Z3S-17309-44642

5 vaccinations 12 coded responses 50 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 067 / CT
Registered: 2021-03-11

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

2021-03-10
Dose 1 — Moderna
2021-03-11
Registered in v-safe
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good

Free text: I have had the slightest sore arm. The survey doesn't allow for that response.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site swelling — Feeling: Good · Site: Swelling

Free text: Just the slightest swelling at injection sute

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Oedema peripheral, Pain in extremity — Feeling: Good · Site: Swelling

Free text: Swelling/soreness in arm is very mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-03-17
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Survey response — day 14, dose 1
MedDRA: Fatigue, Nasal congestion — Feeling: Fair

Free text: Some nasal congestionTiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-07
Dose 2 — Moderna
2021-04-07
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · Fatigue or tiredness

Adult check-in
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Balance disorder, Dizziness, Lymphadenopathy — Feeling: Good · Site: Swelling · Fatigue or tiredness

Free text: Felt woozy and unbalanced, not bad but noticeable, swollen glamds

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Swelling · Fatigue or tiredness

Free text: Woozy

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

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-14
Survey response — day 7, dose 2
MedDRA: Dizziness, Feeling abnormal — Feeling: Poor · Be unable to do your normal daily activities

Free text: Woozy, dizzy feeling very bad last night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 14, dose 2
MedDRA: Dizziness, Fatigue, Lymphadenopathy, Malaise — Feeling: Fair · Be unable to do your normal daily activities

Free text: I became ill on 4/14, a week after the vaccine with swollen glands, fatigue and wooziness. It is mostly clear since 4/19. This was unexpected and I could not report the worst days as the daily check ins had ended.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — day 21, dose 2
Feeling: Fair

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

Adult check-in
2021-05-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-07
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-23
Dose 3 — Moderna
Co-administered: Flu
2021-11-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-26
Survey response — days 1–6 daily, dose 3
MedDRA: Fatigue — Feeling: Fair · Fatigue or tiredness

Free text: I forgot to take my levothyroxine, so that may have caused the fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-11-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-28
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: mild sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-30
Health check-in — day 7, dose 3
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-07
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-14
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-21
Survey response — day 28, dose 3
MedDRA: Dizziness, Malaise — Feeling: Fair

Free text: Felt a bit ill (woozy, potentially feverish)

MedDRA releases: 2024-11 · check-in free text available
2021-12-28
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-04
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-22
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-08
Dose 4 — Moderna
2022-04-19
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-23
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-29
Survey response — day 21, dose 4
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-13
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-21
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-08
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-26
Dose 5 — Moderna
2022-10-05
Health check-in — day 7, dose 5
Feeling: Good · None

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

Adult check-in
2022-10-17
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-24
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-10-31
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-07
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-26
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-27
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Moderna
2	2021-04-07	Moderna
3	2021-11-23	Moderna	Flu
4	2022-04-08	Moderna	No
5	2022-09-26	Moderna	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-12

Systemic reaction (other): I have had the slightest sore arm. The survey doesn't allow for that response.

2021-03-13

Systemic reaction (other): Just the slightest swelling at injection sute

2021-03-14

Systemic reaction (other): Swelling/soreness in arm is very mild

Release 6 — day 14, dose 1

2021-03-24

Symptoms: Some nasal congestionTiredness

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): Felt woozy and unbalanced, not bad but noticeable, swollen glamds

2021-04-10

Systemic reaction (other): Woozy

Release 7 — day 7, dose 2

2021-04-14

Systemic reaction (other): Woozy, dizzy feeling very bad last night

Release 7 — day 14, dose 2

2021-04-21

Symptoms: I became ill on 4/14, a week after the vaccine with swollen glands, fatigue and wooziness. It is mostly clear since 4/19. This was unexpected and I could not report the worst days as the daily check ins had ended.

Release 10 — days 1–6 daily, dose 3

2021-11-26

Systemic reaction (other): I forgot to take my levothyroxine, so that may have caused the fatigue

2021-11-28

Systemic reaction (other): mild sore throat

Release 10 — day 28, dose 3

2021-12-21

Symptoms: Felt a bit ill (woozy, potentially feverish)

Release 11 — day 21, dose 4

2022-04-29

Symptoms: 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	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SRO	Balance disorder	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	·	·	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pain in extremity	✓	✓	✓

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