ZPD-20688-35482

4 vaccinations 10 coded responses 37 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 346 / FL
Registered: 2021-03-08

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

2021-03-08
Registered in v-safe
2021-03-08
Dose 1 — Moderna
2021-03-08
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
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: No

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

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Somnolence — Feeling: Good · Fatigue or tiredness

Free text: Just very sleepy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Survey response — day 7, dose 1
MedDRA: No adverse event — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-05
Dose 2 — Moderna
2021-04-05
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Hypersomnia — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I slept for 14 hours!! That was great!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site bruising — Feeling: Good · Site: Pain, Swelling

Free text: Bruise where shot was given, small

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-10
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
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Hypersomnia — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Slept from Friday night through until Sunday at 1pm except to go to bathroom twice.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-05
Survey response — 3 months, dose 2
MedDRA: Abdominal pain upper, Diarrhoea, Illness, Malaise, Office visit — Feeling: Good · Be unable to do your normal daily activities

Free text: I had stomach aches and diarrhea for 4 days. I was in bed sick for a total of 6 days. I got sick right after a visit to my PCP doctor appointment. I did go to grocery store that day too. So I dont know where I picked sickness up. Im better n

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-04
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-08
Dose 3 — Moderna
2022-04-05
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-20
Dose 4 — Moderna
2022-05-23
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2022-05-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2022-05-25
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2022-05-27
Health check-in — day 7, dose 4
Feeling: Good · Site: Swelling, Itching · Fatigue or tiredness

Adult check-in
2022-06-03
Survey response — day 14, dose 4
MedDRA: Asthenia, Diarrhoea, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Diarrhea and nausea and weakness

MedDRA releases: 2024-11 · check-in free text available
2022-06-10
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-17
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-24
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-04
Survey response — day 42, dose 4
MedDRA: Diarrhoea, Dyspepsia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Having heartburn and diarrhea. Going to GI to find out what is happening with these conditions.

MedDRA releases: 2024-11 · check-in free text available
2022-08-19
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-18
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-05-20
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-08	Moderna
2	2021-04-05	Moderna
3	2021-12-08	Moderna	No
4	2022-05-20	Moderna	No

Free text

Release 5 — day 0, dose 1

2021-03-08

Systemic reaction (other): No

Release 5 — days 1–6 daily, dose 1

2021-03-10

Systemic reaction (other): No

2021-03-13

Systemic reaction (other): Just very sleepy

Release 5 — day 7, dose 1

2021-03-17

Systemic reaction (other): No

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): I slept for 14 hours!! That was great!

2021-04-08

Systemic reaction (other): Bruise where shot was given, small

2021-04-11

Systemic reaction (other): Slept from Friday night through until Sunday at 1pm except to go to bathroom twice.

Release 9 — 3 months, dose 2

2021-07-05

Symptoms: I had stomach aches and diarrhea for 4 days. I was in bed sick for a total of 6 days. I got sick right after a visit to my PCP doctor appointment. I did go to grocery store that day too. So I dont know where I picked sickness up. Im better n

Release 11 — day 14, dose 4

2022-06-03

Symptoms: Diarrhea and nausea and weakness

Release 12 — day 42, dose 4

2022-07-04

Symptoms: Having heartburn and diarrhea. Going to GI to find out what is happening with these conditions.

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 pain upper	✓	✓	✓
SD	Asthenia	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dyspepsia	·	·	✓
SD	Illness	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Nausea	·	·	✓
SD	Office visit	✓	✓	✓
SRO	Hypersomnia	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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