2UX-30998-73473

4 vaccinations 9 coded responses 38 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 440 / OH
Registered: 2021-03-22

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

2021-03-05
Dose 1 — Moderna
2021-03-22
Registered in v-safe
2021-03-22
Survey response — day 14, dose 1
MedDRA: Arthralgia, Headache, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache,nausea, and joint pain 2 weeks after vaccine. 48 hrs after vaccine arm sore like a tetanus shot and joint pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-05
Dose 2 — Moderna
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Taste disorder — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea, Vomiting, Abdominal pain

Free text: Taste is off

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Diarrhea, Abdominal pain

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Abdominal pain

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Itching · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Abdominal pain

Adult check-in
2021-04-12
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-26
Survey response — day 21, dose 2
MedDRA: Chills, Hyperhidrosis — Feeling: Fair

Free text: Sweats and chills

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — day 28, dose 2
MedDRA: Hyperhidrosis — Feeling: Good

Free text: Sweats day and night..have occurred since my second vaccine 4/5... consistent temp change from 97.5 to 98.5

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — day 35, dose 2
MedDRA: Hot flush, Hyperhidrosis, Lymphadenopathy — Feeling: Fair

Free text: Continued hot flashes & sweats and swollen lymph nodes on left side in armpit and left breast

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-05
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-03
Dose 3 — Moderna
2021-11-03
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-11-08
Survey response — days 1–6 daily, dose 3
MedDRA: Nasal congestion — Feeling: Fair

Free text: Real stuffy nose

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Survey response — days 1–6 daily, dose 3
MedDRA: Nasal congestion — Feeling: Good

Free text: Still have very stuffy nose

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-17
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-01
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-08
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-15
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-02
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-13
Dose 4 — Moderna
2022-04-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-20
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-27
Survey response — day 14, dose 4
MedDRA: Headache — Feeling: Fair

Free text: Daily headache

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-11
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-18
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-25
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-10-13
Survey response — 6 months, dose 4
MedDRA: Gastric operation — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Had 4 stomach surgeries

MedDRA releases: 2024-11 · check-in free text available
2022-10-13
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Hospitalization · 1 call case(s)
2022-10-14
Call 1 — Could Not Reach Participant
2022-10-19
Call 2 — Could Not Reach Participant
2023-04-13
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Moderna
2	2021-04-05	Moderna
3	2021-11-03	Moderna	No
4	2022-04-13	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — day 14, dose 1

2021-03-22

Symptoms: Headache,nausea, and joint pain 2 weeks after vaccine. 48 hrs after vaccine arm sore like a tetanus shot and joint pain

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Taste is off

Release 8 — day 21, dose 2

2021-04-26

Symptoms: Sweats and chills

Release 8 — day 28, dose 2

2021-05-03

Symptoms: Sweats day and night..have occurred since my second vaccine 4/5... consistent temp change from 97.5 to 98.5

Release 8 — day 35, dose 2

2021-05-10

Symptoms: Continued hot flashes & sweats and swollen lymph nodes on left side in armpit and left breast

Release 10 — days 1–6 daily, dose 3

2021-11-08

Systemic reaction (other): Real stuffy nose

2021-11-09

Systemic reaction (other): Still have very stuffy nose

Release 11 — day 14, dose 4

2022-04-27

Symptoms: Daily headache

Release 12 — 6 months, dose 4

2022-10-13

Symptoms: Had 4 stomach surgeries

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	Chills	✓	✓	✓
SD	Gastric operation	·	·	✓
SD	Headache	✓	✓	✓
SD	Hot flush	✓	✓	✓
SD	Hyperhidrosis	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Nausea	✓	✓	✓
SRO	Nasal congestion	·	·	✓
SRO	Taste disorder	✓	✓	✓

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