3HB-14589-43073

3 vaccinations 7 coded responses 27 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 914 / CA
Registered: 2021-01-25

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

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

2020-12-29
Dose 1 — Moderna
2021-01-25
Registered in v-safe
2021-01-25
Dose 2 — Moderna
2021-01-26
Survey response — days 1–6 daily, dose 2
MedDRA: Pyrexia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: random sharp stabbing pains in various extemities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in jaw, Rash — Feeling: Fair · Site: Pain, Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Small rash across upper anterior chest, bilateral upper extremities. Jaw pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Insomnia — Feeling: Fair · Site: Pain, Redness, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Insomnia. Loss of appetite.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal discomfort, Decreased appetite — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Gastrointestinal upset. Loss of appetite.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-01
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-02-08
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-03
Dose 3 — Moderna
2022-01-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-01-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-10
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-17
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-24
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-02
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-07
Survey response — day 35, dose 3
MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cough, sore throat, runny nose, congestion.

MedDRA releases: 2024-11 · check-in free text available
2022-02-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-04
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-07-04
Survey response — 6 months, dose 3
MedDRA: COVID-19, Chills, Fatigue, Headache, Heavy menstrual bleeding, Oligomenorrhoea, Oropharyngeal pain, Pain, Productive cough, Pyrexia, Respiratory tract congestion, Rhinorrhoea — 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 · Telehealth, virtual health, or email health consultation

Free text: Covid positive on June 1, 2022. Productive cough, sore throat, fever, chills, congestion, runny nose, fatigue, headache, aches, heavy flow and extended length of menstruation cycle.

MedDRA releases: 2024-11 · check-in free text available
2022-07-04
Report sent to call center — 6 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-07-05
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Moderna
2	2021-01-25	Moderna
3	2022-01-03	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 2

2021-01-26

Systemic reaction (other): Fever

2021-01-27

Systemic reaction (other): random sharp stabbing pains in various extemities

2021-01-28

Systemic reaction (other): Small rash across upper anterior chest, bilateral upper extremities. Jaw pain.

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Insomnia. Loss of appetite.

2021-01-30

Systemic reaction (other): Gastrointestinal upset. Loss of appetite.

Release 11 — day 35, dose 3

2022-02-07

Symptoms: Cough, sore throat, runny nose, congestion.

Release 12 — 6 months, dose 3

2022-07-04

Symptoms: Covid positive on June 1, 2022. Productive cough, sore throat, fever, chills, congestion, runny nose, fatigue, headache, aches, heavy flow and extended length of menstruation cycle.

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	Chills	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Heavy menstrual bleeding	·	·	✓
SD	Oligomenorrhoea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Productive cough	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Rash	✓	✓	✓

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