3H9-28215-22217

3 vaccinations 12 coded responses 25 check-ins 12 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 090
Registered: 2021-05-06

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-12
Dose 1 — Moderna
2021-05-06
Registered in v-safe
2021-05-06
Dose 2 — Moderna
2021-05-06
Survey response — day 0, dose 2
MedDRA: Medical observation, Paraesthesia oral, Throat irritation — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Onset of tingling lips, tongue, minor throat irritation · Healthcare visit (other): On-site treatment with benadryl

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Report sent to call center — day 0, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Rhinorrhoea — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains

Adult check-in
2021-05-15
Health check-in — day 7, dose 2
Feeling: Good · Headache, Joint pains

Adult check-in
2021-05-20
Survey response — day 14, dose 2
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Slightly sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — day 21, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Overwhelming fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Survey response — day 28, dose 2
MedDRA: Headache, Oropharyngeal pain, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache, slight sore throat and body aches on Tuesday June 1st lasting for 24 hrs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Survey response — day 35, dose 2
MedDRA: Headache, Throat irritation — Feeling: Good

Free text: Headaches and throat irritation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Survey response — day 42, dose 2
MedDRA: Cough, Fatigue, Headache — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fatigue, HA, cough with Skyrim for 5 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-05
Survey response — 3 months, dose 2
MedDRA: Fatigue, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue and aching in quadriceps

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-04
Survey response — 6 months, dose 2
MedDRA: Fatigue — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Frequent bouts of extreme fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-12-09
Dose 3 — Moderna
2021-12-10
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-12
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-12-13
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to work or attend school

Adult check-in
2021-12-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains

Adult check-in
2021-12-16
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains

Adult check-in
2021-12-24
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-02
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-03-12
Survey response — 3 months, dose 3
MedDRA: Laryngitis, Upper respiratory tract infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Upper respiratory infection with laryngitis for 1 month

MedDRA releases: 2024-11 · check-in free text available
2022-03-12
Report sent to call center — 3 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · 1 call case(s)
2022-03-15
Call 1 — Left Voicemail
2022-06-09
Survey response — 6 months, dose 3
MedDRA: Influenza like illness, Pain — Feeling: Fair

Free text: Frequent Generalized body aches with flu like symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-12-09
Survey response — 12 months, dose 3
MedDRA: Myalgia, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Constant Lowe extremity aches and pain in large muscles

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-12	Moderna
2	2021-05-06	Moderna
3	2021-12-09	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 8 — day 0, dose 2

2021-05-06

Systemic reaction (other): Onset of tingling lips, tongue, minor throat irritation

Healthcare visit (other): On-site treatment with benadryl

Release 8 — days 1–6 daily, dose 2

2021-05-08

Systemic reaction (other): Runny nose

Release 8 — day 14, dose 2

2021-05-20

Symptoms: Slightly sore throat

Release 8 — day 21, dose 2

2021-05-27

Symptoms: Overwhelming fatigue

Release 8 — day 28, dose 2

2021-06-03

Symptoms: Headache, slight sore throat and body aches on Tuesday June 1st lasting for 24 hrs

Release 9 — day 35, dose 2

2021-06-10

Symptoms: Headaches and throat irritation

Release 9 — day 42, dose 2

2021-06-17

Symptoms: Fatigue, HA, cough with Skyrim for 5 days

Release 9 — 3 months, dose 2

2021-08-05

Symptoms: Fatigue and aching in quadriceps

Release 10 — 6 months, dose 2

2021-11-04

Symptoms: Frequent bouts of extreme fatigue

Release 11 — 3 months, dose 3

2022-03-12

Symptoms: Upper respiratory infection with laryngitis for 1 month

Release 12 — 6 months, dose 3

2022-06-09

Symptoms: Frequent Generalized body aches with flu like symptoms

Release 12 — 12 months, dose 3

2022-12-09

Symptoms: Constant Lowe extremity aches and pain in large muscles

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	Medical observation	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Influenza like illness	·	·	✓
SD	Laryngitis	·	·	✓
SD	Myalgia	✓	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Throat irritation	✓	✓	✓
SD	Upper respiratory tract infection	·	·	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Throat irritation	✓	✓	✓

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