2HT-24456-75491

2 vaccinations 10 coded responses 25 check-ins 10 free-text entries 5 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 616 / IL
Registered: 2020-12-31

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

2020-12-31
Registered in v-safe
2020-12-31
Dose 1 — Moderna
2020-12-31
Survey response — day 0, dose 1
MedDRA: Dizziness, Paraesthesia — Feeling: Good · Site: Pain, Swelling · Joint pains, Fatigue or tiredness

Free text: Brief dizziness and facial tingling 1-2 hours after injection

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

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

1 call case(s)
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-05
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion, Oropharyngeal pain, Rhinorrhoea — Feeling: Poor · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Sore throat, nasal congestion, runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
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)
2021-01-06
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Dysphonia, Nasal congestion, Oropharyngeal pain, Rhinorrhoea — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Sore throat, cough, sneezing, hoarse voice, nasal congestion and runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
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)
2021-01-07
Survey response — day 7, dose 1
MedDRA: Cough, Nasal congestion, Oropharyngeal pain, Rhinorrhoea, Sneezing — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Sore throat, sneezing, cough, nasal congestion and runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Report sent to call center — day 7, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-14
Health check-in — day 14, dose 1
Feeling: Good

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

Adult check-in
2021-01-28
Survey response — day 28, dose 1
MedDRA: Fatigue, Headache, Neck pain — Feeling: Good · Be unable to work

Free text: Yesterday I had a horrible headache, neck ache and fatigue. Today I feel fine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Dose 2 — Moderna
2021-01-29
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Bone pain, Palpitations — Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Collar bone pain, heart palpitations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain · Chills, Joint pains, Muscle or body aches

Free text: Collar bone pain and bump (possible lymph node)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-04
Survey response — days 1–6 daily, dose 2
MedDRA: Bone pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Collar bone pain, lymph node swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — day 7, dose 2
MedDRA: Lymphadenopathy, Supraclavicular fossa pain — Feeling: Good · Headache, Fatigue or tiredness

Free text: Collar bone pain and swollen lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-29
Survey response — 12 months, dose 2
MedDRA: Anaemia, Fatigue, Office visit, Rectal haemorrhage — 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: Rectal bleeding, fatigue, anemia · Healthcare visit (other): Gastroenterologist

MedDRA releases: 2024-11 · check-in free text available
2022-01-29
Report sent to call center — 12 months, dose 2
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)
2022-01-31
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-31	Moderna
2	2021-01-29	Moderna

Call center

5 call center cases

1 successful · 4 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — day 0, dose 1

2020-12-31

Systemic reaction (other): Brief dizziness and facial tingling 1-2 hours after injection

Release 1 — days 1–6 daily, dose 1

2021-01-05

Systemic reaction (other): Sore throat, nasal congestion, runny nose

2021-01-06

Systemic reaction (other): Sore throat, cough, sneezing, hoarse voice, nasal congestion and runny nose

Release 1 — day 7, dose 1

2021-01-07

Systemic reaction (other): Sore throat, sneezing, cough, nasal congestion and runny nose

Release 2 — day 28, dose 1

2021-01-28

Symptoms: Yesterday I had a horrible headache, neck ache and fatigue. Today I feel fine.

Release 3 — days 1–6 daily, dose 2

2021-01-30

Systemic reaction (other): Collar bone pain, heart palpitations

2021-02-02

Systemic reaction (other): Collar bone pain and bump (possible lymph node)

2021-02-04

Systemic reaction (other): Collar bone pain, lymph node swelling

Release 3 — day 7, dose 2

2021-02-05

Systemic reaction (other): Collar bone pain and swollen lymph nodes

Release 11 — 12 months, dose 2

2022-01-29

Symptoms: Rectal bleeding, fatigue, anemia

Healthcare visit (other): Gastroenterologist

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	Anaemia	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Rectal haemorrhage	·	·	✓
SRO	Bone pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dysphonia	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sneezing	✓	✓	✓
SRO	Supraclavicular fossa pain	✓	✓	✓

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