Y7Z-25238-89049

5 vaccinations 5 coded responses 65 check-ins 4 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 400 / KY
Registered: 2021-02-20

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

2021-02-20
Registered in v-safe
2021-02-20
Dose 1 — Moderna
2021-02-20
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Fever · Fatigue or tiredness

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-27
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-20
Survey response — day 28, dose 1
MedDRA: Malaise, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: General malaise. Im not sure if the vaccine has caused my autoimmune disease to go haywire or if its simply the time of year when I tend to have more symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Dose 2 — Moderna
2021-03-22
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Nausea

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Fatigue or tiredness, Nausea

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness, Nausea

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-29
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-05
Survey response — day 14, dose 2
MedDRA: Injection site pain, Mobility decreased — Feeling: Fair

Free text: The muscle of the injection site is still quite bothersome. Its enough pain, I cant lie down on that side.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — day 21, dose 2
MedDRA: Pain in extremity, Sleep disorder — Feeling: Fair

Free text: I had both doses of Moderna in the left arm. Theres not a day that goes by that I dont have significant arm pain. Many nights its so painful that I cant lie on the left side.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-03
Survey response — day 42, dose 2
MedDRA: Crohn's disease, Gallbladder disorder, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Crohns flareGallbladder issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-16
Dose 3 — Moderna
2021-08-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-08-19
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-08-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-08-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness · Headache, Fatigue or tiredness

Adult check-in
2021-08-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-08-23
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-08-31
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-09-06
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-09-13
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-09-20
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-09-27
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-11-15
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-01-19
Dose 4 — Moderna
2022-01-19
Health check-in — day 0, dose 4
Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness

Adult check-in
2022-01-20
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2022-01-21
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Swelling · Fatigue or tiredness

Adult check-in
2022-01-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-01-23
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-01-24
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-01-26
Health check-in — day 7, dose 4
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2022-02-02
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-02-09
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-02-16
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-02-23
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-03-02
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-04-20
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-07-20
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-10-21
Dose 5 — Moderna
Co-administered: Flu
2022-10-21
Health check-in — day 0, dose 5
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches

Adult check-in
2022-10-22
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-23
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-24
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-25
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-26
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-27
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Headache

Adult check-in
2022-10-28
Health check-in — day 7, dose 5
Feeling: Good · Headache

Adult check-in
2022-11-04
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-11
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-18
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-25
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-12-02
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-20
Survey response — 3 months, dose 5
MedDRA: Crohn's disease, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-04-21
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-20	Moderna
2	2021-03-22	Moderna
3	2021-08-16	Moderna	No
4	2022-01-19	Moderna	No
5	2022-10-21	Moderna	Flu

Free text

Release 6 — day 28, dose 1

2021-03-20

Symptoms: General malaise. Im not sure if the vaccine has caused my autoimmune disease to go haywire or if its simply the time of year when I tend to have more symptoms.

Release 6 — day 14, dose 2

2021-04-05

Symptoms: The muscle of the injection site is still quite bothersome. Its enough pain, I cant lie down on that side.

Release 7 — day 21, dose 2

2021-04-12

Symptoms: I had both doses of Moderna in the left arm. Theres not a day that goes by that I dont have significant arm pain. Many nights its so painful that I cant lie on the left side.

Release 8 — day 42, dose 2

2021-05-03

Symptoms: Crohns flareGallbladder issues

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	Crohn's disease	✓	✓	✓
SD	Gallbladder disorder	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Mobility decreased	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Sleep disorder	✓	✓	✓

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