YTC-10866-19449

5 vaccinations 16 coded responses 55 check-ins 16 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 712 / LA
Registered: 2021-02-12

Relationship: Self
Race: Black or African American
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

2021-02-12
Registered in v-safe
2021-02-12
Dose 1 — Moderna
2021-02-12
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-18
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Headache — Feeling: Good · Fatigue or tiredness

Free text: Headaches and fatigue has not been constant, but intermittent since receiving the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-02-26
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-05
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-11
Dose 2 — Moderna
2021-03-11
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · 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
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain, Joint range of motion decreased — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Some soreness still at the site of the injection. Cant raise my arm as high as normal because of the pain.

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

Adult check-in
2021-03-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-25
Survey response — day 14, dose 2
MedDRA: Bone pain — Feeling: Fair

Free text: Occasionally it feels like my bones are aching... never felt that before.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — day 21, dose 2
MedDRA: Fatigue, Headache, Self-medication — Feeling: Fair · Be unable to do your normal daily activities

Free text: I feel so tired all the time, along with intermittent headaches. I take Tylenol for the headaches but I cant shake the fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-15
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-22
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-10
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-09
Survey response — 6 months, dose 2
MedDRA: Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Almost continuous headaches, not migraines & fatigue.

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Dose 3 — Moderna
2022-03-11
Survey response — 12 months, dose 2
MedDRA: Headache, Pain, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: I've had headaches more than normal since the vaccine (+booster). Sometimes I'm in excruciating pain other times just a dull ache. Nothing in particular brings them on. They last for a while and ease (leave) with medication.

MedDRA releases: 2024-11 · check-in free text available
2022-05-05
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-05-14
Dose 4 — Moderna
2022-05-15
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-16
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Fatigue or tiredness

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-05-17
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-05-18
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: None

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness

Adult check-in
2022-05-20
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Fair · Headache, Fatigue or tiredness

Free text: None

MedDRA releases: 2024-11 · check-in free text available
2022-05-21
Survey response — day 7, dose 4
MedDRA: No adverse event — Feeling: Fair · Headache, Fatigue or tiredness

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-05-28
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-04
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-06-11
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-18
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-06-25
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-13
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-09-24
Dose 5 — Moderna
2022-09-24
Survey response — day 0, dose 5
MedDRA: No adverse event — Feeling: Good · Site: Pain, Swelling · Headache

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-09-25
Survey response — days 1–6 daily, dose 5
MedDRA: Pain, Rhinorrhoea — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains · Be unable to do your normal daily activities

Free text: Runny nose, all over soreness.

MedDRA releases: 2024-11 · check-in free text available
2022-09-26
Survey response — days 1–6 daily, dose 5
MedDRA: Pain — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Still some all over body soreness.

MedDRA releases: 2024-11 · check-in free text available
2022-09-27
Survey response — days 1–6 daily, dose 5
MedDRA: Pain — Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness

Free text: Still some bodily soreness

MedDRA releases: 2024-11 · check-in free text available
2022-09-28
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-09-29
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-09-30
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-10-01
Health check-in — day 7, dose 5
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-10-08
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-15
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-10-22
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-29
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-05
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-24
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-25
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-12	Moderna
2	2021-03-11	Moderna
3	2021-11-03	Moderna	No
4	2022-05-14	Moderna	No
5	2022-09-24	Moderna	No

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-18

Systemic reaction (other): Headaches and fatigue has not been constant, but intermittent since receiving the vaccine.

Release 5 — days 1–6 daily, dose 2

2021-03-12

Systemic reaction (other): EXTREME fatigue

2021-03-16

Systemic reaction (other): Some soreness still at the site of the injection. Cant raise my arm as high as normal because of the pain.

Release 6 — day 14, dose 2

2021-03-25

Symptoms: Occasionally it feels like my bones are aching... never felt that before.

Release 6 — day 21, dose 2

2021-04-01

Symptoms: I feel so tired all the time, along with intermittent headaches. I take Tylenol for the headaches but I cant shake the fatigue.

Release 9 — 6 months, dose 2

2021-09-09

Symptoms: Almost continuous headaches, not migraines & fatigue.

Release 11 — 12 months, dose 2

2022-03-11

Symptoms: I've had headaches more than normal since the vaccine (+booster). Sometimes I'm in excruciating pain other times just a dull ache. Nothing in particular brings them on. They last for a while and ease (leave) with medication.

Release 11 — days 1–6 daily, dose 4

2022-05-16

Systemic reaction (other): No

2022-05-17

Systemic reaction (other): No

2022-05-18

Systemic reaction (other): None

2022-05-20

Systemic reaction (other): None

Release 11 — day 7, dose 4

2022-05-21

Systemic reaction (other): No

Release 12 — day 0, dose 5

2022-09-24

Systemic reaction (other): No

Release 12 — days 1–6 daily, dose 5

2022-09-25

Systemic reaction (other): Runny nose, all over soreness.

2022-09-26

Systemic reaction (other): Still some all over body soreness.

2022-09-27

Systemic reaction (other): Still some bodily soreness

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	Bone pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Self-medication	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Joint range of motion decreased	✓	✓	✓
SRO	No adverse event	·	·	✓
SRO	Pain	·	·	✓
SRO	Rhinorrhoea	·	·	✓

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