release 5 — day 7, dose 2

2021-03-10

Systemic reaction (other): Feel ok in AM; fever headache come back every afternoon and evening . Fatigue consistent. Am reporting to work anyway as it is necessary.

Release 9 — 6 months, dose 2

2021-09-02

Symptoms: Headache nausea Headache isnt leaving Made appointment with ENT

Release 10 — day 21, dose 3

2021-11-14

Symptoms: Really very tired Sleeping longer Headache Low fever at times

Release 10 — day 28, dose 3

2021-11-21

Symptoms: Dizzy, ear ache, sore throat, dab headache, fever, tired

Release 10 — day 35, dose 3

2021-11-28

Symptoms: Scratchy voice with some coughing. Earache almost gone. No more headache. No noticeable fever.

Release 11 — day 21, dose 4

2022-04-30

Symptoms: Congestion, headache, diarrhea

Release 11 — day 28, dose 4

2022-05-07

Symptoms: Fever

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	Cough	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dizziness	·	·	✓
SD	Ear pain	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	·	✓
SD	Hypersomnia	·	·	✓
SD	Nausea	✓	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Throat irritation	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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