YLD-31803-52563

5 vaccinations 13 coded responses 40 check-ins 13 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 245 / VA
Registered: 2021-02-05

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

2021-02-03
Dose 1 — Moderna
2021-02-05
Registered in v-safe
2021-02-05
Survey response — days 1–6 daily, dose 1
MedDRA: Paraesthesia — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches

Free text: Skin tingling- hands, arms, legs, back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-08
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches

Free text: The above checked is due to RA.

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

Free text: Slight cold.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 21, dose 1
Feeling: Fair

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

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Rheumatoid arthritis — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Rheumatoid Arthritis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Free text: Rheumatoid Arthritis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Free text: Rheumatoid Arthritis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — day 7, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Muscle or body aches

Free text: RA

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-31
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-02
Survey response — 3 months, dose 2
MedDRA: Ageusia — Feeling: Good

Free text: Lost taste. Mostly back now. May have been an Rx I was on.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-01
Survey response — 6 months, dose 2
MedDRA: Cough, Nasopharyngitis, Oropharyngeal pain, Pain, Pre-existing disease — Feeling: Fair

Free text: Cold, sore throat, cough, aching today. Went to (b)(6) for Covid test. Waited outside for them too call me in. Couple hours. When I called to ask they said I could not get rapid testing had to see dr.Too many sick people there. I am immunocompromised

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-10
Dose 3 — Moderna
2021-10-27
Survey response — day 42, dose 3
MedDRA: Cough, Nasopharyngitis, Oropharyngeal pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Cold, cough, sore throat.

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-11
Survey response — 6 months, dose 3
MedDRA: Cough, Nasopharyngitis, Office visit, Pain, Pre-existing disease, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cold, cough, aching. Covid home test negative. Rheumatologist still telling me not to go in public places etc due to my immunodeficiency with RA and methotrexate. Please tell me how I can get the fourth Moderna. I got the third September 2021.

MedDRA releases: 2024-11 · check-in free text available
2022-05-28
Dose 4 — Moderna
2022-09-10
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2022-11-04
Dose 5 — Moderna
Co-administered: Flu
2022-11-05
Survey response — days 1–6 daily, dose 5
MedDRA: Hyperhidrosis — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sweating

MedDRA releases: 2024-11 · check-in free text available
2022-11-06
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-11-07
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-11-08
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Muscle or body aches, Nausea

Adult check-in
2022-11-09
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Muscle or body aches

Adult check-in
2022-11-10
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2022-11-11
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-11-20
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-25
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-12-02
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-12-09
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-12-16
Survey response — day 42, dose 5
MedDRA: Fall, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fell twice today. Senior with RA. I'm all right this far.

MedDRA releases: 2024-11 · check-in free text available
2023-02-03
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2023-05-05
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-03	Moderna
2	2021-03-03	Moderna
3	2021-09-10	Moderna	No
4	2022-05-28	Moderna	No
5	2022-11-04	Moderna	Flu

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-05

Systemic reaction (other): Skin tingling- hands, arms, legs, back

2021-02-08

Systemic reaction (other): The above checked is due to RA.

2021-02-09

Systemic reaction (other): Slight cold.

Release 5 — days 1–6 daily, dose 2

2021-03-05

Systemic reaction (other): Rheumatoid Arthritis

2021-03-08

Systemic reaction (other): Rheumatoid Arthritis

2021-03-09

Systemic reaction (other): Rheumatoid Arthritis

Release 5 — day 7, dose 2

2021-03-10

Systemic reaction (other): RA

Release 8 — 3 months, dose 2

2021-06-02

Symptoms: Lost taste. Mostly back now. May have been an Rx I was on.

Release 9 — 6 months, dose 2

2021-09-01

Symptoms: Cold, sore throat, cough, aching today. Went to (b)(6) for Covid test. Waited outside for them too call me in. Couple hours. When I called to ask they said I could not get rapid testing had to see dr.Too many sick people there. I am immunocompromised cut off by CDC

redacted (b)(6)

Release 10 — day 42, dose 3

2021-10-27

Symptoms: Cold, cough, sore throat.

Release 11 — 6 months, dose 3

2022-03-11

Symptoms: Cold, cough, aching. Covid home test negative. Rheumatologist still telling me not to go in public places etc due to my immunodeficiency with RA and methotrexate. Please tell me how I can get the fourth Moderna. I got the third September 2021.

Release 12 — days 1–6 daily, dose 5

2022-11-05

Systemic reaction (other): Sweating

Release 12 — day 42, dose 5

2022-12-16

Symptoms: Fell twice today. Senior with RA. I'm all right this far.

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	Ageusia	✓	✓	✓
SD	Cough	✓	·	✓
SD	Fall	·	·	✓
SD	Nasopharyngitis	✓	·	✓
SD	Office visit	·	·	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pain	✓	·	✓
SD	Pre-existing disease	✓	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Hyperhidrosis	·	·	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rheumatoid arthritis	✓	✓	✓

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