YB4-14292-97564

2 vaccinations 10 coded responses 21 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 983 / WA
Registered: 2021-02-04

Relationship: Self
Race: Asian
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

2021-02-04
Registered in v-safe
2021-02-04
Dose 1 — Moderna
2021-02-04
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — days 1–6 daily, dose 1
MedDRA: Head discomfort, Injection site pain — Feeling: Fair · Fatigue or tiredness · Be unable to work

Free text: A little bit feeling heaviness of my head, Tenderness on injection site when touch it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Survey response — days 1–6 daily, dose 1
MedDRA: Head discomfort, Injection site pain — Feeling: Fair · Muscle or body aches

Free text: Not exactly headache but feel like heaviness of my head, still sore on the injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Rash, not including the immediate area around the injection site

Adult check-in
2021-02-09
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Fatigue, Injection site pain — Feeling: Fair · Chills

Free text: Sometime have chills n feel fatigue not often, soreness on injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Chills, Myalgia — Feeling: Fair · Chills

Free text: Chills come n goes, a little muscles n join pain dont know if its related to vaccination or not.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — day 7, dose 1
MedDRA: Chills, Injection site pain — Feeling: Fair · Chills

Free text: Have chills come n goes, injection site still a little sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-25
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-04
Dose 2 — Moderna
2021-03-04
Health check-in — day 0, dose 2
Feeling: Fair · None

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Chills, Mobility decreased, Somnolence, Tremor — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Shaky, chills, weakness hard to walk w/o walker or cane, very sleepy too

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Gait disturbance, Muscular weakness, Myalgia, Pre-existing disease, Somnolence — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Very sleepy, May b due to poly myalgia rheumatica that I had make me muscles n joint pain . Weakness n no strength of my legs below the knees, make it hard to walk normal.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain — Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Is it normal to pain on injection site of my 1st dose vaccination?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — day 7, dose 2
MedDRA: Chills, Fatigue, Somnolence — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sleepy n tired, sometime feels chills

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-27
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-03
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-08
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-15
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Moderna
2	2021-03-04	Moderna

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-05

Systemic reaction (other): None

2021-02-06

Systemic reaction (other): A little bit feeling heaviness of my head, Tenderness on injection site when touch it.

2021-02-07

Systemic reaction (other): Not exactly headache but feel like heaviness of my head, still sore on the injection site

2021-02-09

Systemic reaction (other): Sometime have chills n feel fatigue not often, soreness on injection site

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): Chills come n goes, a little muscles n join pain dont know if its related to vaccination or not.

Release 4 — day 7, dose 1

2021-02-11

Systemic reaction (other): Have chills come n goes, injection site still a little sore

Release 5 — days 1–6 daily, dose 2

2021-03-06

Systemic reaction (other): Shaky, chills, weakness hard to walk w/o walker or cane, very sleepy too

2021-03-07

Systemic reaction (other): Very sleepy, May b due to poly myalgia rheumatica that I had make me muscles n joint pain . Weakness n no strength of my legs below the knees, make it hard to walk normal.

2021-03-10

Systemic reaction (other): Is it normal to pain on injection site of my 1st dose vaccination?

Release 5 — day 7, dose 2

2021-03-11

Systemic reaction (other): Sleepy n tired, sometime feels chills

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	Arthralgia	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Gait disturbance	✓	✓	✓
SRO	Head discomfort	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Muscular weakness	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Somnolence	✓	✓	✓
SRO	Tremor	✓	✓	✓

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