2NH-15632-88856

4 vaccinations 9 coded responses 37 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 627 / IL
Registered: 2021-02-05

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

2021-01-15
Dose 1 — Moderna
2021-02-05
Registered in v-safe
2021-02-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-12
Dose 2 — Moderna
2021-02-12
Health check-in — day 0, dose 2
Feeling: Good · None

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

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-12
Survey response — day 28, dose 2
MedDRA: Back pain, Cough, Fatigue, Hyperventilation, Rhinorrhoea — Feeling: Fair

Free text: Runny nose three days ago; yesterday fatigue and feeling of need to take deep breath; today coughing, runny nose, achiness across back and fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-16
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Dose 3 — Moderna
2021-10-29
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Ear pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: A few times pain in my ear

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Pain — Feeling: Fair · Muscle or body aches

Free text: Much better today. Only occasional achiness.

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-05
Survey response — day 7, dose 3
MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness

Free text: Mild fatigue/tiredness

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-27
Survey response — day 28, dose 3
MedDRA: Fatigue, Sinus congestion, Sneezing — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sinus congestion, sneezing, exhaustion

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Survey response — day 35, dose 3
MedDRA: Dyspnoea, Office visit — Feeling: Fair

Free text: A possible pull around left shoulder blade making it difficult to breathe at times. I had a dr appointment yesterday for another issue and thought maybe it's a muscle. She felt around the area and suggested icing.

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-28
Survey response — 3 months, dose 3
MedDRA: Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Possible reaction to medication not related to COVID or other health condition

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-24
Call 1 — Left Voicemail
2022-04-07
Dose 4 — Moderna
2022-04-18
Health check-in — day 7, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-04-21
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-28
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-05
Survey response — day 28, dose 4
MedDRA: Pain — Feeling: Fair

Free text: Unusual pains

MedDRA releases: 2024-11 · check-in free text available
2022-05-12
Survey response — day 35, dose 4
MedDRA: Cardiovascular symptom, Emergency care, Gastrooesophageal reflux disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: I thought I was maybe having a heart attack and went to emergency. It was concluded as acid reflux.

MedDRA releases: 2024-11 · check-in free text available
2022-05-12
Report sent to call center — day 35, dose 4
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-05-13
Call 2 — Left Voicemail
2022-05-13
Call 1 — Left Voicemail
2022-05-19
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-07
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-08
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Moderna
2	2021-02-12	Moderna
3	2021-10-29	Moderna	No
4	2022-04-07	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 5 — day 28, dose 2

2021-03-12

Symptoms: Runny nose three days ago; yesterday fatigue and feeling of need to take deep breath; today coughing, runny nose, achiness across back and fatigue.

Release 10 — days 1–6 daily, dose 3

2021-10-30

Systemic reaction (other): A few times pain in my ear

2021-11-02

Systemic reaction (other): Much better today. Only occasional achiness.

Release 10 — day 7, dose 3

2021-11-05

Systemic reaction (other): Mild fatigue/tiredness

Release 10 — day 28, dose 3

2021-11-27

Symptoms: Sinus congestion, sneezing, exhaustion

Release 10 — day 35, dose 3

2021-12-04

Symptoms: A possible pull around left shoulder blade making it difficult to breathe at times. I had a dr appointment yesterday for another issue and thought maybe it's a muscle. She felt around the area and suggested icing.

Release 11 — 3 months, dose 3

2022-01-28

Symptoms: Possible reaction to medication not related to COVID or other health condition

Release 11 — day 28, dose 4

2022-05-05

Symptoms: Unusual pains

Release 11 — day 35, dose 4

2022-05-12

Symptoms: I thought I was maybe having a heart attack and went to emergency. It was concluded as acid reflux.

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	Back pain	✓	✓	✓
SD	Cardiovascular symptom	·	·	✓
SD	Cough	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Emergency care	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Gastrooesophageal reflux disease	·	·	✓
SD	Hyperventilation	✓	✓	✓
SD	Office visit	·	·	✓
SD	Pain	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sinus congestion	·	·	✓
SD	Sneezing	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Ear pain	·	·	✓
SRO	Fatigue	·	·	✓
SRO	Pain	·	·	✓

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