3BY-45901-16055

2 vaccinations 10 coded responses 23 check-ins 10 free-text entries 7 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 080 / NJ
Registered: 2021-01-08

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

2021-01-07
Dose 1 — Moderna
2021-01-08
Registered in v-safe
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-01-09
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-01-10
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-01-11
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-01-12
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-01-13
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-14
Health check-in — day 7, dose 1
Feeling: Good · Headache, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-01-21
Survey response — day 14, dose 1
MedDRA: Fatigue, Myalgia — Feeling: Fair

Free text: Inctease in fatigue and muscle aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — day 21, dose 1
MedDRA: Office visit, Palpitations — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Increase in palpitation · Healthcare visit (other): Md office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-04
Dose 2 — Moderna
2021-02-04
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · Chills, Headache

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Chills, Headache

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Hyperhidrosis — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Dizziness , sweating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Feeling of body temperature change, Malaise — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Having spells of sweaty and freezing with overall ill ferling with dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Hot flush — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Hot flashes /chills

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills, Fatigue or tiredness

Adult check-in
2021-02-13
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-02-18
Survey response — day 14, dose 2
MedDRA: Palpitations — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Continued off and on with palpitations since gettinv vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-26
Survey response — day 21, dose 2
MedDRA: Tachycardia — Feeling: Good

Free text: Have continued with tachycardia off and on

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-11
Survey response — day 35, dose 2
MedDRA: Fatigue, Gastrointestinal pain, Palpitations — Feeling: Fair · Be unable to do your normal daily activities

Free text: Continue with palpitations off and on GI issues overall fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — day 42, dose 2
MedDRA: Tachycardia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Continued tachycardia GI issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Call 1 — Left Voicemail
2021-08-07
Survey response — 6 months, dose 2
MedDRA: Blood immunoglobulin M increased, Muscular weakness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Muscle weakness elevated Immunglobin M levels

MedDRA releases: 2021-09,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Moderna
2	2021-02-04	Moderna

Call center

7 call center cases

2 unsuccessful · 5 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-21

Symptoms: Inctease in fatigue and muscle aches

Release 3 — day 21, dose 1

2021-01-28

Symptoms: Increase in palpitation

Healthcare visit (other): Md office visit

Release 3 — days 1–6 daily, dose 2

2021-02-07

Systemic reaction (other): Dizziness , sweating

2021-02-08

Systemic reaction (other): Having spells of sweaty and freezing with overall ill ferling with dizziness

2021-02-09

Systemic reaction (other): Hot flashes /chills

Release 4 — day 14, dose 2

2021-02-18

Symptoms: Continued off and on with palpitations since gettinv vaccine

Release 4 — day 21, dose 2

2021-02-26

Symptoms: Have continued with tachycardia off and on

Release 5 — day 35, dose 2

2021-03-11

Symptoms: Continue with palpitations off and on GI issues overall fatigue

Release 6 — day 42, dose 2

2021-03-21

Symptoms: Continued tachycardia GI issues

Release 9 — 6 months, dose 2

2021-08-07

Symptoms: Muscle weakness elevated Immunglobin M levels

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	✓	✓	✓
SD	Blood immunoglobulin M increased	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Gastrointestinal pain	✓	✓	✓
SD	Muscular weakness	✓	·	✓
SD	Myalgia	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Tachycardia	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling of body temperature change	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Malaise	✓	✓	✓

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