3S2-28645-42074

3 vaccinations 14 coded responses 41 check-ins 14 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 327 / FL
Registered: 2021-03-12

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

2021-03-12
Registered in v-safe
2021-03-12
Dose 1 — Moderna
2021-03-12
Health check-in — day 0, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Swelling, Itching · Diarrhea

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · Abdominal pain

Adult check-in
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Palpitations — Feeling: Good

Free text: Was light headed, heart racing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good

Free text: Light headed at times

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-09
Dose 2 — Moderna
2021-04-09
Health check-in — day 0, dose 2
Feeling: Good · Nausea

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia — Feeling: Fair · Site: Swelling · Fatigue or tiredness, Nausea

Free text: Weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Dizziness — Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to work

Free text: Light headed, weak

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Syncope — Feeling: Fair · Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, 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: Feeling faint

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Good · Diarrhea

Free text: Getting better, but still limited in how long I can stand and walk.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-04-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-03
Dose 3 — Moderna
2021-12-03
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-12-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Chills

Adult check-in
2021-12-05
Survey response — days 1–6 daily, dose 3
MedDRA: Asthenia — Feeling: Fair · Site: Pain · Fever · Chills, 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
2021-12-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-08
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Small lump on collar bone, which I assume to be lymph node.

MedDRA releases: 2024-11 · check-in free text available
2021-12-09
Survey response — days 1–6 daily, dose 3
MedDRA: Neck mass, Pain — Feeling: Good

Free text: Still the sore lump over my collar bone.

MedDRA releases: 2024-11 · check-in free text available
2021-12-12
Survey response — day 7, dose 3
MedDRA: Menstruation irregular — Feeling: Good

Free text: This shot caused me to have a period, like the second dose did. I had gone 8 mos and then second dose gave me a bad period. Hadn't had one since Until booster 8 months later. This one isn't bad.

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-24
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-02
Survey response — day 28, dose 3
MedDRA: Asthenia, Rhinalgia, Sneezing — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sore nose, sneezing, low energy

MedDRA releases: 2024-11 · check-in free text available
2022-01-07
Survey response — day 35, dose 3
MedDRA: Asthenia, Fatigue, Headache, Nasal discomfort — Feeling: Good · Be unable to do your normal daily activities

Free text: Fatigue/weakness, burning nostrils, headache

MedDRA releases: 2024-11 · check-in free text available
2022-01-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-04
Survey response — 3 months, dose 3
MedDRA: Acupuncture, Migraine — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Frequent migraines · Healthcare visit (other): Acupuncture

MedDRA releases: 2024-11 · check-in free text available
2022-03-04
Report sent to call center — 3 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2022-03-07
Call 1 — Left Voicemail
2022-06-03
Survey response — 6 months, dose 3
MedDRA: Chest pain, Gastrointestinal disorder, Malaise — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Was ill one day - intestinal. Have had infrequent minor chest pains.

MedDRA releases: 2024-11 · check-in free text available
2022-06-03
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-06
Call 1 — Left Voicemail
2022-06-06
Call 2 — Left Voicemail
2022-06-06
Call 1 — Left Voicemail
2022-12-04
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-12	Moderna
2	2021-04-09	Moderna
3	2021-12-03	Moderna	No

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-17

Systemic reaction (other): Was light headed, heart racing

2021-03-18

Systemic reaction (other): Light headed at times

Release 7 — days 1–6 daily, dose 2

2021-04-11

Systemic reaction (other): Weakness

2021-04-12

Systemic reaction (other): Light headed, weak

2021-04-13

Systemic reaction (other): Feeling faint

2021-04-14

Systemic reaction (other): Getting better, but still limited in how long I can stand and walk.

Release 10 — days 1–6 daily, dose 3

2021-12-05

Systemic reaction (other): Weakness

2021-12-08

Systemic reaction (other): Small lump on collar bone, which I assume to be lymph node.

2021-12-09

Systemic reaction (other): Still the sore lump over my collar bone.

Release 10 — day 7, dose 3

2021-12-12

Systemic reaction (other): This shot caused me to have a period, like the second dose did. I had gone 8 mos and then second dose gave me a bad period. Hadn't had one since Until booster 8 months later. This one isn't bad.

Release 10 — day 28, dose 3

2022-01-02

Symptoms: Sore nose, sneezing, low energy

Release 10 — day 35, dose 3

2022-01-07

Symptoms: Fatigue/weakness, burning nostrils, headache

Release 11 — 3 months, dose 3

2022-03-04

Symptoms: Frequent migraines

Healthcare visit (other): Acupuncture

Release 11 — 6 months, dose 3

2022-06-03

Symptoms: Was ill one day - intestinal. Have had infrequent minor chest pains.

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	Asthenia	·	·	✓
SD	Chest pain	·	·	✓
SD	Fatigue	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	·	·	✓
SD	Malaise	·	·	✓
SD	Migraine	·	·	✓
SD	Nasal discomfort	·	·	✓
SD	Rhinalgia	·	·	✓
SD	Sneezing	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Menstruation irregular	·	·	✓
SRO	Neck mass	·	·	✓
SRO	Pain	·	·	✓
SRO	Palpitations	✓	✓	✓
SRO	Syncope	✓	✓	✓

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