YQP-18387-23066

2 vaccinations 9 coded responses 25 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 337 / FL
Registered: 2021-03-19

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

2021-03-18
Dose 1 — Moderna
2021-03-19
Registered in v-safe
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Not sure if my symptoms are just due to the extreme pain at the injection site as it makes me feel very unwell

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-15
Dose 2 — Moderna
2021-04-15
Survey response — day 0, dose 2
MedDRA: Dysgeusia — Feeling: Fair · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tiredness

Free text: Metallic taste in mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Dysgeusia, Illness, Pain in extremity — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Metallic taste in mouth, dizziness intense pain in arm. Very sick overall

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspepsia — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Sour stomach

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

Free text: Sour stomach

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Fatigue or tiredness

Free text: Since Ive had the vaccine, its just an underlying feeling of fighting off something nothing terrible but definitely different

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 7, dose 2
MedDRA: Malaise — Feeling: Fair · Fatigue or tiredness

Free text: Just a general feeling of Ill being

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-27
Survey response — day 42, dose 2
MedDRA: Fatigue, Headache — Feeling: Fair

Free text: Fatigue, headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-14
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-15
Survey response — 12 months, dose 2
MedDRA: Fatigue, Malaise, Respiratory tract congestion — Feeling: Good

Free text: More tired, more general congestion Actually, more of the symptoms of long Covid, even though I never had Covid. I am retired so didn't keep me from obligations.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Moderna
2	2021-04-15	Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): Not sure if my symptoms are just due to the extreme pain at the injection site as it makes me feel very unwell

Release 7 — day 0, dose 2

2021-04-15

Systemic reaction (other): Metallic taste in mouth

Release 7 — days 1–6 daily, dose 2

2021-04-16

Systemic reaction (other): Metallic taste in mouth, dizziness intense pain in arm. Very sick overall

2021-04-19

Systemic reaction (other): Sour stomach

2021-04-20

Systemic reaction (other): Sour stomach

2021-04-21

Systemic reaction (other): Since Ive had the vaccine, its just an underlying feeling of fighting off something nothing terrible but definitely different

Release 7 — day 7, dose 2

2021-04-22

Systemic reaction (other): Just a general feeling of Ill being

Release 8 — day 42, dose 2

2021-05-27

Symptoms: Fatigue, headache

Release 11 — 12 months, dose 2

2022-04-15

Symptoms: More tired, more general congestion Actually, more of the symptoms of long Covid, even though I never had Covid. I am retired so didn't keep me from obligations.

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	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Malaise	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Illness	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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