2QZ-23438-24351

3 vaccinations 5 coded responses 32 check-ins 5 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 199 / DE
Registered: 2021-03-03

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

2021-03-03
Registered in v-safe
2021-03-03
Dose 1 — Moderna
2021-03-03
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-10
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-17
Survey response — day 14, dose 1
MedDRA: Diarrhoea, Dizziness, Fatigue, Nausea, Vertigo — Feeling: Poor · Be unable to do your normal daily activities

Free text: Severe room-spinning dizziness, nausea and diarrhea and fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-31
Dose 2 — Moderna
2021-03-31
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — day 7, dose 2
Feeling: Good · None

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

Adult check-in
2021-04-21
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 28, dose 2
Feeling: Good

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

Adult check-in
2021-05-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-01
Survey response — 3 months, dose 2
MedDRA: Dizziness, Heart rate irregular, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Irregular heartbeat. Periodic dizziness in middle of night · Healthcare visit (other): Office visit and referred to cardiologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-01
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-06
Call 1 — Left Voicemail
2021-09-09
Dose 3 — Moderna
2021-09-25
Survey response — day 14, dose 3
MedDRA: Blood pressure increased, Fatigue, Heart rate irregular, Office visit, Pain in extremity, Vaccine positive rechallenge — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Higher blood pressure with occasional irregular heart rate. (Started following 2nd shot and started again after 3rd shot)TirednessSore arm for 3 days · Healthcare visit (other): Doctors office visit

MedDRA releases: 2024-11 · check-in free text available
2021-09-25
Report sent to call center — day 14, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-29
Call 2 — Left Voicemail
2021-10-02
Survey response — day 21, dose 3
MedDRA: Heart rate irregular, Hypertension — Feeling: Good

Free text: Irregular heartbeat and HBP continue off and on.

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-16
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-10-24
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-12-10
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-12
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-09-10
Survey response — 12 months, dose 3
MedDRA: Bursitis, Office visit, Physiotherapy — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Bursitis in shoulders and ischium · Healthcare visit (other): Doctor, physical therapy, pain mgmt Dr and surgeon

MedDRA releases: 2024-11 · check-in free text available
2022-09-10
Report sent to call center — 12 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-09-12
Call 2 — Left Voicemail
2022-09-12
Call 1 — Left Voicemail
2022-09-12
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Moderna
2	2021-03-31	Moderna
3	2021-09-09	Moderna	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 5 — day 14, dose 1

2021-03-17

Symptoms: Severe room-spinning dizziness, nausea and diarrhea and fatigue.

Release 9 — 3 months, dose 2

2021-07-01

Symptoms: Irregular heartbeat. Periodic dizziness in middle of night

Healthcare visit (other): Office visit and referred to cardiologist

Release 9 — day 14, dose 3

2021-09-25

Symptoms: Higher blood pressure with occasional irregular heart rate. (Started following 2nd shot and started again after 3rd shot)TirednessSore arm for 3 days

Healthcare visit (other): Doctors office visit

Release 9 — day 21, dose 3

2021-10-02

Symptoms: Irregular heartbeat and HBP continue off and on.

Release 12 — 12 months, dose 3

2022-09-10

Symptoms: Bursitis in shoulders and ischium

Healthcare visit (other): Doctor, physical therapy, pain mgmt Dr and surgeon

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	✓	✓	✓
HCVO	Physiotherapy	·	·	✓
SD	Blood pressure increased	·	·	✓
SD	Bursitis	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Heart rate irregular	✓	✓	✓
SD	Hypertension	·	·	✓
SD	Nausea	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Vaccine positive rechallenge	·	·	✓
SD	Vertigo	✓	✓	✓

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