YRJ-51075-91591

5 vaccinations 7 coded responses 59 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 604 / IL
Registered: 2021-02-27

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

2021-02-27
Registered in v-safe
2021-02-27
Dose 1 — Moderna
2021-02-27
Health check-in — day 0, dose 1
Feeling: Good · Chills, Headache, Joint pains

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-27
Dose 2 — Moderna
2021-03-27
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity, Sensory disturbance — Feeling: Good · Fatigue or tiredness

Free text: Day 1 I forgot to note that my arm did hurt but there was another feeling - like when I stretched out my arm it didn't feel real - as if it wasn't my arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-03
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-17
Survey response — day 21, dose 2
MedDRA: Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Nauseous, 2 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-27
Survey response — 3 months, dose 2
MedDRA: Cough — Feeling: Good

Free text: Cough that doesn't seem to want to go away. Sometimes dry, other times mucous-y.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-25
Survey response — 6 months, dose 2
MedDRA: Chills, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities

Free text: I had a very sore throat and felt chills. Since my niece had a covid positive test after feeling she was coming down with a cold, I was tested for covid and it was negative.

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Dose 3 — Moderna
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-08
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-15
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-22
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-29
Survey response — day 28, dose 3
MedDRA: Fatigue, Somnolence — Feeling: Fair · Be unable to do your normal daily activities

Free text: Exhausted. Can't seem to stay awake for more than a couple hours

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-13
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-31
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-02
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-07
Dose 4 — Pfizer-BioNTech
2022-05-16
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-22
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-29
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-04
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-11
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-06-18
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-06
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-13
Dose 5 — Pfizer-BioNTech
2022-10-14
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-10-15
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-10-16
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-10-17
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-18
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-19
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-20
Health check-in — day 7, dose 5
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-27
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-03
Survey response — day 21, dose 5
MedDRA: Chills, Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cold with chills

MedDRA releases: 2024-11 · check-in free text available
2022-11-10
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-19
Survey response — day 35, dose 5
MedDRA: Abdominal pain upper, Fatigue, Feeling cold, Feeling hot — Feeling: Fair · Be unable to do your normal daily activities

Free text: Exhausted, stomach pain, periods of feeling too warm or too cold

MedDRA releases: 2024-11 · check-in free text available
2022-11-25
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-12
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-13
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-27	Moderna
2	2021-03-27	Moderna
3	2021-11-01	Moderna	No
4	2022-05-07	Pfizer-BioNTech	No
5	2022-10-13	Pfizer-BioNTech	No

Free text

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): Day 1 I forgot to note that my arm did hurt but there was another feeling - like when I stretched out my arm it didn't feel real - as if it wasn't my arm.

Release 7 — day 21, dose 2

2021-04-17

Symptoms: Nauseous, 2 days

Release 9 — 3 months, dose 2

2021-06-27

Symptoms: Cough that doesn't seem to want to go away. Sometimes dry, other times mucous-y.

Release 9 — 6 months, dose 2

2021-09-25

Symptoms: I had a very sore throat and felt chills. Since my niece had a covid positive test after feeling she was coming down with a cold, I was tested for covid and it was negative.

Release 10 — day 28, dose 3

2021-11-29

Symptoms: Exhausted. Can't seem to stay awake for more than a couple hours

Release 12 — day 21, dose 5

2022-11-03

Symptoms: Cold with chills

Release 12 — day 35, dose 5

2022-11-19

Symptoms: Exhausted, stomach pain, periods of feeling too warm or too cold

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	Abdominal pain upper	·	·	✓
SD	Chills	·	·	✓
SD	Cough	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Feeling cold	·	·	✓
SD	Feeling hot	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Somnolence	·	·	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Sensory disturbance	✓	✓	✓

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