YPW-23439-16527

2 vaccinations 12 coded responses 26 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 367 / AL
Registered: 2021-01-15

Relationship: Self
Race: N/A
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

2021-01-14
Dose 1 — Moderna
2021-01-15
Registered in v-safe
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Survey response — day 14, dose 1
MedDRA: SARS-CoV-2 test positive — Feeling: Fair · Be unable to do your normal daily activities

Free text: I was taken by my son for a COVID test it was positive The doctor recommended A BamBam antibody infusion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — day 21, dose 1
MedDRA: Asthenia, Nausea — Feeling: Fair

Free text: I have had a few weak spells and nausea moments

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — day 28, dose 1
MedDRA: COVID-19, Headache, SARS-CoV-2 test positive, Self-medication — Feeling: Good

Free text: I have had 3 headaches I took 2 extra strength Tylenol As I reported before I was diagnosed positive for COVID-19. The doctor said having had 1 vaccine was good. I then had BamBam infusion. I feel good most of the time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-02-26
Survey response — day 42, dose 1
MedDRA: Asthenia, Muscular weakness — Feeling: Fair · Be unable to do your normal daily activities

Free text: No energy weak legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — 3 months, dose 1
MedDRA: Muscular weakness — Feeling: Fair

Free text: I am having problems with my left I It seems like a glazeWeakness in the legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Dose 2 — Moderna
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-19
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Not a large amount of rash

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — days 1–6 daily, dose 2
MedDRA: Dysstasia, Muscular weakness — Feeling: Fair · Fatigue or tiredness

Free text: Weakness of the legs that kept me from standing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Survey response — days 1–6 daily, dose 2
MedDRA: Muscular weakness — Feeling: Poor · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Weakness in legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain, Dizziness — Feeling: Good · Fatigue or tiredness, Abdominal pain

Free text: My abdominal pain was not serious. I also had some dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: I have had some but not as severe as previous

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Survey response — day 7, dose 2
MedDRA: Fatigue, Somnolence — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Very tired and sleepy moderate to really tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-09
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-14
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-23
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-28
Survey response — day 42, dose 2
MedDRA: Asthenia, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: I am having weakness and problems with my breathing I dont have any energy I cant seem to stay up and doing my chores I dont know what caused this I just know I feel different than I did before I had COVID and the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-16
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-11-15
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-05-19
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-05-17	Moderna

Free text

Release 3 — day 14, dose 1

2021-01-28

Symptoms: I was taken by my son for a COVID test it was positive The doctor recommended A BamBam antibody infusion

Release 3 — day 21, dose 1

2021-02-04

Symptoms: I have had a few weak spells and nausea moments

Release 4 — day 28, dose 1

2021-02-11

Symptoms: I have had 3 headaches I took 2 extra strength Tylenol As I reported before I was diagnosed positive for COVID-19. The doctor said having had 1 vaccine was good. I then had BamBam infusion. I feel good most of the time.

Release 4 — day 42, dose 1

2021-02-26

Symptoms: No energy weak legs

Release 7 — 3 months, dose 1

2021-04-17

Symptoms: I am having problems with my left I It seems like a glazeWeakness in the legs

Release 8 — days 1–6 daily, dose 2

2021-05-19

Systemic reaction (other): Not a large amount of rash

2021-05-20

Systemic reaction (other): Weakness of the legs that kept me from standing

2021-05-21

Systemic reaction (other): Weakness in legs

2021-05-22

Systemic reaction (other): My abdominal pain was not serious. I also had some dizziness

2021-05-23

Systemic reaction (other): I have had some but not as severe as previous

Release 8 — day 7, dose 2

2021-05-24

Systemic reaction (other): Very tired and sleepy moderate to really tired

Release 9 — day 42, dose 2

2021-06-28

Symptoms: I am having weakness and problems with my breathing I dont have any energy I cant seem to stay up and doing my chores I dont know what caused this I just know I feel different than I did before I had COVID and the vaccine

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	Asthenia	✓	✓	✓
SD	COVID-19	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	SARS-CoV-2 test positive	✓	✓	✓
SD	Self-medication	✓	✓	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dysstasia	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Muscular weakness	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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