28A-10438-52155

3 vaccinations 4 coded responses 29 check-ins 4 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 492 / MI
Registered: 2021-01-05

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

2021-01-05
Registered in v-safe
2021-01-05
Dose 1 — Moderna
2021-01-05
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Nausea, Vomiting

Adult check-in
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-11
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-02
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-02-09
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-02-16
Health check-in — day 42, dose 1
Feeling: Good

Adult check-in
2021-02-18
Dose 2 — Moderna
2021-02-18
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-19
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Flushing, Hot flush — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Diarrhea

Free text: Hot flashes - face would flush very red, felt like I was burning up, become sweaty, then would subside. I had to take medications for IVF in the past that caused menopause-type situation before rebooting my hormones. This was EXACTLY like those hot flashes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Flushing, Hot flush — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Hot flashes, flushed face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — day 7, dose 2
Feeling: Fair · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-01
Survey response — day 42, dose 2
MedDRA: Abdominal pain upper, Dyspepsia, Headache, Vomiting — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Intense stomach pain, vomiting, burning feeling in stomach, persistent headaches which are increasing in severity and frequency

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Report sent to call center — day 42, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-10
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-09-28
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2022-10-07
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-11-09
Survey response — day 42, dose 3
MedDRA: Cough, Dyspnoea, SARS-CoV-2 test negative — Feeling: Fair

Free text: Cough, shortness of breath (I think I have a cold; negative test for Covid)

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-05	Moderna
2	2021-02-18	Moderna
3	2022-09-28	Pfizer-BioNTech	Flu

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-19

Systemic reaction (other): Hot flashes - face would flush very red, felt like I was burning up, become sweaty, then would subside. I had to take medications for IVF in the past that caused menopause-type situation before rebooting my hormones. This was EXACTLY like those hot flashes

2021-02-20

Systemic reaction (other): Hot flashes, flushed face

Release 6 — day 42, dose 2

2021-04-01

Symptoms: Intense stomach pain, vomiting, burning feeling in stomach, persistent headaches which are increasing in severity and frequency

Release 12 — day 42, dose 3

2022-11-09

Symptoms: Cough, shortness of breath (I think I have a cold; negative test for Covid)

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 pain upper	✓	✓	✓
SD	Cough	·	·	✓
SD	Dyspepsia	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Headache	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Vomiting	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Hot flush	✓	✓	✓

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