3BL-29885-77058

2 vaccinations 11 coded responses 23 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 208 / MD
Registered: 2021-02-24

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

2021-02-23
Dose 1 — Moderna
2021-02-24
Registered in v-safe
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-25
Survey response — days 1–6 daily, dose 1
MedDRA: Blood pressure decreased — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: BP dropped (not a new problem)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Episode of shortness of breath ( not new)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-09
Survey response — day 14, dose 1
MedDRA: Asthma, Blood pressure decreased, Cough, Dyspnoea, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: Cough and dyspnea worse. Peak flow meter running lower than usual. Have to use asthma rescue inhaler more than usual. BPalso tends to drop. Problem since January of 2020 but symptoms worse this week. I also have Sjogrens and laryngeal dysphonia.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-23
Dose 2 — Moderna
2021-03-23
Health check-in — day 0, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Cough, Urinary incontinence — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Cough, urinary incontinence,dribbling when drinking,weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Body temperature increased, Dizziness, Injection site bruising — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Yesterday 104.2F, dizzy, large bruise at injection site. Still dizzy, bruised.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — days 1–6 daily, dose 2
MedDRA: Tremor — Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Free text: Shaky

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Oral herpes — Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Free text: 2 cold sores that started yesterday. Pollen and mold counts high

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Oral herpes — Feeling: Poor · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Shakeup, another cold sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — day 7, dose 2
MedDRA: Disturbance in attention — Feeling: Fair · Joint pains, Fatigue or tiredness, Nausea

Free text: Difficulty focusing and concentrating more than usual since 2nd dose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-13
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-22
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-27
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-04
Survey response — day 42, dose 2
MedDRA: Arthritis, Condition aggravated, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Arthritis worse in shoulders and hip, and extended to other hip, knees and ankles. Brain fog worse. · Healthcare visit (other): Doctors office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-22
Survey response — 3 months, dose 2
MedDRA: Decreased appetite, Nausea, Pre-existing disease, Retching, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Loss of appetite, nausea and dry heaves. I think it was from antibiotics I was taking for an infection. · Healthcare visit (other): I plan to email my doctor later today about this.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-28
Call 1 — Left Voicemail
2021-09-23
Health check-in — 6 months, dose 2
Feeling: Poor

Adult check-in
2022-03-23
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-23	Moderna
2	2021-03-23	Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-25

Systemic reaction (other): BP dropped (not a new problem)

2021-03-01

Systemic reaction (other): Episode of shortness of breath ( not new)

Release 5 — day 14, dose 1

2021-03-09

Symptoms: Cough and dyspnea worse. Peak flow meter running lower than usual. Have to use asthma rescue inhaler more than usual. BPalso tends to drop. Problem since January of 2020 but symptoms worse this week. I also have Sjogrens and laryngeal dysphonia.

Release 6 — days 1–6 daily, dose 2

2021-03-24

Systemic reaction (other): Cough, urinary incontinence,dribbling when drinking,weakness

2021-03-25

Systemic reaction (other): Yesterday 104.2F, dizzy, large bruise at injection site. Still dizzy, bruised.

2021-03-26

Systemic reaction (other): Shaky

2021-03-27

Systemic reaction (other): 2 cold sores that started yesterday. Pollen and mold counts high

2021-03-28

Systemic reaction (other): Shakeup, another cold sore

Release 6 — day 7, dose 2

2021-03-30

Systemic reaction (other): Difficulty focusing and concentrating more than usual since 2nd dose

Release 8 — day 42, dose 2

2021-05-04

Symptoms: Arthritis worse in shoulders and hip, and extended to other hip, knees and ankles. Brain fog worse.

Healthcare visit (other): Doctors office

Release 9 — 3 months, dose 2

2021-06-22

Symptoms: Loss of appetite, nausea and dry heaves. I think it was from antibiotics I was taking for an infection.

Healthcare visit (other): I plan to email my doctor later today about this.

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	Unevaluable event	✓	✓	✓
SD	Arthritis	✓	✓	✓
SD	Asthma	✓	✓	✓
SD	Blood pressure decreased	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Decreased appetite	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Retching	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Blood pressure decreased	✓	✓	✓
SRO	Body temperature increased	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Oral herpes	✓	✓	✓
SRO	Tremor	✓	✓	✓
SRO	Urinary incontinence	✓	✓	✓

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