4CJ-31846-52751

2 vaccinations 6 coded responses 22 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 325 / FL
Registered: 2021-01-13

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

Timeline

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

2021-01-13
Registered in v-safe
2021-01-13
Dose 1 — Moderna
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness · Fever · Fatigue or tiredness

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-03
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-10
Dose 2 — Moderna
2021-02-10
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Decreased appetite — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Body weakness, low appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Dry mouth, Dyspepsia — Feeling: Good · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Painful heartburn(unusual for me), dry mouth despite over 64 oz water per day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Headache

Adult check-in
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Headache — Feeling: Good · Headache · Be unable to do your normal daily activities

Free text: Headache likely from poor diet.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-03
Survey response — day 21, dose 2
MedDRA: Fatigue — Feeling: Good

Free text: Fatigue and tired yesterday and today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-17
Survey response — day 35, dose 2
MedDRA: Medical counselling, Nodule — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: I have 2 nodules found on my thyroid via ultrasound. · Healthcare visit (other): I have an Endocrinology appointment next week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-16
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-21
Call 1 — Left Voicemail
2022-02-10
Survey response — 12 months, dose 2
MedDRA: Ageusia, Anosmia, COVID-19, Nasal congestion, Oropharyngeal pain, Productive cough, Pyrexia, Unevaluable event — 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

Free text: Symptoms: Covid 10/19/21 - 10/28/21 Fever, stuffy nose, sore throat, temp loss of taste and smell, brain fog?, productive cough · Healthcare visit (other): Scheduled Outpatient laboratory test - ultrasound

MedDRA releases: 2024-11 · check-in free text available
2022-02-10
Report sent to call center — 12 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)
2022-02-14
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Moderna
2	2021-02-10	Moderna

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): Body weakness, low appetite

2021-02-12

Systemic reaction (other): Painful heartburn(unusual for me), dry mouth despite over 64 oz water per day

2021-02-14

Systemic reaction (other): Headache likely from poor diet.

Release 5 — day 21, dose 2

2021-03-03

Symptoms: Fatigue and tired yesterday and today.

Release 5 — day 35, dose 2

2021-03-17

Symptoms: I have 2 nodules found on my thyroid via ultrasound.

Healthcare visit (other): I have an Endocrinology appointment next week.

Release 11 — 12 months, dose 2

2022-02-10

Symptoms: Covid 10/19/21 - 10/28/21 Fever, stuffy nose, sore throat, temp loss of taste and smell, brain fog?, productive cough

Healthcare visit (other): Scheduled Outpatient laboratory test - ultrasound

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	Medical counselling	✓	✓	✓
HCVO	Unevaluable event	·	·	✓
SD	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Nodule	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Productive cough	·	·	✓
SD	Pyrexia	·	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dry mouth	✓	✓	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Headache	✓	✓	✓

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