24A-22242-67253

3 vaccinations 11 coded responses 29 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 604 / IL
Registered: 2021-01-15

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

2021-01-15
Registered in v-safe
2021-01-15
Dose 1 — Moderna
2021-01-15
Health check-in — day 0, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea, Sneezing — Feeling: Fair · Site: Pain, Swelling · Headache

Free text: Runny nose sneezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Survey response — day 7, dose 1
MedDRA: Adverse reaction — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Moderate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — day 14, dose 1
MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaches are everyday and strong

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — day 21, dose 1
MedDRA: Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: A lot of fatigue headaches almost everyday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Dose 2 — Moderna
2021-02-10
Health check-in — day 0, dose 2
Feeling: Good · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Pain — Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Whole body hurts even to stand up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-15
Survey response — days 1–6 daily, dose 2
MedDRA: Surgery — Feeling: Poor · Site: Redness, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Just had surgery so not sure what is what

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-24
Survey response — day 42, dose 2
MedDRA: Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extreme fatigue,. Still have headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — 3 months, dose 2
MedDRA: Asthma, Headache, Pain in extremity, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Leg pain headache are severe about 2-3x a week I have more asthma episode then usual

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-11
Survey response — 6 months, dose 2
MedDRA: Headache, Unevaluable event — 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: Severe headaches still · Healthcare visit (other): Going to see nourioligist

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-11
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-17
Call 1 — Could Not Reach Participant
2021-08-20
Call 2 — Could Not Reach Participant
2021-09-18
Dose 3 — Moderna
2021-10-25
Survey response — day 35, dose 3
MedDRA: Arthralgia, Brain fog, Headache, Ulcer — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Chronic headaches brain fog joint pain ulcer

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-12-18
Survey response — 3 months, dose 3
MedDRA: Dyspnoea, Gastrointestinal disorder, Headache — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Severe headache hard time breathing stomach problems

MedDRA releases: 2024-11 · check-in free text available
2022-03-19
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-09-18
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Moderna
2	2021-02-10	Moderna
3	2021-09-18	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-16

Systemic reaction (other): Runny nose sneezing

Release 2 — day 7, dose 1

2021-01-22

Systemic reaction (other): Moderate

Release 3 — day 14, dose 1

2021-01-29

Symptoms: Headaches are everyday and strong

Release 3 — day 21, dose 1

2021-02-05

Symptoms: A lot of fatigue headaches almost everyday

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): Whole body hurts even to stand up

2021-02-15

Systemic reaction (other): Just had surgery so not sure what is what

Release 6 — day 42, dose 2

2021-03-24

Symptoms: Extreme fatigue,. Still have headaches

Release 8 — 3 months, dose 2

2021-05-12

Symptoms: Leg pain headache are severe about 2-3x a week I have more asthma episode then usual

Release 9 — 6 months, dose 2

2021-08-11

Symptoms: Severe headaches still

Healthcare visit (other): Going to see nourioligist

Release 10 — day 35, dose 3

2021-10-25

Symptoms: Chronic headaches brain fog joint pain ulcer

Release 10 — 3 months, dose 3

2021-12-18

Symptoms: Severe headache hard time breathing stomach problems

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	Unevaluable event	✓	·	✓
SD	Arthralgia	·	·	✓
SD	Asthma	✓	✓	✓
SD	Brain fog	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Ulcer	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sneezing	✓	✓	✓
SRO	Surgery	✓	✓	✓

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