YS6-94095-04226

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

Sex: Female
Age at first dose: 46-50
ZIP prefix: 980 / WA
Registered: 2021-04-23

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

2021-04-20
Dose 1 — Moderna
2021-04-23
Registered in v-safe
2021-04-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-04-26
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal discomfort — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: I've had an upset stomach anytime I eat since the injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-04
Survey response — day 14, dose 1
MedDRA: Hypoaesthesia — Feeling: Fair · Be unable to do your normal daily activities

Free text: My joints in my fingers and toes go numb randomly.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Survey response — day 21, dose 1
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extreme fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Dose 2 — Moderna
2021-05-18
Survey response — day 0, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Short of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Short of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-21
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-25
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-06-02
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-06-08
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-15
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-22
Survey response — day 35, dose 2
MedDRA: Cough, Injection site pain, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: I felt feverish and coughing more after being in the sun for the day. My arm is still sore in the injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-17
Survey response — 3 months, dose 2
MedDRA: Ageusia, COVID-19, Dyspnoea, Fatigue, Feeling abnormal, Pyrexia, Quarantine — Feeling: Poor · Be unable to do your normal daily activities

Free text: I had loss of taste, fever, problems breathing, exhaustion and the rest of the household had issues to. So we had COVID-19 even after getting the vaccine. I'm still feeling off, but am much better than last week. We quarantined to be safe.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-17
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-20	Moderna
2	2021-05-18	Moderna

Free text

Release 8 — days 1–6 daily, dose 1

2021-04-26

Systemic reaction (other): I've had an upset stomach anytime I eat since the injection.

Release 8 — day 14, dose 1

2021-05-04

Symptoms: My joints in my fingers and toes go numb randomly.

Release 8 — day 21, dose 1

2021-05-11

Symptoms: Extreme fatigue

Release 8 — day 0, dose 2

2021-05-18

Systemic reaction (other): Short of breath

Release 8 — days 1–6 daily, dose 2

2021-05-19

Systemic reaction (other): Short of breath

2021-05-21

Systemic reaction (other): Shortness of breath

Release 9 — day 35, dose 2

2021-06-22

Symptoms: I felt feverish and coughing more after being in the sun for the day. My arm is still sore in the injection site.

Release 9 — 3 months, dose 2

2021-08-17

Symptoms: I had loss of taste, fever, problems breathing, exhaustion and the rest of the household had issues to. So we had COVID-19 even after getting the vaccine. I'm still feeling off, but am much better than last week. We quarantined to be safe.

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	Ageusia	✓	·	✓
SD	Cough	✓	✓	✓
SD	COVID-19	✓	·	✓
SD	Dyspnoea	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	·	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Quarantine	✓	·	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓

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