P5T-11814-66669

4 vaccinations 4 coded responses 41 check-ins 4 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 127 / NY
Registered: 2021-02-11

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

Registered dependents

RTK-16990-73318 Child or adolescent in my care · Male · 2022-12-02

Timeline

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

2021-02-11
Registered in v-safe
2021-02-11
Dose 1 — Moderna
2021-02-11
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-10
Dose 2 — Moderna
2021-03-10
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My body felt heavy- felt like I was trying to run through water/sand

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-10
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-12
Dose 3 — Moderna
2022-03-10
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-13
Survey response — 6 months, dose 3
MedDRA: Delivery — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Pregnancy + birth

MedDRA releases: 2024-11 · check-in free text available
2022-05-13
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Hospitalization · 1 call case(s)
2022-05-16
Call successful
Not applicable - Accidental Reporting
2022-09-29
Dose 4 — Moderna
2022-09-29
Health check-in — day 0, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-09-30
Survey response — days 1–6 daily, dose 4
MedDRA: Dysgeusia — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Metallic taste

MedDRA releases: 2024-11 · check-in free text available
2022-10-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-10-02
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-06
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-13
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-20
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-27
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-03
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-10
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-29
Survey response — 3 months, dose 4
MedDRA: Nasopharyngitis — Feeling: Good

Free text: Common cold

MedDRA releases: 2024-11 · check-in free text available
2023-03-30
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-11	Moderna
2	2021-03-10	Moderna
3	2021-11-12	Moderna	No
4	2022-09-29	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-12

Systemic reaction (other): My body felt heavy- felt like I was trying to run through water/sand

Release 11 — 6 months, dose 3

2022-05-13

Symptoms: Pregnancy + birth

Release 12 — days 1–6 daily, dose 4

2022-09-30

Systemic reaction (other): Metallic taste

Release 12 — 3 months, dose 4

2022-12-29

Symptoms: Common 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	Delivery	·	·	✓
SD	Nasopharyngitis	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Dysgeusia	·	·	✓

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