3V8-27622-97009

3 vaccinations 12 coded responses 28 check-ins 12 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 853 / AZ
Registered: 2021-02-24

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

2021-02-22
Dose 1 — Moderna
2021-02-24
Registered in v-safe
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-03-01
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-17
Survey response — day 21, dose 1
MedDRA: Headache, Pain — Feeling: Fair

Free text: Body aches, headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Dose 2 — Moderna
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Bruxism, Pain in jaw — Feeling: Good

Free text: jaw ache from clenching jaw. AZ Guv just lifted mask mandate and I fear going out in public now

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Headache — Feeling: Fair · Headache

Free text: my headache is probably due to allergies/sinus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Good

Free text: cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-27
Survey response — day 35, dose 2
MedDRA: Headache, Sinus pain — Feeling: Good

Free text: Sinus pain, geadaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — day 42, dose 2
MedDRA: Ear pain, Respiratory tract congestion, Sinus headache — Feeling: Fair

Free text: Sinus headaches earraches chest congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Survey response — 3 months, dose 2
MedDRA: Coccidioidomycosis, Pulmonary mass — Feeling: Fair · Be unable to do your normal daily activities

Free text: Lung nodules enlarged and diagnosed with Valley Fever(coccidioidomycosis)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-06
Dose 3 — Moderna
2021-09-21
Survey response — day 14, dose 3
MedDRA: Coccidioidomycosis, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: Valley fever · Healthcare visit (other): outpatient lung biopsy

MedDRA releases: 2024-11 · check-in free text available
2021-09-21
Survey response — 6 months, dose 2
MedDRA: Coccidioidomycosis, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Valley fever · Healthcare visit (other): outpatient biopsy

MedDRA releases: 2024-11 · check-in free text available
2021-09-21
Report sent to call center — day 14, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-21
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-24
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-09-27
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-05
Survey response — day 28, dose 3
MedDRA: Tremor — Feeling: Fair

Free text: Tremors. Possibly from thyroid issues since I know moderna side effects do not include tremors. I am getting my hormone levels checked soon.

MedDRA releases: 2024-11 · check-in free text available
2021-10-11
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-18
Survey response — day 42, dose 3
MedDRA: Alanine aminotransferase increased, Blood cholesterol increased, C-reactive protein increased, Tremor, Unevaluable event, White blood cell count decreased — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Very high alt and a st. Very high cholesterol. High CRP. Low WBC. Tremors. · Healthcare visit (other): have appt with physician on 10/19. have appt with hepatologist on 11/12

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-19
Call 1 — Could Not Reach Participant
2021-10-22
Call 2 — Could Not Reach Participant
2021-12-06
Survey response — 3 months, dose 3
MedDRA: Pulmonary mass, Respiratory disorder — Feeling: Fair

Free text: Lung nodules breathing problems being addressed later this month by pulmonologist

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-22	Moderna
2	2021-03-23	Moderna
3	2021-09-06	Moderna	No

Call center

3 call center cases

2 successful · 1 unsuccessful

See the call center timeline

Free text

Release 5 — day 21, dose 1

2021-03-17

Symptoms: Body aches, headache

Release 6 — days 1–6 daily, dose 2

2021-03-25

Systemic reaction (other): jaw ache from clenching jaw. AZ Guv just lifted mask mandate and I fear going out in public now

2021-03-28

Systemic reaction (other): my headache is probably due to allergies/sinus

2021-03-29

Systemic reaction (other): cough

Release 8 — day 35, dose 2

2021-04-27

Symptoms: Sinus pain, geadaches

Release 8 — day 42, dose 2

2021-05-04

Symptoms: Sinus headaches earraches chest congestion

Release 9 — 3 months, dose 2

2021-06-22

Symptoms: Lung nodules enlarged and diagnosed with Valley Fever(coccidioidomycosis)

Release 9 — 6 months, dose 2

2021-09-21

Symptoms: Valley fever

Healthcare visit (other): outpatient biopsy

Release 9 — day 14, dose 3

2021-09-21

Symptoms: Valley fever

Healthcare visit (other): outpatient lung biopsy

Release 10 — day 28, dose 3

2021-10-05

Symptoms: Tremors. Possibly from thyroid issues since I know moderna side effects do not include tremors. I am getting my hormone levels checked soon.

Release 10 — day 42, dose 3

2021-10-18

Symptoms: Very high alt and a st. Very high cholesterol. High CRP. Low WBC. Tremors.

Healthcare visit (other): have appt with physician on 10/19. have appt with hepatologist on 11/12

Release 10 — 3 months, dose 3

2021-12-06

Symptoms: Lung nodules breathing problems being addressed later this month by pulmonologist

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	Blood cholesterol increased	·	·	✓
SD	C-reactive protein increased	·	·	✓
SD	Coccidioidomycosis	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pulmonary mass	✓	✓	✓
SD	Respiratory disorder	·	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Sinus headache	✓	✓	✓
SD	Sinus pain	✓	✓	✓
SD	Tremor	·	·	✓
SD	Unevaluable event	·	·	✓
SD	White blood cell count decreased	·	·	✓
SRO	Bruxism	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓

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