Y5X-20671-49976

3 vaccinations 9 coded responses 22 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 980 / WA
Registered: 2021-03-30

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

2021-03-30
Registered in v-safe
2021-03-30
Dose 1 — Moderna
2021-03-30
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Sleep disorder — Feeling: Good

Free text: Sleeping over night didnt go so well, woke up the middle of the night, wide awake and took about 1 1/2 hour to go back to sleep.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Diarrhoea — Feeling: Good · Diarrhea

Free text: Diarrhea for the last 3 days, but Im not sure if its not food related

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: Good

Free text: Little sore throat and little congestion in the morning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Faeces soft — Feeling: Good

Free text: Soft bowel movement

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Faeces soft — Feeling: Good

Free text: Soft bowel movement

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — day 7, dose 1
MedDRA: Faeces soft — Feeling: Good

Free text: Soft bowel movement

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-29
Dose 2 — Moderna
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Decreased appetite, Diarrhoea, Fatigue, Myalgia, Pain in extremity — Feeling: Good · Site: Itching

Free text: The next day after my 2nd vaccine I had chills, no fever though, muscle aches, severe tiredness, so that I spent the day in bed, diarrhea, loss of appetite and mildly soar arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Faeces soft, Fatigue, Somnolence — Feeling: Good · Fatigue or tiredness

Free text: Since this came 6 days after my second vaccine, I ll tell you my 2nd day after vaccine: tired, sleepy early evening, soft bowel movement. 1st day after vaccine was included in yesterdays note in this same section, which was quite severe.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — day 7, dose 2
MedDRA: Faeces soft, Fatigue — Feeling: Good · Site: Itching

Free text: Since I didnt get this text directly after my second vaccine Ill tell you now the symptoms the third day after: fatigue and soft bowel movement. See previous days notes for 1st and 2nd day after vaccine 2.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-18
Dose 3 — Moderna
2022-06-20
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-30	Moderna
2	2021-04-29	Moderna
3	2021-12-18	Moderna	No

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-01

Systemic reaction (other): Sleeping over night didnt go so well, woke up the middle of the night, wide awake and took about 1 1/2 hour to go back to sleep.

2021-04-02

Systemic reaction (other): Diarrhea for the last 3 days, but Im not sure if its not food related

2021-04-03

Systemic reaction (other): Little sore throat and little congestion in the morning

2021-04-04

Systemic reaction (other): Soft bowel movement

2021-04-05

Systemic reaction (other): Soft bowel movement

Release 7 — day 7, dose 1

2021-04-06

Systemic reaction (other): Soft bowel movement

Release 8 — days 1–6 daily, dose 2

2021-05-04

Systemic reaction (other): The next day after my 2nd vaccine I had chills, no fever though, muscle aches, severe tiredness, so that I spent the day in bed, diarrhea, loss of appetite and mildly soar arm.

2021-05-05

Systemic reaction (other): Since this came 6 days after my second vaccine, I ll tell you my 2nd day after vaccine: tired, sleepy early evening, soft bowel movement. 1st day after vaccine was included in yesterdays note in this same section, which was quite severe.

Release 8 — day 7, dose 2

2021-05-06

Systemic reaction (other): Since I didnt get this text directly after my second vaccine Ill tell you now the symptoms the third day after: fatigue and soft bowel movement. See previous days notes for 1st and 2nd day after vaccine 2.

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
SRO	Chills	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Faeces soft	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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