3RC-62946-45215

5 vaccinations 10 coded responses 40 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 030 / NH
Registered: 2021-03-21

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

2021-03-20
Dose 1 — Moderna
2021-03-21
Registered in v-safe
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-29
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-03
Survey response — day 14, dose 1
MedDRA: Fatigue, Headache, Oropharyngeal pain, Pain — Feeling: Poor · Be unable to work

Free text: Sore throat, aches and headaches, severe fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Dose 2 — Moderna
2021-04-17
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Nausea

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Nausea

Adult check-in
2021-05-01
Survey response — day 14, dose 2
MedDRA: Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Issues with severe leg pain which I believe are not related to my vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-22
Survey response — day 35, dose 2
MedDRA: Headache — Feeling: Fair

Free text: Bad headaches, but could be due to allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-19
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-16
Survey response — 6 months, dose 2
MedDRA: Abdominal pain upper — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Severe stomach pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-16
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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2021-10-19
Call 1 — Left Voicemail
2021-10-27
Dose 3 — Moderna
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-11-03
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-11-11
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-17
Survey response — day 21, dose 3
MedDRA: Cough, Headache, Nasal congestion, Oropharyngeal pain, Pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cough, stuffy nose, headache, body aches, sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
Survey response — 3 months, dose 3
MedDRA: Ear pain, Rhinorrhoea, Sinus congestion — Feeling: Fair · Be unable to work or attend school

Free text: Sinus congestion and ear pain along with runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-04-01
Dose 4 — Moderna
2022-04-27
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-19
Survey response — day 42, dose 4
MedDRA: Haemorrhage — 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 · Emergency room or emergency department visit

Free text: Had a colonoscopy yesterday and experiencing excessive bleeding. At hospital today getting a cat scan.

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Report sent to call center — day 42, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · 1 call case(s)
2022-05-20
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-20
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-30
Survey response — 6 months, dose 4
MedDRA: Pain, Spinal operation — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Had spinal stimulator surgery for chronic pain.

MedDRA releases: 2024-11 · check-in free text available
2022-10-18
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-18
Health check-in — day 0, dose 5
Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-10-19
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school

Adult check-in
2022-10-20
Survey response — days 1–6 daily, dose 5
MedDRA: Pruritus — Feeling: Good · Site: Pain

Free text: Severe itchiness in middle of night. No visible rash.

MedDRA releases: 2024-11 · check-in free text available
2022-10-22
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2022-10-25
Survey response — day 7, dose 5
MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Congestion & coughing

MedDRA releases: 2024-11 · check-in free text available
2022-11-10
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-12-01
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-04-18
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-20	Moderna
2	2021-04-17	Moderna
3	2021-10-27	Moderna	No
4	2022-04-01	Moderna	No
5	2022-10-18	Pfizer-BioNTech	Flu

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 6 — day 14, dose 1

2021-04-03

Symptoms: Sore throat, aches and headaches, severe fatigue

Release 8 — day 14, dose 2

2021-05-01

Symptoms: Issues with severe leg pain which I believe are not related to my vaccine

Release 8 — day 35, dose 2

2021-05-22

Symptoms: Bad headaches, but could be due to allergies

Release 10 — 6 months, dose 2

2021-10-16

Symptoms: Severe stomach pain

Release 10 — day 21, dose 3

2021-11-17

Symptoms: Cough, stuffy nose, headache, body aches, sore throat

Release 11 — 3 months, dose 3

2022-01-28

Symptoms: Sinus congestion and ear pain along with runny nose

Release 11 — day 42, dose 4

2022-05-19

Symptoms: Had a colonoscopy yesterday and experiencing excessive bleeding. At hospital today getting a cat scan.

Release 12 — 6 months, dose 4

2022-09-30

Symptoms: Had spinal stimulator surgery for chronic pain.

Release 12 — days 1–6 daily, dose 5

2022-10-20

Systemic reaction (other): Severe itchiness in middle of night. No visible rash.

Release 12 — day 7, dose 5

2022-10-25

Systemic reaction (other): Congestion & coughing

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 pain upper	·	·	✓
SD	Cough	·	·	✓
SD	Ear pain	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Haemorrhage	·	·	✓
SD	Headache	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Spinal operation	·	·	✓
SRO	Cough	·	·	✓
SRO	Pruritus	·	·	✓
SRO	Respiratory tract congestion	·	·	✓

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