YFU-21758-80807

3 vaccinations 7 coded responses 31 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 441 / OH
Registered: 2021-03-11

Relationship: Self
Race: White
Ethnicity: 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

2021-03-11
Registered in v-safe
2021-03-11
Dose 1 — Moderna
2021-03-11
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · Muscle or body aches

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Headache — Feeling: Good · Headache, Fatigue or tiredness

Free text: Sharp pain on left side of head. A bit dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — day 7, dose 1
Feeling: Good · Nausea

Adult check-in
2021-03-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-08
Dose 2 — Moderna
2021-04-08
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Good

Free text: Runny nose sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — day 7, dose 2
MedDRA: Oral herpes — Feeling: Good

Free text: Not sure if relatednto vaccine. Did develop cold sore on lips the day after and still have many on the lips and chin.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-20
Survey response — day 42, dose 2
MedDRA: Arthralgia, Joint swelling — Feeling: Good · Be unable to do your normal daily activities

Free text: Left knee is in pain. Swollen behind knee.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-08
Survey response — 3 months, dose 2
MedDRA: Back pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Severe lower bck pain that wont go away

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-09
Survey response — 6 months, dose 2
MedDRA: Dizziness, Nausea, Tinnitus — Feeling: Poor · Be unable to work or attend school

Free text: Tinnitus....very loud. Makes me dizzy and nauseous.

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Dose 3 — Moderna
2022-01-06
Survey response — day 28, dose 3
MedDRA: COVID-19, Ear pain, Fatigue, Headache, Oropharyngeal pain, Pyrexia, Throat irritation — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Covid positive on Jan.4, 2022, headache, burning sore throat, fatigue, low grade fever, severe ear achess

MedDRA releases: 2024-11 · check-in free text available
2022-01-11
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-01-16
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-06
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-05
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-07
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Moderna
2	2021-04-08	Moderna
3	2021-12-05	Moderna	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-17

Systemic reaction (other): Sharp pain on left side of head. A bit dizzy

Release 7 — days 1–6 daily, dose 2

2021-04-14

Systemic reaction (other): Runny nose sore throat

Release 7 — day 7, dose 2

2021-04-15

Systemic reaction (other): Not sure if relatednto vaccine. Did develop cold sore on lips the day after and still have many on the lips and chin.

Release 8 — day 42, dose 2

2021-05-20

Symptoms: Left knee is in pain. Swollen behind knee.

Release 9 — 3 months, dose 2

2021-07-08

Symptoms: Severe lower bck pain that wont go away

Release 10 — 6 months, dose 2

2021-10-09

Symptoms: Tinnitus....very loud. Makes me dizzy and nauseous.

Release 10 — day 28, dose 3

2022-01-06

Symptoms: Covid positive on Jan.4, 2022, headache, burning sore throat, fatigue, low grade fever, severe ear achess

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	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Dizziness	·	·	✓
SD	Ear pain	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Joint swelling	✓	✓	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Throat irritation	·	·	✓
SD	Tinnitus	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Oral herpes	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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