444-20047-98086

3 vaccinations 14 coded responses 35 check-ins 14 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 074 / NJ
Registered: 2021-03-11

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

2021-03-09
Dose 1 — Moderna
2021-03-11
Registered in v-safe
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Dizziness — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to work

Free text: Mild dizziness and mild weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspepsia — Feeling: Good

Free text: Gastrointestinal burning ended early today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal discomfort — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Gastrointestinal discomfort comes and goes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Nausea, Rash — Feeling: Good · Site: Itching · Nausea, Rash, not including the immediate area around the injection site

Free text: Rash lower on arm, mild. Mild nausea occasional headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Musculoskeletal stiffness, Neck pain, Paraesthesia — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Pain stiffness in neck, pins and needles tingling in lower arms, fingers and lower legs and feet.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — day 7, dose 1
MedDRA: Paraesthesia, Sciatica — Feeling: Good · Site: Pain · Joint pains

Free text: Sciatic kicked up , tingling on legs and feet mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-30
Survey response — day 21, dose 1
MedDRA: Headache, Neck pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Pain in base of head /neck for a couple of days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Dose 2 — Moderna
2021-04-06
Survey response — day 0, dose 2
MedDRA: Malaise — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Malaise but its only been 7 hours

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Joint pains, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Dizziness — Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Slight dizziness and weakness

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

Free text: Mild weakness, occasionally slightly dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Fatigue or tiredness

Adult check-in
2021-04-13
Survey response — day 7, dose 2
MedDRA: Fatigue — Feeling: Fair · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Ongoing fatigue seems to be the only issue now

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 21, dose 2
Feeling: Good

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

Adult check-in
2021-05-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-06
Survey response — 3 months, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Constant fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-07
Dose 3 — Moderna
2021-12-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Swelling, Itching · Joint pains, Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-12
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Swelling, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-12-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Fatigue or tiredness

Adult check-in
2021-12-14
Health check-in — day 7, dose 3
Feeling: Fair · Site: Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-12-21
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-28
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-01-04
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-01-11
Survey response — day 35, dose 3
MedDRA: Cough, Respiratory tract congestion, SARS-CoV-2 test — Feeling: Good

Free text: I have a cough and congestion . Just took another Covid test today

MedDRA releases: 2024-11 · check-in free text available
2022-01-18
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-08
Survey response — 3 months, dose 3
MedDRA: Blood pressure increased — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: High blood pressure spikes

MedDRA releases: 2024-11 · check-in free text available
2022-03-08
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-10
Call 1 — Left Voicemail
2022-12-09
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Moderna
2	2021-04-06	Moderna
3	2021-12-07	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-11

Systemic reaction (other): Mild dizziness and mild weakness

2021-03-12

Systemic reaction (other): Gastrointestinal burning ended early today

2021-03-13

Systemic reaction (other): Gastrointestinal discomfort comes and goes

2021-03-14

Systemic reaction (other): Rash lower on arm, mild. Mild nausea occasional headache

2021-03-15

Systemic reaction (other): Pain stiffness in neck, pins and needles tingling in lower arms, fingers and lower legs and feet.

Release 5 — day 7, dose 1

2021-03-16

Systemic reaction (other): Sciatic kicked up , tingling on legs and feet mild

Release 6 — day 21, dose 1

2021-03-30

Symptoms: Pain in base of head /neck for a couple of days

Release 7 — day 0, dose 2

2021-04-06

Systemic reaction (other): Malaise but its only been 7 hours

Release 7 — days 1–6 daily, dose 2

2021-04-10

Systemic reaction (other): Slight dizziness and weakness

2021-04-11

Systemic reaction (other): Mild weakness, occasionally slightly dizzy

Release 7 — day 7, dose 2

2021-04-13

Systemic reaction (other): Ongoing fatigue seems to be the only issue now

Release 9 — 3 months, dose 2

2021-07-06

Symptoms: Constant fatigue

Release 10 — day 35, dose 3

2022-01-11

Symptoms: I have a cough and congestion . Just took another Covid test today

Release 11 — 3 months, dose 3

2022-03-08

Symptoms: High blood pressure spikes

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	Blood pressure increased	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test	·	·	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Sciatica	✓	✓	✓

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