ZKE-51820-97158

2 vaccinations 10 coded responses 25 check-ins 10 free-text entries 0 call cases

Sex: —
Age at first dose: 51-55
ZIP prefix: 488 / MI
Registered: 2021-02-17

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

2021-02-17
Registered in v-safe
2021-02-17
Dose 1 — Moderna
2021-02-17
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Nausea, Diarrhea

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Nausea

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-02-23
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Good · Fatigue or tiredness, Nausea

Free text: Swollen axillary gland under arm of injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — day 7, dose 1
MedDRA: Lymphadenopathy — Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Free text: Swollen axillary gland under the arm of the injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-17
Dose 2 — Moderna
2021-03-17
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Dyspnoea — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Difficulty breathing/chest pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Dyspnoea — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Chest pain / difficulty breathing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Dyspnoea — Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Diarrhea, Abdominal pain

Free text: Chest pain / difficulty breathing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Diarrhea

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Headache

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache

Adult check-in
2021-04-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-07
Survey response — day 21, dose 2
MedDRA: Dyspnoea, Fatigue — Feeling: Good

Free text: Fatigue, shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-21
Survey response — day 35, dose 2
MedDRA: Arthralgia, Dyspnoea, Fatigue, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extreme exhaustion, aching joints and muscles, difficulty breathing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — day 42, dose 2
MedDRA: Chest discomfort, Dyspnoea, Pulmonary congestion — Feeling: Good

Free text: Continued feeling of chest pressure / congestion in my lungs slight difficulty breathing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-15
Survey response — 6 months, dose 2
MedDRA: Exposure to SARS-CoV-2, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Contracted COVID, positive test results on 8/20/2021. Exposure on 8/14/21

MedDRA releases: 2024-11 · check-in free text available
2022-03-17
Survey response — 12 months, dose 2
MedDRA: Abdominal discomfort, Diarrhoea, Headache, Influenza like illness, Nausea — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Flulike symptoms 3/7-9/2022. Nausea headache gastrointestinal distress diarrhea. No fever

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-17	Moderna
2	2021-03-17	Moderna

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-23

Systemic reaction (other): Swollen axillary gland under arm of injection

Release 4 — day 7, dose 1

2021-02-24

Systemic reaction (other): Swollen axillary gland under the arm of the injection site

Release 5 — days 1–6 daily, dose 2

2021-03-18

Systemic reaction (other): Difficulty breathing/chest pain

Release 6 — days 1–6 daily, dose 2

2021-03-19

Systemic reaction (other): Chest pain / difficulty breathing

2021-03-20

Systemic reaction (other): Chest pain / difficulty breathing

Release 7 — day 21, dose 2

2021-04-07

Symptoms: Fatigue, shortness of breath

Release 7 — day 35, dose 2

2021-04-21

Symptoms: Extreme exhaustion, aching joints and muscles, difficulty breathing.

Release 8 — day 42, dose 2

2021-04-28

Symptoms: Continued feeling of chest pressure / congestion in my lungs slight difficulty breathing.

Release 9 — 6 months, dose 2

2021-09-15

Symptoms: Contracted COVID, positive test results on 8/20/2021. Exposure on 8/14/21

Release 11 — 12 months, dose 2

2022-03-17

Symptoms: Flulike symptoms 3/7-9/2022. Nausea headache gastrointestinal distress diarrhea. No fever

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	Abdominal discomfort	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Diarrhoea	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Influenza like illness	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	·	·	✓
SD	Pulmonary congestion	✓	✓	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Chest pain	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓

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