2LF-30466-66364

2 vaccinations 8 coded responses 15 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 151 / PA
Registered: 2021-01-13

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

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

2021-01-05
Dose 1 — Moderna
2021-01-13
Registered in v-safe
2021-01-13
Health check-in — day 7, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-13
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)
2021-01-19
Survey response — day 14, dose 1
MedDRA: Dizziness, Feeling hot, Headache, Migraine, Pruritus, Skin reaction, Swelling, Urticaria — 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: Constant mild Headache but also lightning head pains intermitHad a delayed skin reaction at inject site day 7 got itchy welts then woke up next morning mod. swelling hard and felt hot & really hurt day 8, along w/ severe migraine n/v. Called off Wed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Report sent to call center — day 14, dose 1
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)
2021-01-28
Survey response — day 21, dose 1
MedDRA: Depression, Headache, Nausea — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Headache & off/on nausea. depression

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-02
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-05
Dose 2 — Moderna
2021-02-05
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Fair · Headache

Free text: Mild dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizzy and lightheaded mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Depression — Feeling: Good · Site: Pain, Itching · Headache, Nausea

Free text: Sadness/Depression, severe w/ #1 waiting to see for #2

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

Adult check-in
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Crying, Depressed mood, Irritability, Mood altered — Feeling: Fair · Fever · Chills, Headache, Nausea, Diarrhea, Abdominal pain

Free text: Mood variances, sad cry easily, up & down irritable

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — day 7, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Depression.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-05
Survey response — day 28, dose 2
MedDRA: Arthralgia, Fatigue — Feeling: Fair

Free text: Joint pain. Fatigue very tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-22
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-05	Moderna
2	2021-02-05	Moderna

Call center

3 call center cases

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

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-19

Symptoms: Constant mild Headache but also lightning head pains intermitHad a delayed skin reaction at inject site day 7 got itchy welts then woke up next morning mod. swelling hard and felt hot & really hurt day 8, along w/ severe migraine n/v. Called off Wed cut off by CDC

Release 3 — day 21, dose 1

2021-01-28

Symptoms: Headache & off/on nausea. depression

Release 3 — day 0, dose 2

2021-02-05

Systemic reaction (other): Mild dizziness

Release 3 — days 1–6 daily, dose 2

2021-02-06

Systemic reaction (other): Dizzy and lightheaded mild

2021-02-08

Systemic reaction (other): Sadness/Depression, severe w/ #1 waiting to see for #2

2021-02-10

Systemic reaction (other): Mood variances, sad cry easily, up & down irritable

Release 4 — day 7, dose 2

2021-02-14

Systemic reaction (other): Depression.

Release 5 — day 28, dose 2

2021-03-05

Symptoms: Joint pain. Fatigue very tired.

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	Arthralgia	✓	✓	✓
SD	Depression	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling hot	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Skin reaction	✓	✓	✓
SD	Swelling	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Crying	✓	✓	✓
SRO	Depressed mood	✓	✓	✓
SRO	Depression	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Irritability	✓	✓	✓
SRO	Mood altered	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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