ZYF-16762-83541

5 vaccinations 14 coded responses 63 check-ins 14 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 805 / CO
Registered: 2021-03-24

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

2021-03-24
Registered in v-safe
2021-03-24
Dose 1 — Moderna
2021-03-24
Health check-in — day 0, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-31
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-21
Dose 2 — Moderna
2021-04-21
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia, Palpitations — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Heart palpitations, insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Dehydration, Heart rate increased — Feeling: Poor · Site: Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Elevated heart rate, dehydration (probably from all the vomiting and inability to eat or drink).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Nausea

Adult check-in
2021-04-28
Health check-in — day 7, dose 2
Feeling: Good · Fever · Headache, Muscle or body aches

Adult check-in
2021-05-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-20
Survey response — 6 months, dose 2
MedDRA: Insomnia, Menopause, Palpitations — Feeling: Good

Free text: Heart palpitations and insomnia. I am going through perimenopause, so that could be it, too.

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Dose 3 — Moderna
Co-administered: Flu
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Palpitations — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Heart palpitations

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Palpitations — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Fatigue or tiredness

Free text: Heart palpitations

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-11-04
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

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

Adult check-in
2021-11-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-02
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-09
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-27
Survey response — 3 months, dose 3
MedDRA: Eye pain, Headache, Oropharyngeal pain, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school

Free text: Headache, sore throat, running nose, sensitive eyes, runny nose, etc. I went for my test this morning.

MedDRA releases: 2024-11 · check-in free text available
2022-04-21
Dose 4 — Moderna
2022-04-22
Survey response — days 1–6 daily, dose 4
MedDRA: Heart rate increased, Palpitations — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Heart palpitations and increased heart rate

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
Survey response — days 1–6 daily, dose 4
MedDRA: Heart rate increased, Palpitations — Feeling: Good · Site: Pain · Fever · Fatigue or tiredness

Free text: Mild heart palpitations, heart rate still higher than normal, butI feel much betterThan yesterday.

MedDRA releases: 2024-11 · check-in free text available
2022-04-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-04-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-04-28
Survey response — day 7, dose 4
MedDRA: Heart rate increased — Feeling: Good · Fatigue or tiredness

Free text: Elevated heart rate

MedDRA releases: 2024-11 · check-in free text available
2022-05-05
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-12
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-19
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-26
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-02
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-21
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-20
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2022-11-03
Dose 5 — Moderna
2022-11-04
Survey response — days 1–6 daily, dose 5
MedDRA: Palpitations — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Free text: Heart palpitations

MedDRA releases: 2024-11 · check-in free text available
2022-11-05
Survey response — days 1–6 daily, dose 5
MedDRA: Ear pain, Pain in jaw, Palpitations — Feeling: Fair · Site: Pain, Swelling · Fever · Muscle or body aches

Free text: Ear/jaw pain on the right side of my face. Heart palpitations.

MedDRA releases: 2024-11 · check-in free text available
2022-11-06
Survey response — days 1–6 daily, dose 5
MedDRA: Ear pain, Pain in jaw — Feeling: Good · Joint pains

Free text: Still have some pain in my right ear/jaw, but not as bad as yesterday.

MedDRA releases: 2024-11 · check-in free text available
2022-11-07
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Swelling · None

Adult check-in
2022-11-08
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-11-09
Survey response — days 1–6 daily, dose 5
MedDRA: Ear pain, Pain in jaw — Feeling: Good

Free text: Ear/jaw pain still there.

MedDRA releases: 2024-11 · check-in free text available
2022-11-10
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-11-19
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-24
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-12-01
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-12-08
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Moderna
2	2021-04-21	Moderna
3	2021-10-28	Moderna	Flu
4	2022-04-21	Moderna	No
5	2022-11-03	Moderna	No

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-22

Systemic reaction (other): Heart palpitations, insomnia

2021-04-23

Systemic reaction (other): Elevated heart rate, dehydration (probably from all the vomiting and inability to eat or drink).

2021-04-25

Systemic reaction (other): Weakness

Release 10 — 6 months, dose 2

2021-10-20

Symptoms: Heart palpitations and insomnia. I am going through perimenopause, so that could be it, too.

Release 10 — days 1–6 daily, dose 3

2021-10-29

Systemic reaction (other): Heart palpitations

2021-10-30

Systemic reaction (other): Heart palpitations

Release 11 — 3 months, dose 3

2022-01-27

Symptoms: Headache, sore throat, running nose, sensitive eyes, runny nose, etc. I went for my test this morning.

Release 11 — days 1–6 daily, dose 4

2022-04-22

Systemic reaction (other): Heart palpitations and increased heart rate

2022-04-23

Systemic reaction (other): Mild heart palpitations, heart rate still higher than normal, butI feel much betterThan yesterday.

Release 11 — day 7, dose 4

2022-04-28

Systemic reaction (other): Elevated heart rate

Release 12 — days 1–6 daily, dose 5

2022-11-04

Systemic reaction (other): Heart palpitations

2022-11-05

Systemic reaction (other): Ear/jaw pain on the right side of my face. Heart palpitations.

2022-11-06

Systemic reaction (other): Still have some pain in my right ear/jaw, but not as bad as yesterday.

2022-11-09

Systemic reaction (other): Ear/jaw pain still there.

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	Eye pain	·	·	✓
SD	Headache	·	·	✓
SD	Insomnia	·	·	✓
SD	Menopause	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Palpitations	·	·	✓
SD	Rhinorrhoea	·	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Dehydration	✓	✓	✓
SRO	Ear pain	·	·	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Pain in jaw	·	·	✓
SRO	Palpitations	✓	✓	✓

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