Z49-25168-32979

2 vaccinations 9 coded responses 25 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 029 / RI
Registered: 2021-02-28

Relationship: Self
Race: White
Ethnicity: 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
Dose 1 — Moderna
2021-02-28
Registered in v-safe
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

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 · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-13
Survey response — day 14, dose 1
MedDRA: Hyperhidrosis, Palpitations — Feeling: Fair

Free text: Heart palpitations and sweating at night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-27
Dose 2 — Moderna
2021-03-27
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Good · Site: Pain

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Body temperature increased, Pyrexia, Unevaluable event — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The symptoms lasted from morning til 2pm. Fever now 99.6.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good · Fatigue or tiredness

Free text: No

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 · None

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

Adult check-in
2021-04-10
Survey response — day 14, dose 2
MedDRA: Back pain, Chest discomfort, Cough, Hypertension, Joint swelling, Night sweats — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cough, tightness in chest, fullness in knees, night sweats, high blood pressure and lower back pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — day 21, dose 2
MedDRA: Dyspnoea, Fatigue, Hypertension, Joint swelling, Palpitations, Peripheral coldness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Trouble breathing, heart palpitations tiredness, high blood pressure, fullness in knees. Also coldness In extremities.

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
Survey response — day 42, dose 2
MedDRA: Fatigue, Palpitations — Feeling: Good · Be unable to do your normal daily activities

Free text: Heart palpitations in bed and tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-26
Survey response — 3 months, dose 2
MedDRA: Fatigue, Palpitations — Feeling: Good · Be unable to do your normal daily activities

Free text: Heart palpitations and tiredness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-29
Survey response — 12 months, dose 2
MedDRA: Back pain, Pain in extremity — Feeling: Good · Be unable to do your normal daily activities

Free text: Pain in upper arm and lower back

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-27	Moderna
2	2021-03-27	Moderna

Free text

Release 5 — day 14, dose 1

2021-03-13

Symptoms: Heart palpitations and sweating at night

Release 6 — day 0, dose 2

2021-03-27

Systemic reaction (other): No

Release 6 — days 1–6 daily, dose 2

2021-03-28

Systemic reaction (other): The symptoms lasted from morning til 2pm. Fever now 99.6.

2021-04-01

Systemic reaction (other): No

Release 7 — day 14, dose 2

2021-04-10

Symptoms: Cough, tightness in chest, fullness in knees, night sweats, high blood pressure and lower back pain.

Release 7 — day 21, dose 2

2021-04-17

Symptoms: Trouble breathing, heart palpitations tiredness, high blood pressure, fullness in knees. Also coldness In extremities.

Release 8 — day 42, dose 2

2021-05-08

Symptoms: Heart palpitations in bed and tiredness

Release 9 — 3 months, dose 2

2021-06-26

Symptoms: Heart palpitations and tiredness.

Release 11 — 12 months, dose 2

2022-03-29

Symptoms: Pain in upper arm and lower back

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	Back pain	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Hyperhidrosis	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Joint swelling	✓	✓	✓
SD	Night sweats	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Palpitations	✓	✓	✓
SD	Peripheral coldness	✓	✓	✓
SRO	Body temperature increased	✓	·	✓
SRO	No adverse event	✓	✓	✓
SRO	Pyrexia	○	✓	○
SRO	Unevaluable event	○	✓	○

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