Y6R-33752-81105

3 vaccinations 8 coded responses 32 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 801 / CO
Registered: 2021-02-11

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

2021-02-11
Registered in v-safe
2021-02-11
Dose 1 — Moderna
2021-02-11
Health check-in — day 0, dose 1
Feeling: Fair · Headache

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

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-02-15
Survey response — days 1–6 daily, dose 1
MedDRA: Nasopharyngitis — Feeling: Poor · Headache · Be unable to do your normal daily activities

Free text: Cold or allergy like symptoms .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — days 1–6 daily, dose 1
MedDRA: Nasopharyngitis — Feeling: Poor · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: I feel like I have a cold but I dont.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 1
MedDRA: Blood pressure increased, Headache — Feeling: Fair · Headache

Free text: I have high blood pressure today, which might be causing the headache today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — day 7, dose 1
Feeling: Good · Headache

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
2021-03-11
Dose 2 — Moderna
2021-03-11
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Respiratory symptom, Vaccine positive rechallenge — Feeling: Fair · Site: Pain · Headache

Free text: I feel like I have some kind of upper respiratory thing. I experienced this same symptom with my first shot too but this time the feeling is a bit heavier.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Respiratory disorder — Feeling: Good

Free text: A slight feeling of upper respiratory thing. I also had the same sensation with the first shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 2
MedDRA: Respiratory disorder — Feeling: Good

Free text: A little upper respiratory feeling.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-12
Survey response — 3 months, dose 2
MedDRA: Gastroenteritis viral — Feeling: Good · Be unable to do your normal daily activities

Free text: Stomach virus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-15
Dose 3 — Moderna
2021-10-29
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-05
Health check-in — day 21, dose 3
Feeling: Poor

Adult check-in
2021-11-12
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-14
Survey response — 3 months, dose 3
MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache for 5 days

MedDRA releases: 2024-11 · check-in free text available
2022-04-15
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-11	Moderna
2	2021-03-11	Moderna
3	2021-10-15	Moderna	No

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-15

Systemic reaction (other): Cold or allergy like symptoms .

2021-02-16

Systemic reaction (other): I feel like I have a cold but I dont.

2021-02-17

Systemic reaction (other): I have high blood pressure today, which might be causing the headache today.

Release 5 — days 1–6 daily, dose 2

2021-03-14

Systemic reaction (other): I feel like I have some kind of upper respiratory thing. I experienced this same symptom with my first shot too but this time the feeling is a bit heavier.

2021-03-16

Systemic reaction (other): A slight feeling of upper respiratory thing. I also had the same sensation with the first shot.

2021-03-17

Systemic reaction (other): A little upper respiratory feeling.

Release 9 — 3 months, dose 2

2021-06-12

Symptoms: Stomach virus

Release 10 — 3 months, dose 3

2022-01-14

Symptoms: Headache for 5 days

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	Gastroenteritis viral	✓	✓	✓
SD	Headache	·	·	✓
SRO	Blood pressure increased	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Respiratory disorder	✓	✓	✓
SRO	Respiratory symptom	✓	✓	✓
SRO	Vaccine positive rechallenge	✓	✓	✓

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