YKF-14354-76627

5 vaccinations 12 coded responses 42 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 112 / NY
Registered: 2021-04-22

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

2021-03-24
Dose 1 — Moderna
2021-04-21
Dose 2 — Moderna
2021-04-22
Registered in v-safe
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Erythema, Feeling abnormal, Musculoskeletal stiffness, Pruritus, Respiratory tract congestion, Skin warm, Sneezing — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Red, warm patches of skin; itching but not at the injection site, congested, coughing, sneezing, brain fog, stiff neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Neck mass — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lump at the base of my neck toward the front, on the side where I got the injection (lymph?)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Dyspnoea, Feeling abnormal, Sensation of foreign body — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Slight cough, a little short of breath, lump at base of throat, brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Anxiety, Tremor — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Free text: Lump in neck, anxious, fingers trembling upon waking when bent

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Disturbance in attention, Dizziness, Ocular discomfort, Oropharyngeal pain — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Sore throat, sandy feeling in eyes, trouble concentrating, dizzy, weak

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — day 7, dose 2
MedDRA: Asthenia, Disturbance in attention, Dizziness, Memory impairment — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Free text: Dizzy, weak, trouble focusing/memory issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — day 14, dose 2
MedDRA: Lymphadenopathy, Tenderness — Feeling: Fair · Be unable to do your normal daily activities

Free text: New: Swollen, tender gland in neck on right side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-19
Survey response — day 28, dose 2
MedDRA: Arthralgia, Asthenia, Brain fog, Cough, Dyspnoea, Fatigue, Myalgia, Nausea, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cough, shortness of breath, sore throat, joint & muscle aches, brain fog, fatigue, nausea, weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-21
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-21
Survey response — 6 months, dose 2
MedDRA: Chest pain, Cough, Dyspnoea, Oropharyngeal pain, Productive cough — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Shortness of breath, chest pain, coughing, sore throat, phlegm

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Dose 3 — Moderna
2022-04-21
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-05-16
Dose 4 — Moderna
2022-05-16
Survey response — day 0, dose 4
MedDRA: Cough, Dizziness, Oropharyngeal pain — Feeling: Fair · Site: Pain

Free text: Sore throat, cough, dizziness

MedDRA releases: 2024-11 · check-in free text available
2022-05-17
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-05-18
Survey response — days 1–6 daily, dose 4
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-05-20
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-21
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-05-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2022-05-23
Health check-in — day 7, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-05-30
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-06-06
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-06-13
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-06-20
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-06-27
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-08-15
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-10-20
Dose 5 — Moderna
2022-10-22
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-23
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains

Adult check-in
2022-10-24
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains

Adult check-in
2022-10-25
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · None

Adult check-in
2022-10-26
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-27
Health check-in — day 7, dose 5
Feeling: Fair · None

Adult check-in
2022-11-03
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-10
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-11-17
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-24
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-12-01
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2023-01-19
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-20
Survey response — 6 months, dose 5
MedDRA: Cough, Headache, Respiratory tract congestion, Sinus congestion, Sneezing, Sputum discoloured — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Moderna
2	2021-04-21	Moderna
3	2021-11-18	Moderna	No
4	2022-05-16	Moderna	No
5	2022-10-20	Moderna	No

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-22

Systemic reaction (other): Red, warm patches of skin; itching but not at the injection site, congested, coughing, sneezing, brain fog, stiff neck

2021-04-24

Systemic reaction (other): Lump at the base of my neck toward the front, on the side where I got the injection (lymph?)

2021-04-25

Systemic reaction (other): Slight cough, a little short of breath, lump at base of throat, brain fog

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Lump in neck, anxious, fingers trembling upon waking when bent

2021-04-27

Systemic reaction (other): Sore throat, sandy feeling in eyes, trouble concentrating, dizzy, weak

Release 8 — day 7, dose 2

2021-04-28

Systemic reaction (other): Dizzy, weak, trouble focusing/memory issues

Release 8 — day 14, dose 2

2021-05-05

Symptoms: New: Swollen, tender gland in neck on right side

Release 8 — day 28, dose 2

2021-05-19

Symptoms: Cough, shortness of breath, sore throat, joint & muscle aches, brain fog, fatigue, nausea, weakness

Release 10 — 6 months, dose 2

2021-10-21

Symptoms: Shortness of breath, chest pain, coughing, sore throat, phlegm

Release 11 — day 0, dose 4

2022-05-16

Systemic reaction (other): Sore throat, cough, dizziness

Release 11 — days 1–6 daily, dose 4

2022-05-18

Systemic reaction (other): Sore throat

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	Asthenia	✓	✓	✓
SD	Brain fog	✓	✓	✓
SD	Chest pain	·	·	✓
SD	Cough	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Productive cough	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Sneezing	·	·	✓
SD	Sputum discoloured	·	·	✓
SD	Tenderness	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Memory impairment	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Neck mass	✓	✓	✓
SRO	Ocular discomfort	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Sensation of foreign body	✓	✓	✓
SRO	Skin warm	✓	✓	✓
SRO	Sneezing	✓	✓	✓
SRO	Tremor	✓	✓	✓

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