475-13236-55844

3 vaccinations 6 coded responses 31 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 165 / PA
Registered: 2021-03-07

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

GJH-13378-18244 Child or adolescent in my care · Male · 2021-07-26

NEK-30450-34010 Child or adolescent in my care · Female · 2021-11-04

DDF-60847-07618 Child or adolescent in my care · Female · 2021-11-04

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-28
Dose 1 — Moderna
2021-03-07
Registered in v-safe
2021-03-07
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-03-07
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-14
Survey response — day 14, dose 1
MedDRA: New daily persistent headache, Pyrexia, Vaccination site pain, Vaccination site warmth — Feeling: Good

Free text: I began spiking intermittent fevers last weekend, which now appear to have tapered off. Each time, the site of the vaccine got very hot first, and painful. The site is still warmer than the rest of my body. I've had daily headaches as well.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-28
Dose 2 — Moderna
2021-03-28
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Fever · 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
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Fever · Headache, Joint pains, Muscle or body aches, Nausea, Abdominal pain

Adult check-in
2021-04-04
Health check-in — day 7, dose 2
Feeling: Good · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-25
Survey response — day 28, dose 2
MedDRA: Abdominal pain upper, Chest pain, Fatigue, Headache, Swelling — Feeling: Fair

Free text: Exhaustion, headaches, mild chest pain, and LUQ pain w/mild swelling.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — day 35, dose 2
MedDRA: Abdominal pain upper, Back pain, Chest pain, Fatigue, Insomnia — Feeling: Fair · 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: Severe lower back pain. Extreme fatigue- fell asleep sitting up 7 times this week. RUQ and LUQ pain. Insomnia. Chest pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-09
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-26
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-29
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Confusional state, Dizziness, Lymph node pain, Respiratory tract congestion, Vision blurred — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Confusion, congestion, dizziness, terrible focusing eyes, pain in a lymph node under arm

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-05
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Nausea

Adult check-in
2021-11-13
Health check-in — day 14, dose 3
Feeling: Good

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

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

Adult check-in
2021-12-03
Call 1 — Could Not Reach Participant
2021-12-08
Call 2 — Could Not Reach Participant
2021-12-11
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-30
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-29
Survey response — 6 months, dose 3
MedDRA: Heart rate increased, Insomnia, Office visit, Palpitations, Pre-existing disease, Respiratory tract irritation — 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

Free text: Symptoms: Racing pulse, chronic headaches, chronic fatigue, lung irritation (feels scratchy even when not sick), heart palpitations every time I lie down, insomnia. · Healthcare visit (other): Went to see my PCP

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Report sent to call center — 6 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)
2022-05-02
Call 1 — Left Voicemail
2022-10-30
Survey response — 12 months, dose 3
MedDRA: COVID-19, Post-acute COVID-19 syndrome — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: COVID, long COVID.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-28	Moderna
2	2021-03-28	Moderna
3	2021-10-29	Pfizer-BioNTech	Flu

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 — day 14, dose 1

2021-03-14

Symptoms: I began spiking intermittent fevers last weekend, which now appear to have tapered off. Each time, the site of the vaccine got very hot first, and painful. The site is still warmer than the rest of my body. I've had daily headaches as well.

Release 7 — day 28, dose 2

2021-04-25

Symptoms: Exhaustion, headaches, mild chest pain, and LUQ pain w/mild swelling.

Release 8 — day 35, dose 2

2021-05-02

Symptoms: Severe lower back pain. Extreme fatigue- fell asleep sitting up 7 times this week. RUQ and LUQ pain. Insomnia. Chest pain.

Release 10 — days 1–6 daily, dose 3

2021-10-31

Systemic reaction (other): Confusion, congestion, dizziness, terrible focusing eyes, pain in a lymph node under arm

Release 11 — 6 months, dose 3

2022-04-29

Symptoms: Racing pulse, chronic headaches, chronic fatigue, lung irritation (feels scratchy even when not sick), heart palpitations every time I lie down, insomnia.

Healthcare visit (other): Went to see my PCP

Release 12 — 12 months, dose 3

2022-10-30

Symptoms: COVID, long COVID.

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	Office visit	·	·	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heart rate increased	·	·	✓
SD	Insomnia	✓	✓	✓
SD	New daily persistent headache	✓	✓	✓
SD	Palpitations	·	·	✓
SD	Post-acute COVID-19 syndrome	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract irritation	·	·	✓
SD	Swelling	✓	✓	✓
SD	Vaccination site pain	✓	✓	✓
SD	Vaccination site warmth	✓	✓	✓
SRO	Confusional state	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Lymph node pain	·	·	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Vision blurred	·	·	✓

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