YNQ-51391-72028

2 vaccinations 8 coded responses 22 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 750 / TX
Registered: 2021-03-11

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

2021-03-11
Registered in v-safe
2021-03-11
Dose 1 — Moderna
2021-03-11
Survey response — day 0, dose 1
MedDRA: Feeling abnormal, Pain in extremity — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore arm and fuzzy head but soon subsided

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Hyperhidrosis — Feeling: Good

Free text: Sweating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches

Adult check-in
2021-03-18
Survey response — day 7, dose 1
MedDRA: Abdominal distension — Feeling: Fair · Fatigue or tiredness

Free text: Bloated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — day 14, dose 1
MedDRA: Fatigue, Nasopharyngitis — Feeling: Fair

Free text: Fatigue & head cold

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-04-09
Dose 2 — Moderna
2021-04-09
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Abdominal pain

Adult check-in
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Fatigue, Pain, Pyrexia — Feeling: Poor · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: A low grade temp., yes, but a good appetite regardless of extreme back/body aches and fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling · Muscle or body aches, Fatigue or tiredness

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

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

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-16
Survey response — day 7, dose 2
MedDRA: Pain in extremity — Feeling: Good · Site: Pain

Free text: Arm is more sore than Id expect for 7 days out.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-30
Survey response — day 21, dose 2
MedDRA: Colitis, Crohn's disease, Fatigue, Inflammation, Pain, Pre-existing disease, Self-medication — Feeling: Good · Be unable to do your normal daily activities

Free text: My pre-existing condition is Crohns/Colitis which is in remission, but inflammation and body aches, and some tiredness, happened two days ago. I did take homeopathic Boiron brand, Oscillococcinum to help in lessening the flu-like symptoms. It worked.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-09
Survey response — 3 months, dose 2
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Sore throat, for several days last week. I do need to see dentist but it felt like Strep. Minor symptoms in the evenings. Almost gone.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Moderna
2	2021-04-09	Moderna

Free text

Release 5 — day 0, dose 1

2021-03-11

Systemic reaction (other): Sore arm and fuzzy head but soon subsided

Release 5 — days 1–6 daily, dose 1

2021-03-12

Systemic reaction (other): Sweating

Release 5 — day 7, dose 1

2021-03-18

Systemic reaction (other): Bloated

Release 6 — day 14, dose 1

2021-03-25

Symptoms: Fatigue & head cold

Release 7 — days 1–6 daily, dose 2

2021-04-10

Systemic reaction (other): A low grade temp., yes, but a good appetite regardless of extreme back/body aches and fatigue.

Release 7 — day 7, dose 2

2021-04-16

Systemic reaction (other): Arm is more sore than Id expect for 7 days out.

Release 8 — day 21, dose 2

2021-04-30

Symptoms: My pre-existing condition is Crohns/Colitis which is in remission, but inflammation and body aches, and some tiredness, happened two days ago. I did take homeopathic Boiron brand, Oscillococcinum to help in lessening the flu-like symptoms. It worked. cut off by CDC

Release 9 — 3 months, dose 2

2021-07-09

Symptoms: Sore throat, for several days last week. I do need to see dentist but it felt like Strep. Minor symptoms in the evenings. Almost gone.

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	Colitis	✓	✓	✓
SD	Crohn's disease	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Inflammation	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Self-medication	✓	✓	✓
SRO	Abdominal distension	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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