23Y-15203-30180

3 vaccinations 11 coded responses 35 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 193 / PA
Registered: 2021-03-04

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

2021-03-04
Registered in v-safe
2021-03-04
Dose 1 — Moderna
2021-03-04
Survey response — day 0, dose 1
MedDRA: Discomfort, Hyperhidrosis, Limb discomfort — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness

Free text: Sweating, heavy sensation in arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Headache, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea, Abdominal pain

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Dizziness — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Weakness and feeling slightly light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — day 7, dose 1
MedDRA: Dizziness, Neuralgia — Feeling: Fair · Headache, Muscle or body aches, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Nerve pain in arm of shot, intermittent feeling I could pass out

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-01
Dose 2 — Moderna
2021-04-01
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Chills

Adult check-in
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased — Feeling: Fair · Site: Pain · Fever · Be unable to do your normal daily activities

Free text: Elevated heart rate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Diarrhea, Abdominal pain

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-04-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-05
Dose 3 — Moderna
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-11-09
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness, Hyperhidrosis, Lymphadenopathy — Feeling: Fair · Site: Pain · Headache

Free text: Swollen lymph node, sweating, a little lightheaded

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Survey response — days 1–6 daily, dose 3
MedDRA: Hyperhidrosis, Vestibular disorder — Feeling: Fair · Headache

Free text: Vestibular symptoms, sweating

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Survey response — day 7, dose 3
MedDRA: Vestibular disorder — Feeling: Fair · Headache · Be unable to do your normal daily activities

Free text: Vestibular

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-26
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-03
Survey response — day 28, dose 3
MedDRA: Dizziness, Vestibular disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Feeling faint Vestibular symptoms have been an issue since my booster

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Survey response — day 35, dose 3
MedDRA: Impaired driving ability, Nausea, Vestibular disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Vestibular symptoms. I got vestibular symptoms the next day after my booster. I've had lingering symptoms and am starting to get pretty nauseous driving a car.

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-04
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-08
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-07
Survey response — 12 months, dose 3
MedDRA: Inflammatory marker increased, Office visit, Vitamin B12 decreased — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Increased inflammatory markers and low b12. · Healthcare visit (other): Regular Primary Dr Visit

MedDRA releases: 2024-11 · check-in free text available
2022-11-07
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-11-08
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-04	Moderna
2	2021-04-01	Moderna
3	2021-11-05	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-04

Systemic reaction (other): Sweating, heavy sensation in arm

Release 5 — days 1–6 daily, dose 1

2021-03-05

Systemic reaction (other): Runny nose

2021-03-10

Systemic reaction (other): Weakness and feeling slightly light headed

Release 5 — day 7, dose 1

2021-03-11

Systemic reaction (other): Nerve pain in arm of shot, intermittent feeling I could pass out

Release 6 — days 1–6 daily, dose 2

2021-04-02

Systemic reaction (other): Elevated heart rate

Release 10 — days 1–6 daily, dose 3

2021-11-09

Systemic reaction (other): Swollen lymph node, sweating, a little lightheaded

2021-11-11

Systemic reaction (other): Vestibular symptoms, sweating

Release 10 — day 7, dose 3

2021-11-12

Systemic reaction (other): Vestibular

Release 10 — day 28, dose 3

2021-12-03

Symptoms: Feeling faint Vestibular symptoms have been an issue since my booster

Release 10 — day 35, dose 3

2021-12-10

Symptoms: Vestibular symptoms. I got vestibular symptoms the next day after my booster. I've had lingering symptoms and am starting to get pretty nauseous driving a car.

Release 12 — 12 months, dose 3

2022-11-07

Symptoms: Increased inflammatory markers and low b12.

Healthcare visit (other): Regular Primary Dr Visit

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	Dizziness	·	·	✓
SD	Impaired driving ability	·	·	✓
SD	Inflammatory marker increased	·	·	✓
SD	Nausea	·	·	✓
SD	Vestibular disorder	·	·	✓
SD	Vitamin B12 decreased	·	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Neuralgia	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Vestibular disorder	·	·	✓

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