KRE-12749-32150

3 vaccinations 8 coded responses 36 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 919 / CA
Registered: 2021-01-30

Relationship: Self
Race: Multiracial
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

2021-01-30
Registered in v-safe
2021-01-30
Dose 1 — Moderna
2021-01-30
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-31
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain, Myalgia — Feeling: Good · Site: Pain

Free text: Soreness in right shoulder muscle, this is where I received the shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Right shoulder muscle where i got the shot is a bit sore 48 hours after shot, and not as sore as yesterday (24 hours after shot)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-27
Dose 2 — Moderna
2021-02-27
Survey response — day 0, dose 2
MedDRA: Arthralgia — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Soreness in right shoulder, which is the shoulder where i received injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-31
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-28
Dose 3 — Moderna
2021-12-29
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-01-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-02
Survey response — days 1–6 daily, dose 3
MedDRA: Nasal congestion — Feeling: Poor · Muscle or body aches, Fatigue or tiredness

Free text: Nasal Congestion

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-01-04
Health check-in — day 7, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-01-11
Survey response — day 14, dose 3
MedDRA: Cough, Nasal congestion, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school

Free text: Sore throat, congestion, runny/stuffy nose, cough

MedDRA releases: 2024-11 · check-in free text available
2022-01-18
Survey response — day 21, dose 3
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-01-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-01
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-31
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-28
Survey response — 6 months, dose 3
MedDRA: Delivery, Pregnancy — Feeling: Good

Free text: Pregnancy, had a baby

MedDRA releases: 2024-11 · check-in free text available
2022-12-28
Survey response — 12 months, dose 3
MedDRA: Nasopharyngitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Had a cold for 3 weeks at beginning of December

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-30	Moderna
2	2021-02-27	Moderna
3	2021-12-28	Moderna	No

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-31

Systemic reaction (other): Soreness in right shoulder muscle, this is where I received the shot.

2021-02-01

Systemic reaction (other): Right shoulder muscle where i got the shot is a bit sore 48 hours after shot, and not as sore as yesterday (24 hours after shot)

Release 4 — day 0, dose 2

2021-02-27

Systemic reaction (other): Soreness in right shoulder, which is the shoulder where i received injection

Release 10 — days 1–6 daily, dose 3

2022-01-02

Systemic reaction (other): Nasal Congestion

Release 10 — day 14, dose 3

2022-01-11

Symptoms: Sore throat, congestion, runny/stuffy nose, cough

Release 10 — day 21, dose 3

2022-01-18

Symptoms: Sore throat

Release 12 — 6 months, dose 3

2022-06-28

Symptoms: Pregnancy, had a baby

Release 12 — 12 months, dose 3

2022-12-28

Symptoms: Had a cold for 3 weeks at beginning of December

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	Delivery	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pregnancy	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Myalgia	✓	✓	○
SRO	Nasal congestion	·	·	✓

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