Z2G-14936-84664

5 vaccinations 14 coded responses 34 check-ins 14 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 622 / IL
Registered: 2021-01-27

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

2021-01-27
Registered in v-safe
2021-01-27
Dose 1 — Moderna
2021-01-27
Survey response — day 0, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Headache, Fatigue or tiredness

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · Joint pains, Muscle or body aches

Adult check-in
2021-01-31
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea — Feeling: Good

Free text: Runny nose at times

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — days 1–6 daily, dose 1
MedDRA: Gastrointestinal pain — Feeling: Good · Headache, Joint pains, Muscle or body aches

Free text: Intestines feel a little sore.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — day 7, dose 1
MedDRA: Gastrointestinal pain — Feeling: Good · Joint pains

Free text: Intestinal soreness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-17
Survey response — day 21, dose 1
MedDRA: Fatigue — Feeling: Fair

Free text: Tired all the time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Dose 2 — Moderna
2021-02-24
Health check-in — day 0, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Flatulence — Feeling: Poor · Site: Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lots of fatulance

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Gastrointestinal pain — Feeling: Fair · Site: Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My intestines feel sore. I cannot eat but a light diet. No heavy meats. Milk and fruit.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Abnormal faeces, Fatigue, Injection site bruising, Pain, Urine odour abnormal — Feeling: Fair · Site: Swelling · Fever · Muscle or body aches, Fatigue or tiredness

Free text: Tired and achey. My urine and bowels stink abnormal smells. My arm at injection site is black and blue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Chromaturia — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Orange urine upon rising.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — day 7, dose 2
MedDRA: Muscle spasms — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Leg cramps after taking rosovastatin .5 mg

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-17
Survey response — day 21, dose 2
MedDRA: Arthralgia, Bone pain, Fatigue, Pain — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Bones and joints ache. Tired all the time and cannot shake it. Achey feeling all over like I have the flu sticking in me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-31
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-26
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-25
Dose 3 — Moderna
2022-02-24
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-10
Dose 4 — Moderna
2022-04-27
Survey response — day 14, dose 4
MedDRA: Fatigue, Feeling abnormal — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cannot shake off this tired feeling I started on day 3 after the 4th shot of COVID. I did not feel this bad after any of the other 3 shots. All shots were Moderns.

MedDRA releases: 2024-11 · check-in free text available
2022-05-01
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-08
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-15
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-22
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-10
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-12
Dose 5 — Moderna
Co-administered: Flu
2022-10-09
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-10-09
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-17
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-24
Survey response — day 42, dose 5
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: Severe sore throat.

MedDRA releases: 2024-11 · check-in free text available
2022-12-12
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-14
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-27	Moderna
2	2021-02-24	Moderna
3	2021-10-25	Moderna	No
4	2022-04-10	Moderna	No
5	2022-09-12	Moderna	Flu

Free text

Release 2 — day 0, dose 1

2021-01-27

Systemic reaction (other): No

Release 2 — days 1–6 daily, dose 1

2021-01-28

Systemic reaction (other): None

Release 3 — days 1–6 daily, dose 1

2021-01-31

Systemic reaction (other): Runny nose at times

2021-02-02

Systemic reaction (other): Intestines feel a little sore.

Release 3 — day 7, dose 1

2021-02-05

Systemic reaction (other): Intestinal soreness

Release 4 — day 21, dose 1

2021-02-17

Symptoms: Tired all the time.

Release 4 — days 1–6 daily, dose 2

2021-02-26

Systemic reaction (other): Lots of fatulance

2021-02-27

Systemic reaction (other): My intestines feel sore. I cannot eat but a light diet. No heavy meats. Milk and fruit.

2021-02-28

Systemic reaction (other): Tired and achey. My urine and bowels stink abnormal smells. My arm at injection site is black and blue.

2021-03-01

Systemic reaction (other): Orange urine upon rising.

Release 5 — day 7, dose 2

2021-03-03

Systemic reaction (other): Leg cramps after taking rosovastatin .5 mg

Release 5 — day 21, dose 2

2021-03-17

Symptoms: Bones and joints ache. Tired all the time and cannot shake it. Achey feeling all over like I have the flu sticking in me.

Release 11 — day 14, dose 4

2022-04-27

Symptoms: Cannot shake off this tired feeling I started on day 3 after the 4th shot of COVID. I did not feel this bad after any of the other 3 shots. All shots were Moderns.

Release 12 — day 42, dose 5

2022-10-24

Symptoms: Severe sore throat.

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	Arthralgia	✓	✓	✓
SD	Bone pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SRO	Abnormal faeces	✓	✓	✓
SRO	Chromaturia	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Flatulence	✓	✓	✓
SRO	Gastrointestinal pain	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Urine odour abnormal	✓	✓	✓

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