3R7-24400-20051

4 vaccinations 10 coded responses 45 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 330 / FL
Registered: 2021-02-12

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

2021-02-12
Registered in v-safe
2021-02-12
Dose 1 — Moderna
2021-02-12
Health check-in — day 0, dose 1
Feeling: Fair · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · Chills

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · Chills, Fatigue or tiredness

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-02-18
Survey response — days 1–6 daily, dose 1
MedDRA: Heart rate increased, Hyperhidrosis — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness

Free text: Sweats and Heart beat fast sometimes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — day 7, dose 1
Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-02-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-12
Dose 2 — Moderna
2021-03-12
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness, Vomiting

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills, Joint pains, Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Joint pains, Muscle or body aches

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-19
Health check-in — day 7, dose 2
Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-03
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-09
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-11
Survey response — 3 months, dose 2
MedDRA: Fatigue, Heart rate increased — Feeling: Fair · Be unable to do your normal daily activities

Free text: My heart seem to be beating fast sometimes.and tried .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-10
Survey response — 6 months, dose 2
MedDRA: Anxiety, Chills — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Anxiety& chills

MedDRA releases: 2024-11 · check-in free text available
2021-09-10
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-14
Call 2 — Left Voicemail
2021-10-29
Dose 3 — Moderna
2021-10-29
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-02
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 · Chills, Joint pains

Adult check-in
2021-11-19
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-28
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-03
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-12
Survey response — day 42, dose 3
MedDRA: Chills, Fatigue, Headache — Feeling: Poor · Be unable to do your normal daily activities

Free text: Chills,headache feeling tried

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
Survey response — 3 months, dose 3
MedDRA: Abdominal discomfort, Chills, Fatigue, Feeling cold, Headache, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cold chills, upset stomach, headaches back ,pain tired a lot.,

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Dose 4 — Moderna
2022-04-29
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-04-29
Health check-in — day 0, dose 4
Feeling: Fair · Headache

Adult check-in
2022-04-30
Survey response — days 1–6 daily, dose 4
MedDRA: Palpitations — Feeling: Fair · Site: Pain · Chills, Headache

Free text: palpitations

MedDRA releases: 2024-11 · check-in free text available
2022-05-02
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-03
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2022-05-04
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-05
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2022-05-06
Health check-in — day 7, dose 4
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-05-13
Survey response — day 14, dose 4
MedDRA: Fatigue, Headache — Feeling: Fair

Free text: Tried light headach

MedDRA releases: 2024-11 · check-in free text available
2022-05-20
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-27
Survey response — day 28, dose 4
MedDRA: Diarrhoea, Headache, Pain — Feeling: Poor

Free text: Headach,body ach, Diarrhea for two days.four family Tested positive. I have not been able to get tested nor do I have any more home test kids

MedDRA releases: 2024-11 · check-in free text available
2022-06-03
Survey response — day 35, dose 4
MedDRA: Abdominal pain upper, Chills, Fatigue, Headache, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Chills, Fatigue stomach ache headache body ache.

MedDRA releases: 2024-11 · check-in free text available
2022-06-10
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-30
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-30
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-30
Survey response — 12 months, dose 4
MedDRA: Abdominal discomfort, Cough, Fatigue, Insomnia — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-04-30
Report sent to call center — 12 months, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-05-01
Call 1 — Left Voicemail
2023-05-01
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-12	Moderna
2	2021-03-12	Moderna
3	2021-10-29	Moderna	No
4	2022-04-29	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-18

Systemic reaction (other): Sweats and Heart beat fast sometimes

Release 9 — 3 months, dose 2

2021-06-11

Symptoms: My heart seem to be beating fast sometimes.and tried .

Release 9 — 6 months, dose 2

2021-09-10

Symptoms: Anxiety& chills

Release 10 — day 42, dose 3

2021-12-12

Symptoms: Chills,headache feeling tried

Release 11 — 3 months, dose 3

2022-01-28

Symptoms: Cold chills, upset stomach, headaches back ,pain tired a lot.,

Release 11 — days 1–6 daily, dose 4

2022-04-30

Systemic reaction (other): palpitations

Release 11 — day 14, dose 4

2022-05-13

Symptoms: Tried light headach

Release 11 — day 28, dose 4

2022-05-27

Symptoms: Headach,body ach, Diarrhea for two days.four family Tested positive. I have not been able to get tested nor do I have any more home test kids

Release 11 — day 35, dose 4

2022-06-03

Symptoms: Chills, Fatigue stomach ache headache body ache.

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	Abdominal discomfort	·	·	✓
SD	Abdominal pain upper	·	·	✓
SD	Anxiety	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling cold	·	·	✓
SD	Headache	·	·	✓
SD	Heart rate increased	✓	✓	✓
SD	Insomnia	·	·	✓
SD	Pain	·	·	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Palpitations	·	·	✓

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