3P3-16331-04570

4 vaccinations 9 coded responses 29 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 902 / CA
Registered: 2021-04-03

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

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

2021-04-01
Dose 1 — Moderna
2021-04-03
Registered in v-safe
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Fever · Chills, Fatigue or tiredness, Nausea, Diarrhea

Free text: My normal temp is 97.3 so while for most, 98.6 is normal, it is not normal for me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-10
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-29
Dose 2 — Moderna
2021-04-29
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain

Free text: Light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Pain — Feeling: Fair · Site: Redness · Be unable to do your normal daily activities

Free text: Should have reported this the last few days - my teeth are ultra sensitive all of the sudden. Pain is like...that cold zing you get with a cavity but constant across half of my mouth.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Redness, Swelling · Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperaesthesia teeth, Inflammation — Feeling: Fair · Site: Pain, Swelling · Headache · Be unable to do your normal daily activities

Free text: Continued teeth sensitivity / inflammation. But its getting a little better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Oral pain, Stomatitis — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still have inflammation in my mouth that is extremely painful.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — day 7, dose 2
MedDRA: Pulpitis dental, Toothache — Feeling: Fair · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still with the tooth pain / inflammation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-03
Survey response — day 35, dose 2
MedDRA: Blood pressure increased — Feeling: Good · Be unable to do your normal daily activities

Free text: Rise in blood pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-28
Survey response — 6 months, dose 2
MedDRA: Decreased appetite — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Absolutely no appetite since 2nd dose.

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-02
Call 1 — Left Voicemail
2021-11-12
Dose 3 — Moderna
2022-04-08
Dose 4 — Moderna
2022-04-27
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-29
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-06
Survey response — day 28, dose 4
MedDRA: Acupuncture, Joint stiffness — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Awful joint stiffness · Healthcare visit (other): Accupuncture

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Report sent to call center — day 28, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-09
Call 1 — Left Voicemail
2022-05-20
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-10
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-08
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Moderna
2	2021-04-29	Moderna
3	2021-11-12	Moderna	No
4	2022-04-08	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-04

Systemic reaction (other): My normal temp is 97.3 so while for most, 98.6 is normal, it is not normal for me.

Release 8 — day 0, dose 2

2021-04-29

Systemic reaction (other): Light headed

Release 8 — days 1–6 daily, dose 2

2021-05-02

Systemic reaction (other): Should have reported this the last few days - my teeth are ultra sensitive all of the sudden. Pain is like...that cold zing you get with a cavity but constant across half of my mouth.

2021-05-04

Systemic reaction (other): Continued teeth sensitivity / inflammation. But its getting a little better.

2021-05-05

Systemic reaction (other): Still have inflammation in my mouth that is extremely painful.

Release 8 — day 7, dose 2

2021-05-06

Systemic reaction (other): Still with the tooth pain / inflammation

Release 8 — day 35, dose 2

2021-06-03

Symptoms: Rise in blood pressure

Release 10 — 6 months, dose 2

2021-10-28

Symptoms: Absolutely no appetite since 2nd dose.

Release 11 — day 28, dose 4

2022-05-06

Symptoms: Awful joint stiffness

Healthcare visit (other): Accupuncture

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	Acupuncture	·	·	✓
SD	Blood pressure increased	✓	✓	✓
SD	Decreased appetite	·	·	✓
SD	Joint stiffness	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Hyperaesthesia teeth	✓	✓	✓
SRO	Inflammation	✓	✓	✓
SRO	Oral pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pulpitis dental	✓	✓	✓
SRO	Stomatitis	✓	✓	✓
SRO	Toothache	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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