ZY3-33365-57410

3 vaccinations 15 coded responses 29 check-ins 15 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 923 / CA
Registered: 2021-05-10

Relationship: Self
Race: White
Ethnicity: N/A

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-14
Dose 1 — Moderna
2021-05-10
Registered in v-safe
2021-05-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-12
Dose 2 — Moderna
2021-05-12
Survey response — day 0, dose 2
MedDRA: Fatigue, Somnolence, Thirst — 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: Just tired really sleepy & thirsty

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Good · Diarrhea · Be unable to do your normal daily activities

Free text: Feeling better today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site rash, Rash — Feeling: Good · Site: Itching · Headache, Rash, not including the immediate area around the injection site

Free text: Just rash on both arms beside the injection site & same place in other arm really weird!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Free text: Feeling better just tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-18
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Feeling really tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Survey response — day 7, dose 2
MedDRA: Headache, Tenderness — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Free text: Slight headache & arm still tender

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-06-02
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-09
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-16
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-23
Survey response — day 42, dose 2
MedDRA: Abdominal discomfort, Diarrhoea, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Yesterday evening was sick to my stomach wanted to throw up but had dierrea ,had to eat crackers & 7 up plus had headache ! It was just All of a sudden!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-10
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-01
Dose 3 — Moderna
2021-12-01
Survey response — day 0, dose 3
MedDRA: Thirst — Feeling: Fair · Joint pains

Free text: Just very thirsty ,can't get enough water to drink!

MedDRA releases: 2024-11 · check-in free text available
2021-12-02
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site warmth — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Free text: My arm is warm to the touch at the injection site

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site bruising — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Free text: There's a bruise on my arm at the injection site

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Survey response — days 1–6 daily, dose 3
MedDRA: Fatigue, Somnolence, Unevaluable event — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Could not stay awake today grey tired

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Survey response — days 1–6 daily, dose 3
MedDRA: Malaise — Feeling: Fair · Fatigue or tiredness

Free text: Feeling way better today

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Good

Free text: Feeling good today

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Good

Free text: Feeling great

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-15
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-22
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-29
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-05
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-01-12
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-14	Moderna
2	2021-05-12	Moderna
3	2021-12-01	Moderna	No

Free text

Release 8 — day 0, dose 2

2021-05-12

Systemic reaction (other): Just tired really sleepy & thirsty

Release 8 — days 1–6 daily, dose 2

2021-05-13

Systemic reaction (other): No

2021-05-14

Systemic reaction (other): Feeling better today

2021-05-15

Systemic reaction (other): Just rash on both arms beside the injection site & same place in other arm really weird!

2021-05-16

Systemic reaction (other): Feeling better just tired

2021-05-18

Systemic reaction (other): Feeling really tired

Release 8 — day 7, dose 2

2021-05-19

Systemic reaction (other): Slight headache & arm still tender

Release 9 — day 42, dose 2

2021-06-23

Symptoms: Yesterday evening was sick to my stomach wanted to throw up but had dierrea ,had to eat crackers & 7 up plus had headache ! It was just All of a sudden!

Release 10 — day 0, dose 3

2021-12-01

Systemic reaction (other): Just very thirsty ,can't get enough water to drink!

Release 10 — days 1–6 daily, dose 3

2021-12-02

Systemic reaction (other): My arm is warm to the touch at the injection site

2021-12-03

Systemic reaction (other): There's a bruise on my arm at the injection site

2021-12-04

Systemic reaction (other): Could not stay awake today grey tired

2021-12-05

Systemic reaction (other): Feeling way better today

2021-12-06

Systemic reaction (other): Feeling good today

2021-12-07

Systemic reaction (other): Feeling great

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	Diarrhoea	✓	✓	✓
SD	Nausea	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site bruising	·	·	✓
SRO	Injection site rash	✓	✓	✓
SRO	Injection site warmth	·	·	✓
SRO	Malaise	·	·	✓
SRO	No adverse event	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Somnolence	✓	✓	✓
SRO	Tenderness	✓	✓	✓
SRO	Thirst	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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