Y7K-10648-03775

2 vaccinations 11 coded responses 23 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 999 / AK
Registered: 2021-01-05

Relationship: Self
Race: American Indian or Alaska Native
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

2021-01-04
Dose 1 — Moderna
2021-01-05
Registered in v-safe
2021-01-05
Survey response — days 1–6 daily, dose 1
MedDRA: Pain — Feeling: Good

Free text: slight soreness last night and slight today if I lift my arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia, Pain — Feeling: Good · Fatigue or tiredness

Free text: I was sore the second night, last night thought, "I have ti call that V safe" i felt the third night when I woke, my hand was rested but numb when I went to move it.y

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Survey response — days 1–6 daily, dose 1
MedDRA: Ageusia — Feeling: Good · Fatigue or tiredness

Free text: Lost taste.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-10
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Fatigue or tiredness

Free text: Everything ok

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Survey response — day 7, dose 1
MedDRA: Fatigue, Pre-existing disease, Sjogren's syndrome — Feeling: Good · Fatigue or tiredness

Free text: I do have sjogrens, so fatigue is at times that symptom.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-01
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-08
Dose 2 — Moderna
2021-02-08
Health check-in — day 0, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness, Diarrhea

Adult check-in
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Good · Site: Itching · Fatigue or tiredness

Free text: Minimal itch if I rub

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Diarrhoea — Feeling: Good · Site: Itching · Fatigue or tiredness, Diarrhea

Free text: I did not know if my increasing water was the reason for the diarrhea,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia — Feeling: Fair · Site: Itching · Joint pains

Free text: Odd ache in knees joints

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — day 7, dose 2
MedDRA: Arthralgia — Feeling: Good · Muscle or body aches

Free text: My knees I feel like I've done exercise and haven't.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-11
Survey response — 6 months, dose 2
MedDRA: Bursitis — Feeling: Good

Free text: Pribably not related, hip brusitis. No flu symptoms

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-10
Survey response — 12 months, dose 2
MedDRA: COVID-19, Cough — Feeling: Good

Free text: From COVID I HAVE A COUGH.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-04	Moderna
2	2021-02-08	Moderna

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-05

Systemic reaction (other): slight soreness last night and slight today if I lift my arm

2021-01-06

Systemic reaction (other): I was sore the second night, last night thought, "I have ti call that V safe" i felt the third night when I woke, my hand was rested but numb when I went to move it.y

2021-01-08

Systemic reaction (other): Lost taste.

2021-01-10

Systemic reaction (other): Everything ok

Release 1 — day 7, dose 1

2021-01-14

Systemic reaction (other): I do have sjogrens, so fatigue is at times that symptom.

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Minimal itch if I rub

2021-02-12

Systemic reaction (other): I did not know if my increasing water was the reason for the diarrhea,

2021-02-14

Systemic reaction (other): Odd ache in knees joints

Release 4 — day 7, dose 2

2021-02-17

Systemic reaction (other): My knees I feel like I've done exercise and haven't.

Release 9 — 6 months, dose 2

2021-08-11

Symptoms: Pribably not related, hip brusitis. No flu symptoms

Release 11 — 12 months, dose 2

2022-02-10

Symptoms: From COVID I HAVE A COUGH.

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	Bursitis	✓	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SRO	Ageusia	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Sjogren's syndrome	✓	✓	✓
SRO	Unevaluable event	○	○	○

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