48V-14721-80464

2 vaccinations 8 coded responses 16 check-ins 8 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 708 / LA
Registered: 2021-02-21

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

2021-02-19
Dose 1 — Moderna
2021-02-21
Registered in v-safe
2021-02-21
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: History of migraines. Started Topimax 25m at night 2wks ago

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Unevaluable event — Feeling: Poor · Headache · 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: Systemic reaction (other): Extreme headaches · Healthcare visit (other): Am waiting fir return call from my neurologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-23
Survey response — days 1–6 daily, dose 1
MedDRA: Balance disorder, Irritability, Migraine, Office visit — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): Migraine w/fussiness& & balance issues · Healthcare visit (other): Neurologist doubled my Topimax dosage

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — day 7, dose 1
Feeling: Fair · None

Adult check-in
2021-03-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-20
Dose 2 — Moderna
2021-03-20
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-27
Survey response — day 7, dose 2
MedDRA: Cough — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains

Free text: Coughing

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

Adult check-in
2021-04-11
Survey response — day 21, dose 2
MedDRA: Body temperature increased, Cough, Hypersensitivity, Pre-existing disease, Wheezing — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Worsening cough;l and wheezing; elevated temp; increased allergy symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-24
Survey response — day 35, dose 2
MedDRA: Gastric disorder — Feeling: Poor · Be unable to do your normal daily activities

Free text: Experiencing gastric issues fir last six days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-30
Call 1 — Left Voicemail
2021-09-19
Survey response — 6 months, dose 2
MedDRA: Condition aggravated, Coronary arterial stent insertion, Left ventricular failure, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: My heart problems worsened, leading to another heart cath and placement of fourth heart stent. And a diagnosis of Diastolic heart failure.

MedDRA releases: 2024-11 · check-in free text available
2021-09-19
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-21
Call 1 — Left Voicemail
2022-03-20
Survey response — 12 months, dose 2
MedDRA: Asthma, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Extended asthma attack · Healthcare visit (other): My pulmonary doctor

MedDRA releases: 2024-11 · check-in free text available
2022-03-20
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-22
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-19	Moderna
2	2021-03-20	Moderna

Call center

5 call center cases

5 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-21

Systemic reaction (other): History of migraines. Started Topimax 25m at night 2wks ago

2021-02-22

Systemic reaction (other): Extreme headaches

Healthcare visit (other): Am waiting fir return call from my neurologist

2021-02-23

Systemic reaction (other): Migraine w/fussiness& & balance issues

Healthcare visit (other): Neurologist doubled my Topimax dosage

Release 6 — day 7, dose 2

2021-03-27

Systemic reaction (other): Coughing

Release 7 — day 21, dose 2

2021-04-11

Symptoms: Worsening cough;l and wheezing; elevated temp; increased allergy symptoms

Release 7 — day 35, dose 2

2021-04-24

Symptoms: Experiencing gastric issues fir last six days.

Release 9 — 6 months, dose 2

2021-09-19

Symptoms: My heart problems worsened, leading to another heart cath and placement of fourth heart stent. And a diagnosis of Diastolic heart failure.

Release 11 — 12 months, dose 2

2022-03-20

Symptoms: Extended asthma attack

Healthcare visit (other): My pulmonary doctor

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	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Asthma	·	·	✓
SD	Body temperature increased	✓	✓	✓
SD	Condition aggravated	·	·	✓
SD	Coronary arterial stent insertion	·	·	✓
SD	Cough	✓	✓	✓
SD	Gastric disorder	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Left ventricular failure	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Wheezing	✓	✓	✓
SRO	Balance disorder	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Irritability	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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