ZB8-24343-12208

4 vaccinations 9 coded responses 39 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 300 / GA
Registered: 2021-02-20

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

2021-01-20
Dose 1 — Moderna
2021-02-18
Dose 2 — Moderna
2021-02-20
Registered in v-safe
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: No appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Sore throat for the last couple of days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain — Feeling: Fair · Site: Pain, Itching · Headache · Be unable to do your normal daily activities

Free text: Right eye pain. May be a migraine. Started late today around 3:00pm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Neck pain — Feeling: Good · Site: Itching · Headache, Muscle or body aches

Free text: A little neck pain with slight headache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Headache, Muscle or body aches

Adult check-in
2021-02-25
Survey response — day 7, dose 2
MedDRA: Arthralgia, Myalgia, Neck pain, Sleep disorder — Feeling: Good · Muscle or body aches

Free text: Muscle aches left shoulder and neck. May be due to the fact of not sleeping on my right side which is the injection site. Will watch carefully the next couple of days.

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

Adult check-in
2021-03-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-18
Survey response — day 28, dose 2
MedDRA: Breast disorder, Breast tenderness — Feeling: Fair

Free text: Left breast tenderness. Experiencing breast fullness. Scheduled for a mammogram April 9th.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — day 35, dose 2
MedDRA: Breast tenderness — Feeling: Good

Free text: No new symptoms, but still having breast tenderness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-19
Survey response — 6 months, dose 2
MedDRA: Laryngitis, Respiratory tract congestion — Feeling: Fair

Free text: Chest congestion, laryngitis

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-30
Dose 3 — Moderna
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling, Itching · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-03
Survey response — days 1–6 daily, dose 3
MedDRA: Epistaxis — Feeling: Good · Site: Itching

Free text: Slight Nosebleed during my morning walk.

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-08
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-13
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-20
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-04
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-11
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-29
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-30
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-01
Dose 4 — Moderna
2022-10-01
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2022-10-03
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Swelling · Diarrhea

Adult check-in
2022-10-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-08
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-15
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-22
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-31
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-05
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-12
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-31
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-01
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-20	Moderna
2	2021-02-18	Moderna
3	2021-10-30	Moderna	No
4	2022-10-01	Moderna	No

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-20

Systemic reaction (other): No appetite

2021-02-21

Systemic reaction (other): Sore throat for the last couple of days.

2021-02-22

Systemic reaction (other): Right eye pain. May be a migraine. Started late today around 3:00pm

2021-02-23

Systemic reaction (other): A little neck pain with slight headache.

Release 4 — day 7, dose 2

2021-02-25

Systemic reaction (other): Muscle aches left shoulder and neck. May be due to the fact of not sleeping on my right side which is the injection site. Will watch carefully the next couple of days.

Release 5 — day 28, dose 2

2021-03-18

Symptoms: Left breast tenderness. Experiencing breast fullness. Scheduled for a mammogram April 9th.

Release 6 — day 35, dose 2

2021-03-25

Symptoms: No new symptoms, but still having breast tenderness.

Release 9 — 6 months, dose 2

2021-08-19

Symptoms: Chest congestion, laryngitis

Release 10 — days 1–6 daily, dose 3

2021-11-03

Systemic reaction (other): Slight Nosebleed during my morning walk.

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	Breast disorder	✓	✓	✓
SD	Breast tenderness	✓	✓	✓
SD	Laryngitis	✓	·	✓
SD	Respiratory tract congestion	✓	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Epistaxis	·	·	✓
SRO	Eye pain	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓

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