YPD-52048-27931

3 vaccinations 12 coded responses 33 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 986 / WA
Registered: 2021-02-16

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

2021-02-16
Registered in v-safe
2021-02-16
Dose 1 — Moderna
2021-02-16
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-17
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-19
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Dizzy-yesterday too , but forgot to mention

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — days 1–6 daily, dose 1
MedDRA: Heart rate increased — Feeling: Good · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Forgot to mention day two-rapid heartbeat-85-195 resting rate -normally in low 60s

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-11
Survey response — day 21, dose 1
MedDRA: Balance disorder, Dizziness, Lethargy, Muscle spasms — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: Unsteady-almost dizzy for 2 days, accompanied by extreme lethargy. Muscle spasms in areas I dont usually have them.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Dose 2 — Moderna
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · Fatigue or tiredness

Adult check-in
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Itching · Fatigue or tiredness

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-23
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-03-30
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-28
Survey response — day 42, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Run down- tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-14
Survey response — 6 months, dose 2
MedDRA: Nasopharyngitis — Feeling: Fair

Free text: Caught a cold from my son -he had negative covid test

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Dose 3 — Pfizer-BioNTech
2021-12-08
Survey response — days 1–6 daily, dose 3
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Site: Pain, Itching

Free text: Ocular rosacea flare up started day after booster-is continuing

MedDRA releases: 2024-11 · check-in free text available
2021-12-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-12-10
Survey response — days 1–6 daily, dose 3
MedDRA: Eye irritation, Ocular hyperaemia — Feeling: Good · Be unable to do your normal daily activities

Free text: Red irritated eyes

MedDRA releases: 2024-11 · check-in free text available
2021-12-13
Survey response — day 7, dose 3
MedDRA: Condition aggravated, Eye irritation, Pre-existing disease — Feeling: Good

Free text: Eye irritation -ocular rosacea flare up

MedDRA releases: 2024-11 · check-in free text available
2021-12-19
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-02
Survey response — day 28, dose 3
MedDRA: Fatigue, Paranasal sinus discomfort, Rhinorrhoea — Feeling: Good

Free text: Fatigue. Sinus pressure , runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-01-08
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-16
Survey response — day 42, dose 3
MedDRA: Fatigue, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activities

Free text: Extreme fatigue for 3 days, runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-03-05
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-12-04
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-16	Moderna
2	2021-03-16	Moderna
3	2021-12-04	Pfizer-BioNTech	No

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-17

Systemic reaction (other): Dizzy

2021-02-19

Systemic reaction (other): Dizzy-yesterday too , but forgot to mention

2021-02-20

Systemic reaction (other): Forgot to mention day two-rapid heartbeat-85-195 resting rate -normally in low 60s

Release 5 — day 21, dose 1

2021-03-11

Symptoms: Unsteady-almost dizzy for 2 days, accompanied by extreme lethargy. Muscle spasms in areas I dont usually have them.

Release 6 — days 1–6 daily, dose 2

2021-03-21

Systemic reaction (other): Dizzy

Release 8 — day 42, dose 2

2021-04-28

Symptoms: Run down- tired

Release 9 — 6 months, dose 2

2021-09-14

Symptoms: Caught a cold from my son -he had negative covid test

Release 10 — days 1–6 daily, dose 3

2021-12-08

Systemic reaction (other): Ocular rosacea flare up started day after booster-is continuing

2021-12-10

Systemic reaction (other): Red irritated eyes

Release 10 — day 7, dose 3

2021-12-13

Systemic reaction (other): Eye irritation -ocular rosacea flare up

Release 10 — day 28, dose 3

2022-01-02

Symptoms: Fatigue. Sinus pressure , runny nose

Release 10 — day 42, dose 3

2022-01-16

Symptoms: Extreme fatigue for 3 days, runny nose

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	Balance disorder	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Lethargy	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Paranasal sinus discomfort	·	·	✓
SD	Rhinorrhoea	·	·	✓
SRO	Condition aggravated	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Eye irritation	·	·	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Ocular hyperaemia	·	·	✓
SRO	Pre-existing disease	·	·	✓

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