48W-21349-86256

4 vaccinations 17 coded responses 53 check-ins 16 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 856 / AZ
Registered: 2021-03-04

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

2021-03-03
Dose 1 — Moderna
2021-03-04
Registered in v-safe
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain upper — Feeling: Poor · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Stomach cramps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Swelling · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Constipation, Self-medication — Feeling: Good · Fatigue or tiredness

Free text: Constipation from immodium

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-31
Dose 2 — Moderna
2021-03-31
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Migraine — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Migraine — Feeling: Poor · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Poor · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Menstrual cramps! Also

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-07
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-14
Survey response — day 14, dose 2
MedDRA: Fatigue, Unevaluable event, Vaginal haemorrhage — Feeling: Fair · 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: Symptoms: Excessive vaginal bleeding. CBC pending to check for anemia. Continued fatigue. · Healthcare visit (other): Lab appt for Friday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Report sent to call center — day 14, 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)
2021-04-21
Health check-in — day 21, dose 2
Feeling: Good

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

Adult check-in
2021-05-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-02
Survey response — 3 months, dose 2
MedDRA: Dehydration, Gastrointestinal viral infection, Tachycardia — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Intestinal virus, extreme dehydration and tachycardia.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Report sent to call center — 3 months, dose 2
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)
2021-07-07
Call 1 — Left Voicemail
2021-09-29
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-28
Dose 3 — Moderna
2021-12-28
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain, Swelling · Headache

Adult check-in
2021-12-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2022-01-01
Survey response — days 1–6 daily, dose 3
MedDRA: Somnolence — Feeling: Poor · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Can't wake us like when I have a migraine, but no migraine.

MedDRA releases: 2024-11 · check-in free text available
2022-01-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-01-03
Survey response — days 1–6 daily, dose 3
MedDRA: Diarrhoea — Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Diarrhea all night.

MedDRA releases: 2024-11 · check-in free text available
2022-01-04
Survey response — day 7, dose 3
MedDRA: Feeling of body temperature change, Menopausal symptoms, Pyrexia — Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Menapausal hot flashes vs. feverish this whole time. Hot & cold at same time.

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

Adult check-in
2022-01-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-01
Survey response — day 35, dose 3
MedDRA: Chills, Fatigue, Headache, Nasopharyngitis, Paranasal sinus discomfort, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cold symptoms: congestion, sinus pressure, runny nose, headache, fatigue for 3 days. Chills 1 day. Afebrile. Covid test scheduled in 2 more days.

MedDRA releases: 2024-11 · check-in free text available
2022-02-08
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-29
Survey response — 3 months, dose 3
MedDRA: Migraine, Pain in extremity — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Migraines. Vey sore arm after tetanus shot.

MedDRA releases: 2024-11 · check-in free text available
2022-06-28
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-07-13
Dose 4 — Moderna
2022-07-13
Survey response — day 0, dose 4
MedDRA: Migraine, Pain in extremity — Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: Migraine continues. Only sore arm from vax.

MedDRA releases: 2024-11 · check-in free text available
2022-07-14
Survey response — days 1–6 daily, dose 4
MedDRA: Migraine — Feeling: Good · Site: Pain, Redness · Fatigue or tiredness

Free text: Yesterday's migraine gone.

MedDRA releases: 2024-11 · check-in free text available
2022-07-15
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-07-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness · None

Adult check-in
2022-07-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-07-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-07-19
Survey response — days 1–6 daily, dose 4
MedDRA: Migraine — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Bad migraine

MedDRA releases: 2024-11 · check-in free text available
2022-07-20
Survey response — day 7, dose 4
MedDRA: Migraine — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Migraine continues.

MedDRA releases: 2024-11 · check-in free text available
2022-07-27
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-08-03
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-08-10
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-08-17
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-08-24
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-10-12
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-01-11
Survey response — 6 months, dose 4
MedDRA: Asthenia, Malaise, Migraine, Viral infection — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Moderna
2	2021-03-31	Moderna
3	2021-12-28	Moderna	No
4	2022-07-13	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-05

Systemic reaction (other): Stomach cramps

2021-03-09

Systemic reaction (other): Constipation from immodium

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): Migraine

2021-04-03

Systemic reaction (other): Migraine

2021-04-04

Systemic reaction (other): Menstrual cramps! Also

Release 7 — day 14, dose 2

2021-04-14

Symptoms: Excessive vaginal bleeding. CBC pending to check for anemia. Continued fatigue.

Healthcare visit (other): Lab appt for Friday

Release 9 — 3 months, dose 2

2021-07-02

Symptoms: Intestinal virus, extreme dehydration and tachycardia.

Release 10 — days 1–6 daily, dose 3

2022-01-01

Systemic reaction (other): Can't wake us like when I have a migraine, but no migraine.

2022-01-03

Systemic reaction (other): Diarrhea all night.

Release 10 — day 7, dose 3

2022-01-04

Systemic reaction (other): Menapausal hot flashes vs. feverish this whole time. Hot & cold at same time.

Release 11 — day 35, dose 3

2022-02-01

Symptoms: Cold symptoms: congestion, sinus pressure, runny nose, headache, fatigue for 3 days. Chills 1 day. Afebrile. Covid test scheduled in 2 more days.

Release 11 — 3 months, dose 3

2022-03-29

Symptoms: Migraines. Vey sore arm after tetanus shot.

Release 12 — day 0, dose 4

2022-07-13

Systemic reaction (other): Migraine continues. Only sore arm from vax.

Release 12 — days 1–6 daily, dose 4

2022-07-14

Systemic reaction (other): Yesterday's migraine gone.

2022-07-19

Systemic reaction (other): Bad migraine

Release 12 — day 7, dose 4

2022-07-20

Systemic reaction (other): Migraine continues.

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	Asthenia	·	·	✓
SD	Chills	·	·	✓
SD	Dehydration	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gastrointestinal viral infection	✓	✓	✓
SD	Headache	·	·	✓
SD	Malaise	·	·	✓
SD	Migraine	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Paranasal sinus discomfort	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Tachycardia	✓	✓	✓
SD	Vaginal haemorrhage	✓	✓	✓
SD	Viral infection	·	·	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Constipation	✓	✓	✓
SRO	Diarrhoea	·	·	✓
SRO	Feeling of body temperature change	·	·	✓
SRO	Menopausal symptoms	·	·	✓
SRO	Migraine	✓	✓	✓
SRO	Pain in extremity	·	·	✓
SRO	Pyrexia	·	·	✓
SRO	Self-medication	✓	✓	✓
SRO	Somnolence	·	·	✓
SRO	Unevaluable event	✓	✓	✓

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