Y2G-31896-32862

4 vaccinations 15 coded responses 33 check-ins 14 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 137 / NY
Registered: 2021-01-10

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

2021-01-08
Dose 1 — Moderna
2021-01-10
Registered in v-safe
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Rash, not including the immediate area around the injection site

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Rash, not including the immediate area around the injection site

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling, Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Joint pains, Rash, not including the immediate area around the injection site

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

Adult check-in
2021-01-15
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Rash, not including the immediate area around the injection site

Adult check-in
2021-01-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-29
Survey response — day 21, dose 1
MedDRA: Nasopharyngitis, Pain — Feeling: Fair

Free text: I developed cold-like symptoms yesterday, and am feeling achy today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Dose 2 — Moderna
2021-02-05
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Body temperature decreased — Feeling: Fair · Site: Pain, Itching · Chills, Headache, Muscle or body aches, Diarrhea, Rash, not including the immediate area around the injection site

Free text: I had a very low temperature reading when I woke up (95.9Â°).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Itching · Headache

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Itching · Headache

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-02-19
Survey response — day 14, dose 2
MedDRA: Cough — Feeling: Fair

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — day 21, dose 2
MedDRA: Cough, Headache, Respiratory tract congestion, Sneezing — Feeling: Poor

Free text: Coughing, sneezing/congestion, headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — day 28, dose 2
MedDRA: Cough, Respiratory tract congestion, Toothache — Feeling: Fair

Free text: Coughing, congested, toothache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — day 35, dose 2
MedDRA: Cough, Dyspnoea, Respiratory tract congestion — Feeling: Fair

Free text: Cough, congestion, some trouble breathing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — day 42, dose 2
MedDRA: Cough — Feeling: Good

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-08
Survey response — 6 months, dose 2
MedDRA: Cough, Dizziness, Oropharyngeal pain — Feeling: Good

Free text: Cough and dizziness and sore throat

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-05
Dose 3 — Moderna
Co-administered: Flu
2022-02-05
Survey response — 12 months, dose 2
MedDRA: Cough, Diarrhoea, Respiratory tract congestion, Sneezing, Vomiting — Feeling: Fair

Free text: Vomiting/diarrhea for 5 days in December; periodic congestion/sneezing; persistent mild cough

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Survey response — 6 months, dose 3
MedDRA: Cough — Feeling: Poor

Free text: Persitent cough

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Dose 4 — Moderna
Co-administered: Flu
2022-11-05
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2022-11-06
Health check-in — day 7, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-11-13
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-18
Survey response — day 21, dose 4
MedDRA: Dizziness, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair

Free text: Congestion, sore throat, dizzy

MedDRA releases: 2024-11 · check-in free text available
2022-11-26
Survey response — day 28, dose 4
MedDRA: Headache, Oropharyngeal pain, Respiratory tract congestion — Feeling: Good

Free text: Congested, sore throat, headache

MedDRA releases: 2024-11 · check-in free text available
2022-12-02
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-11
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-29
Survey response — 3 months, dose 4
MedDRA: Cough, Headache, Pyrexia, Respiratory tract congestion — Feeling: Good

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-08	Moderna
2	2021-02-05	Moderna
3	2021-11-05	Moderna	Flu
4	2022-10-28	Moderna	Flu

Free text

Release 3 — day 21, dose 1

2021-01-29

Symptoms: I developed cold-like symptoms yesterday, and am feeling achy today.

Release 3 — days 1–6 daily, dose 2

2021-02-07

Systemic reaction (other): I had a very low temperature reading when I woke up (95.9Â°).

2021-02-08

Systemic reaction (other): Dizziness

2021-02-09

Systemic reaction (other): Dizziness

Release 4 — day 14, dose 2

2021-02-19

Symptoms: Cough

Release 4 — day 21, dose 2

2021-02-27

Symptoms: Coughing, sneezing/congestion, headache

Release 5 — day 28, dose 2

2021-03-05

Symptoms: Coughing, congested, toothache

Release 5 — day 35, dose 2

2021-03-12

Symptoms: Cough, congestion, some trouble breathing

Release 5 — day 42, dose 2

2021-03-19

Symptoms: Cough

Release 9 — 6 months, dose 2

2021-08-08

Symptoms: Cough and dizziness and sore throat

Release 11 — 12 months, dose 2

2022-02-05

Symptoms: Vomiting/diarrhea for 5 days in December; periodic congestion/sneezing; persistent mild cough

Release 11 — 6 months, dose 3

2022-05-06

Symptoms: Persitent cough

Release 12 — day 21, dose 4

2022-11-18

Symptoms: Congestion, sore throat, dizzy

Release 12 — day 28, dose 4

2022-11-26

Symptoms: Congested, sore throat, headache

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	Dyspnoea	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pain	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Sneezing	✓	✓	✓
SD	Toothache	✓	✓	✓
SD	Vomiting	·	·	✓
SRO	Body temperature decreased	✓	✓	✓
SRO	Dizziness	✓	✓	✓

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