AQT-10780-37677

3 vaccinations 9 coded responses 25 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 021 / MA
Registered: 2021-02-28

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

Registered dependents

A8P-11205-52441 Child or adolescent in my care · Male · 2022-06-29

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-01-31
Dose 1 — Moderna
2021-02-28
Registered in v-safe
2021-02-28
Dose 2 — Moderna
2021-02-28
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Sweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Neck pain, Tenderness — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Pain with light touch on side of neck/shoulder where shot was administered.

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, Swelling · Headache, Joint pains, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Rhinorrhoea, Sinus pain — Feeling: Fair · Fatigue or tiredness

Free text: Runny nose/ sinus pain

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: Good · None

Adult check-in
2021-03-07
Health check-in — day 7, dose 2
Feeling: Good · None

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

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

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

Adult check-in
2021-04-06
Survey response — day 35, dose 2
MedDRA: Sinus pain — Feeling: Fair

Free text: Sinus pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — day 42, dose 2
MedDRA: Muscle tightness — Feeling: Fair

Free text: Muscle tightness in neck and back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-23
Dose 3 — Moderna
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-01
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-06
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-13
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-20
Survey response — day 28, dose 3
MedDRA: Nasopharyngitis, Sinusitis — Feeling: Poor · Be unable to do your normal daily activities

Free text: Sinus infection/ cold

MedDRA releases: 2024-11 · check-in free text available
2021-11-28
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-04
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-23
Survey response — 3 months, dose 3
MedDRA: Chills, Headache, Oropharyngeal pain, Pain, Respiratory tract congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sore throat, chills, body ache, head ache and congestion

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
Survey response — 6 months, dose 3
MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Multiple colds

MedDRA releases: 2024-11 · check-in free text available
2022-10-23
Survey response — 12 months, dose 3
MedDRA: Abortion spontaneous, Chills, Gastroenteritis viral, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I've had a stomach flu with fever and chills. I tested once early on and it was neg. Miscarriage 7/2022

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-31	Moderna
2	2021-02-28	Moderna
3	2021-10-23	Moderna	No

Free text

Release 4 — days 1–6 daily, dose 2

2021-03-01

Systemic reaction (other): Sweats

2021-03-02

Systemic reaction (other): Pain with light touch on side of neck/shoulder where shot was administered.

Release 5 — days 1–6 daily, dose 2

2021-03-05

Systemic reaction (other): Runny nose/ sinus pain

Release 7 — day 35, dose 2

2021-04-06

Symptoms: Sinus pain

Release 7 — day 42, dose 2

2021-04-13

Symptoms: Muscle tightness in neck and back

Release 10 — day 28, dose 3

2021-11-20

Symptoms: Sinus infection/ cold

Release 11 — 3 months, dose 3

2022-01-23

Symptoms: Sore throat, chills, body ache, head ache and congestion

Release 11 — 6 months, dose 3

2022-04-23

Symptoms: Multiple colds

Release 12 — 12 months, dose 3

2022-10-23

Symptoms: I've had a stomach flu with fever and chills. I tested once early on and it was neg. Miscarriage 7/2022

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	Abortion spontaneous	·	·	✓
SD	Chills	·	·	✓
SD	Gastroenteritis viral	·	·	✓
SD	Headache	·	·	✓
SD	Muscle tightness	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sinus pain	✓	✓	✓
SD	Sinusitis	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sinus pain	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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