347-17115-82975

2 vaccinations 8 coded responses 23 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 321 / FL
Registered: 2021-03-05

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

2021-03-04
Dose 1 — Moderna
2021-03-05
Registered in v-safe
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Palpitations — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Felt like my heart was racing a few times and a little light headed or dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Nausea

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Headache

Adult check-in
2021-03-11
Health check-in — day 7, dose 1
Feeling: Good · Site: Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-03-18
Survey response — day 14, dose 1
MedDRA: Dizziness, Heart rate increased, Rash, Rash pruritic, Skin warm — Feeling: Fair

Free text: Softball sized itchy/fevered rash on injection arm, still racing heart rate at times, and dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-03
Survey response — day 28, dose 1
MedDRA: Dizziness, Headache, Palpitations — 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: Headaches and dizziness throughout the day. Heart still races randomly. Getting blood work and an ekg. Delayed second shot until I get results.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Report sent to call center — day 28, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-08
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-04-14
Dose 2 — Moderna
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Palpitations — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Heart racing at night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-04-21
Survey response — day 7, dose 2
MedDRA: Cough, Insomnia — Feeling: Fair · Site: Swelling, Itching · Headache, Fatigue or tiredness

Free text: Insomnia, been coughing since shot but could be allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — day 14, dose 2
MedDRA: Bone pain, Cough, Palpitations — Feeling: Fair

Free text: Heart palpitations especially at night, bone aches, persistent cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-19
Survey response — day 35, dose 2
MedDRA: Lymphadenopathy, Menstruation irregular — Feeling: Good

Free text: Period 10 days early. Usually very regular. Armpit lymph nodes finally going down - were swollen till now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-14
Call 1 — Left Voicemail
2021-07-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-13
Survey response — 6 months, dose 2
MedDRA: Bone pain, Injection site reaction — Feeling: Good

Free text: I have frequent bone aches in my arms near where I received my shots.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-04	Moderna
2	2021-04-14	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-07

Systemic reaction (other): Felt like my heart was racing a few times and a little light headed or dizzy

Release 5 — day 14, dose 1

2021-03-18

Symptoms: Softball sized itchy/fevered rash on injection arm, still racing heart rate at times, and dizziness

Release 6 — day 28, dose 1

2021-04-03

Symptoms: Headaches and dizziness throughout the day. Heart still races randomly. Getting blood work and an ekg. Delayed second shot until I get results.

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): Heart racing at night

Release 7 — day 7, dose 2

2021-04-21

Systemic reaction (other): Insomnia, been coughing since shot but could be allergies

Release 8 — day 14, dose 2

2021-04-28

Symptoms: Heart palpitations especially at night, bone aches, persistent cough

Release 8 — day 35, dose 2

2021-05-19

Symptoms: Period 10 days early. Usually very regular. Armpit lymph nodes finally going down - were swollen till now.

Release 10 — 6 months, dose 2

2021-10-13

Symptoms: I have frequent bone aches in my arms near where I received my shots.

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	Bone pain	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Injection site reaction	·	·	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Menstruation irregular	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SD	Skin warm	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Palpitations	✓	✓	✓

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