3J9-23435-56927

2 vaccinations 16 coded responses 23 check-ins 15 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 448 / OH
Registered: 2021-12-31

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

2021-12-31
Registered in v-safe
2021-12-31
Dose 1 — Moderna
2021-12-31
Survey response — day 0, dose 1
MedDRA: Chest discomfort, Dyspnoea — Feeling: Poor · Site: Itching · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Shortness of breath,chest tightness

MedDRA releases: 2024-11 · check-in free text available
2022-01-04
Survey response — days 1–6 daily, dose 1
MedDRA: Cardiac flutter, Cough, Dyspnoea, Oropharyngeal pain — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore throat, coughing, shortness of breath, fluttering in my chest

MedDRA releases: 2024-11 · check-in free text available
2022-01-06
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: A cough, sore throat,

MedDRA releases: 2024-11 · check-in free text available
2022-01-08
Survey response — day 7, dose 1
MedDRA: Asthenia — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Weakness

MedDRA releases: 2024-11 · check-in free text available
2022-01-14
Survey response — day 14, dose 1
MedDRA: Cardiac flutter, Fatigue, Hypoaesthesia, Hypoaesthesia oral — Feeling: Fair · Be unable to do your normal daily activities

Free text: Heart fluttering, numbness in cheek and lips and tiredness.

MedDRA releases: 2024-11 · check-in free text available
2022-01-21
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2022-01-30
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2022-02-04
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2022-02-11
Survey response — day 42, dose 1
MedDRA: Diarrhoea, Pain — Feeling: Poor · Be unable to work or attend school

Free text: Diarrhea and aches and pains

MedDRA releases: 2024-11 · check-in free text available
2022-03-04
Dose 2 — Moderna
2022-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-03-09
Survey response — days 1–6 daily, dose 2
MedDRA: Confusional state, Disturbance in attention, Dizziness — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Confusion dizziness trouble concentrating

MedDRA releases: 2024-11 · check-in free text available
2022-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · 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: Brain fog

MedDRA releases: 2024-11 · check-in free text available
2022-03-10
Report sent to call center — days 1–6 daily, dose 2
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)
2022-03-11
Survey response — day 7, dose 2
MedDRA: Brain fog — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Brain fog

MedDRA releases: 2024-11 · check-in free text available
2022-03-14
Call 1 — Could Not Reach Participant
2022-03-17
Call 2 — Could Not Reach Participant
2022-03-18
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2022-03-26
Survey response — day 21, dose 2
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Joint pains

MedDRA releases: 2024-11 · check-in free text available
2022-04-01
Survey response — day 28, dose 2
MedDRA: Arthralgia, Hyperacusis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Hearing issues and jiont pain

MedDRA releases: 2024-11 · check-in free text available
2022-04-09
Survey response — day 35, dose 2
MedDRA: Hypoacusis, Office visit, Unevaluable event — 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 · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Hearing issue's · Healthcare visit (other): Dr office

MedDRA releases: 2024-11 · check-in free text available
2022-04-09
Report sent to call center — day 35, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-12
Call 1 — Could Not Reach Participant
2022-04-15
Survey response — day 42, dose 2
MedDRA: Unevaluable event — Feeling: Fair

Free text: Hearing on the phone

MedDRA releases: 2024-11 · check-in free text available
2022-04-15
Call 2 — Could Not Reach Participant
2022-06-03
Survey response — 3 months, dose 2
MedDRA: Pain in extremity — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Pain in my legs

MedDRA releases: 2024-11 · check-in free text available
2022-09-02
Survey response — 6 months, dose 2
MedDRA: Dysstasia, Joint lock, Pain, Pain in extremity — Feeling: Poor · 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, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: I am very achy all over my body especially in my legs my knees lock up on me and I have trouble standing up

MedDRA releases: 2024-11 · check-in free text available
2022-09-02
Report sent to call center — 6 months, dose 2
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 · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-09-06
Call 3 — Left Voicemail
2022-09-06
Call 3 — Left Voicemail
2022-09-06
Call 1 — Left Voicemail
2023-03-05
Survey response — 12 months, dose 2
MedDRA: Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-12-31	Moderna	No
2	2022-03-04	Moderna	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 10 — day 0, dose 1

2021-12-31

Systemic reaction (other): Shortness of breath,chest tightness

Release 10 — days 1–6 daily, dose 1

2022-01-04

Systemic reaction (other): Sore throat, coughing, shortness of breath, fluttering in my chest

2022-01-06

Systemic reaction (other): A cough, sore throat,

Release 10 — day 7, dose 1

2022-01-08

Systemic reaction (other): Weakness

Release 10 — day 14, dose 1

2022-01-14

Symptoms: Heart fluttering, numbness in cheek and lips and tiredness.

Release 11 — day 42, dose 1

2022-02-11

Symptoms: Diarrhea and aches and pains

Release 11 — days 1–6 daily, dose 2

2022-03-09

Systemic reaction (other): Confusion dizziness trouble concentrating

2022-03-10

Systemic reaction (other): Brain fog

Release 11 — day 7, dose 2

2022-03-11

Systemic reaction (other): Brain fog

Release 11 — day 21, dose 2

2022-03-26

Symptoms: Joint pains

Release 11 — day 28, dose 2

2022-04-01

Symptoms: Hearing issues and jiont pain

Release 11 — day 35, dose 2

2022-04-09

Symptoms: Hearing issue's

Healthcare visit (other): Dr office

Release 11 — day 42, dose 2

2022-04-15

Symptoms: Hearing on the phone

Release 11 — 3 months, dose 2

2022-06-03

Symptoms: Pain in my legs

Release 12 — 6 months, dose 2

2022-09-02

Symptoms: I am very achy all over my body especially in my legs my knees lock up on me and I have trouble standing up

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	Arthralgia	·	·	✓
SD	Cardiac flutter	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dysstasia	·	·	✓
SD	Fatigue	·	·	✓
SD	Hyperacusis	·	·	✓
SD	Hypoacusis	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Hypoaesthesia oral	·	·	✓
SD	Joint lock	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Asthenia	·	·	✓
SRO	Brain fog	·	·	✓
SRO	Cardiac flutter	·	·	✓
SRO	Chest discomfort	·	·	✓
SRO	Confusional state	·	·	✓
SRO	Cough	·	·	✓
SRO	Disturbance in attention	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Dyspnoea	·	·	✓
SRO	Oropharyngeal pain	·	·	✓

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