2EH-16449-36452

4 vaccinations 6 coded responses 25 check-ins 5 free-text entries 7 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 921 / CA
Registered: 2021-02-09

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

Timeline

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

2021-01-10
Dose 1 — Moderna
2021-02-09
Registered in v-safe
2021-02-14
Survey response — day 35, dose 1
MedDRA: Exposure to communicable disease, Feeling hot, Malaise — Feeling: Good

Free text: I caught a bug from a person that I had to engage with. I spent last Thursday Friday Saturday and Sunday with a car in a minor temperature but no complications from my injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Health check-in — day 42, dose 1
Feeling: Fair

Adult check-in
2021-04-11
Dose 2 — Moderna
2021-04-11
Health check-in — day 0, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · None · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-04-11
Report sent to call center — day 0, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-13
Health check-in — 3 months, dose 1
Feeling: Fair

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Appointment made for visit with PCP tomorrow after phone consultation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Report sent to call center — days 1–6 daily, 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)
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-04-16
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-18
Survey response — day 7, dose 2
MedDRA: Cough, Dyspnoea, Pyrexia, Tremor — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, 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: SOB used Nebulizer. Continued cough/SOB temperature 100.9 at 10:00 pm. Tremors

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Report sent to call center — day 7, 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)
2021-04-25
Survey response — day 14, dose 2
MedDRA: Insomnia, Wheezing — Feeling: Fair · Be unable to work, 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: Wheezing, i can't lay flat to sleep, temp.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Report sent to call center — day 14, 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)
2021-05-03
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-13
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-10
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-01-13
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-13
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-13
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-13
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-13
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-06-07
Dose 3 — Moderna
2022-11-01
Dose 4 — Moderna
Co-administered: Flu
2022-11-07
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-09
Health check-in — day 7, dose 4
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-11-15
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-11-22
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-11-29
Survey response — day 28, dose 4
MedDRA: Dyspnoea, Medical counselling, Migraine — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Easily winded and migraines..... 3 from last check in · Healthcare visit (other): In home health care from home health

MedDRA releases: 2024-11 · check-in free text available
2022-11-29
Report sent to call center — day 28, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2022-11-30
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-06
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-12-13
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-31
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2023-05-02
Survey response — 6 months, dose 4
MedDRA: Cough, Pneumonia, Pyrexia, Sepsis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

MedDRA releases: 2024-11
2023-05-02
Report sent to call center — 6 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2023-05-03
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-10	Moderna
2	2021-04-11	Moderna
3	2022-06-07	Moderna	No
4	2022-11-01	Moderna	Flu

Call center

7 call center cases

6 successful · 1 unsuccessful

See the call center timeline

Free text

Release 4 — day 35, dose 1

2021-02-14

Symptoms: I caught a bug from a person that I had to engage with. I spent last Thursday Friday Saturday and Sunday with a car in a minor temperature but no complications from my injection.

Release 7 — days 1–6 daily, dose 2

2021-04-15

Healthcare visit (other): Appointment made for visit with PCP tomorrow after phone consultation

Release 7 — day 7, dose 2

2021-04-18

Systemic reaction (other): SOB used Nebulizer. Continued cough/SOB temperature 100.9 at 10:00 pm. Tremors

Release 7 — day 14, dose 2

2021-04-25

Symptoms: Wheezing, i can't lay flat to sleep, temp.

Release 12 — day 28, dose 4

2022-11-29

Symptoms: Easily winded and migraines..... 3 from last check in

Healthcare visit (other): In home health care from home health

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	Medical counselling	·	·	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Cough	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Exposure to communicable disease	✓	✓	✓
SD	Feeling hot	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Migraine	·	·	✓
SD	Pneumonia	·	·	✓
SD	Pyrexia	·	·	✓
SD	Sepsis	·	·	✓
SD	Wheezing	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Tremor	✓	✓	✓

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