3N7-89884-09138

3 vaccinations 9 coded responses 34 check-ins 9 free-text entries 5 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 144 / NY
Registered: 2020-12-29

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

2020-12-28
Dose 1 — Moderna
2020-12-29
Registered in v-safe
2020-12-29
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness

Free text: Upper left arm shoulder to w dull th

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Swelling · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2020-12-31
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

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

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

1 call case(s)
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-02
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-01-04
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-18
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-25
Dose 2 — Moderna
2021-01-25
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-02
Health check-in — day 7, dose 2
Feeling: Good · None

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

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

Adult check-in
2021-03-01
Survey response — day 35, dose 2
MedDRA: Alanine aminotransferase increased, Aspartate aminotransferase increased, Diabetes mellitus, Oral candidiasis, Pre-existing disease, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: DM no longer under control. I am going for abdominal ultrasound, ast alt very high. Severe oral candidis. May be totally unrelated · Healthcare visit (other): Ultrasound ordered

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-09
Survey response — day 42, dose 2
MedDRA: Liver function test increased, Skin infection, Vertigo — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Skin infection in corners of mouth. New onset of vertigo. Elevared LFTs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-29
Survey response — 3 months, dose 2
MedDRA: Vertigo — Feeling: Good · Be unable to do your normal daily activities

Free text: Vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Call 1 — Left Voicemail
2021-07-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Dose 3 — Moderna
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches

Adult check-in
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Nasopharyngitis — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Mild cold symptoms

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-05
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-13
Survey response — day 14, dose 3
MedDRA: Bone pain, Fatigue, Myalgia — Feeling: Fair

Free text: Overlying moderate level fatigue, mild bone and muscle ache, no fever or cough.

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-27
Survey response — day 28, dose 3
MedDRA: Headache, Musculoskeletal stiffness, Throat irritation — Feeling: Good

Free text: Scratchy throat headache stiff neck.

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-28
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-29
Survey response — 6 months, dose 3
MedDRA: Bacterial infection, Pneumonia, Viral sinusitis — Feeling: Poor · Be unable to work or attend school

Free text: Bacterial versus viral sinus infection and pneumonia

MedDRA releases: 2024-11 · check-in free text available
2022-10-29
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Moderna
2	2021-01-25	Moderna
3	2021-10-29	Moderna	No

Call center

5 call center cases

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

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-29

Systemic reaction (other): Upper left arm shoulder to w dull th

2020-12-30

Systemic reaction (other): No

Release 4 — day 35, dose 2

2021-03-01

Symptoms: DM no longer under control. I am going for abdominal ultrasound, ast alt very high. Severe oral candidis. May be totally unrelated

Healthcare visit (other): Ultrasound ordered

Release 5 — day 42, dose 2

2021-03-09

Symptoms: Skin infection in corners of mouth. New onset of vertigo. Elevared LFTs

Release 8 — 3 months, dose 2

2021-04-29

Symptoms: Vertigo

Release 10 — days 1–6 daily, dose 3

2021-10-31

Systemic reaction (other): Mild cold symptoms

Release 10 — day 14, dose 3

2021-11-13

Symptoms: Overlying moderate level fatigue, mild bone and muscle ache, no fever or cough.

Release 10 — day 28, dose 3

2021-11-27

Symptoms: Scratchy throat headache stiff neck.

Release 11 — 6 months, dose 3

2022-04-29

Symptoms: Bacterial versus viral sinus infection and pneumonia

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	Unevaluable event	✓	✓	✓
SD	Alanine aminotransferase increased	✓	✓	✓
SD	Aspartate aminotransferase increased	✓	✓	✓
SD	Bacterial infection	·	·	✓
SD	Bone pain	·	·	✓
SD	Diabetes mellitus	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Liver function test increased	✓	✓	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Myalgia	·	·	✓
SD	Oral candidiasis	✓	✓	✓
SD	Pneumonia	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Skin infection	✓	✓	✓
SD	Throat irritation	·	·	✓
SD	Vertigo	✓	✓	✓
SD	Viral sinusitis	·	·	✓
SRO	Nasopharyngitis	·	·	✓
SRO	No adverse event	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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