228-84097-24808

3 vaccinations 6 coded responses 19 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 981 / WA
Registered: 2021-01-30

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-30
Registered in v-safe
2021-01-30
Dose 1 — Moderna
2021-01-30
Survey response — day 0, dose 1
MedDRA: Tremor — Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Shakiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 1
MedDRA: Migraine — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Yesterday visual migraine in bold colors

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite, Feeling cold — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sleep 5_7 hrs in day. Can't get warm no appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Chills, Headache

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills, Headache

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-06
Health check-in — day 7, dose 1
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-13
Survey response — day 14, dose 1
MedDRA: Blood pressure decreased, Dehydration, Emergency care, Muscle spasms — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Taken by ambulance to ER. Cramps in both thighs, blood pressure 60/41 dehydration .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-20
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-27
Dose 2 — Moderna
2021-05-03
Survey response — 3 months, dose 1
MedDRA: Amnesia, Nightmare, Palpitations — Feeling: Fair · Be unable to do your normal daily activities

Free text: Nightmares, bad dreams. Racing heartbeatCan't remember numbers to copy them from a webpage to a piece of paper, etc.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-02
Survey response — 6 months, dose 1
MedDRA: Atrial flutter, Cough, Feeling hot, Hair texture abnormal, Office visit, Sneezing — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Atrial flutter Chough, sneezingBurning up, needing ice water towel but no feverWavy hair turned straight for a month now back to normal · Healthcare visit (other): Foctor in person visit anf cardiac tests

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-02
Report sent to call center — 6 months, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-04
Call 1 — Left Voicemail
2021-11-06
Dose 3 — Moderna
2021-11-06
Health check-in — day 0, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-11-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Fatigue or tiredness

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

Adult check-in
2021-11-13
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-22
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-30	Moderna
2	2021-02-27	Moderna	No
3	2021-11-06	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 3 — day 0, dose 1

2021-01-30

Systemic reaction (other): Shakiness

Release 3 — days 1–6 daily, dose 1

2021-01-31

Systemic reaction (other): Yesterday visual migraine in bold colors

2021-02-01

Systemic reaction (other): Sleep 5_7 hrs in day. Can't get warm no appetite

Release 4 — day 14, dose 1

2021-02-13

Symptoms: Taken by ambulance to ER. Cramps in both thighs, blood pressure 60/41 dehydration .

Release 8 — 3 months, dose 1

2021-05-03

Symptoms: Nightmares, bad dreams. Racing heartbeatCan't remember numbers to copy them from a webpage to a piece of paper, etc.

Release 9 — 6 months, dose 1

2021-08-02

Symptoms: Atrial flutter Chough, sneezingBurning up, needing ice water towel but no feverWavy hair turned straight for a month now back to normal

Healthcare visit (other): Foctor in person visit anf cardiac tests

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
HCVO	Office visit	✓	·	✓
SD	Amnesia	✓	✓	✓
SD	Atrial flutter	✓	·	✓
SD	Blood pressure decreased	✓	✓	✓
SD	Cough	✓	·	✓
SD	Dehydration	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Feeling hot	✓	·	✓
SD	Hair texture abnormal	✓	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Nightmare	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Sneezing	✓	·	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Tremor	✓	✓	✓

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