4CP-22000-81551

3 vaccinations 9 coded responses 35 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 484 / MI
Registered: 2021-01-14

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

2021-01-14
Registered in v-safe
2021-01-14
Dose 1 — Moderna
2021-01-14
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Rash, not including the immediate area around the injection site

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

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · Headache

Adult check-in
2021-01-18
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 · Diarrhea

Adult check-in
2021-01-21
Health check-in — day 7, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-01-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-08
Dose 2 — Moderna
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Tremor — Feeling: Good · Site: Pain, Redness, Swelling, Itching

Free text: Trembling, on and off through the day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-15
Survey response — day 7, dose 2
MedDRA: Dizziness, Eye pain, Migraine, Sinus pain — Feeling: Poor · Chills, Headache, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness, eye & sinus pain. Migraine symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — day 14, dose 2
MedDRA: Arthralgia, Hypoaesthesia, Tendon pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Tendon and joint pain in hands, wrists, elbows; increased numbness in both hands (exacerbated by overworking the hands).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — day 21, dose 2
MedDRA: Arthralgia, Back pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Upper back, right shoulder and right arm pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-09
Survey response — 6 months, dose 2
MedDRA: Brain fog, Insomnia, Tachyphrenia — Feeling: Good · Be unable to do your normal daily activities

Free text: brain fog, mind racing, insomnia (all occasional)

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-12-22
Dose 3 — Moderna
2021-12-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-12-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains

Adult check-in
2021-12-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-12-27
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Site: Swelling, Itching · Muscle or body aches

Free text: Cough, sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-12-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Swelling, Itching · Headache

Adult check-in
2021-12-29
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-05
Survey response — day 14, dose 3
MedDRA: Chest discomfort, Fatigue, Myalgia, Nasal congestion, Oropharyngeal pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sore throat, tight chest, tired, stuffy nose, muscle aches

MedDRA releases: 2024-11 · check-in free text available
2022-01-12
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-01-19
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-26
Survey response — day 35, dose 3
MedDRA: Aspiration, Cough, Dyspnoea, Lung disorder, Pre-existing disease — Feeling: Fair

Free text: Lung sensitivity in dry or cold conditions (post Covid infection). Cough, difficulty breathing, aspiration.

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

Adult check-in
2022-03-25
Survey response — 3 months, dose 3
MedDRA: COVID-19, Choking sensation, Condition aggravated, Cough, Dyspnoea, Insomnia, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I don't recall if these were present last check in. Occasional trouble breathing with choking cough. Kidney function decreased slightly. (was already at stage 2 ckd) Frequent insomnia Short covid three weeks after booster - above symptoms followed.

MedDRA releases: 2024-11 · check-in free text available
2022-03-25
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-28
Call 1 — Left Voicemail
2022-06-22
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-08	Moderna
3	2021-12-22	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): Trembling, on and off through the day

Release 4 — day 7, dose 2

2021-02-15

Systemic reaction (other): Dizziness, eye & sinus pain. Migraine symptoms.

Release 4 — day 14, dose 2

2021-02-22

Symptoms: Tendon and joint pain in hands, wrists, elbows; increased numbness in both hands (exacerbated by overworking the hands).

Release 4 — day 21, dose 2

2021-03-01

Symptoms: Upper back, right shoulder and right arm pain

Release 9 — 6 months, dose 2

2021-08-09

Symptoms: brain fog, mind racing, insomnia (all occasional)

Release 10 — days 1–6 daily, dose 3

2021-12-27

Systemic reaction (other): Cough, sore throat

Release 10 — day 14, dose 3

2022-01-05

Symptoms: Sore throat, tight chest, tired, stuffy nose, muscle aches

Release 11 — day 35, dose 3

2022-01-26

Symptoms: Lung sensitivity in dry or cold conditions (post Covid infection). Cough, difficulty breathing, aspiration.

Release 11 — 3 months, dose 3

2022-03-25

Symptoms: I don't recall if these were present last check in. Occasional trouble breathing with choking cough. Kidney function decreased slightly. (was already at stage 2 ckd) Frequent insomnia Short covid three weeks after booster - above symptoms followed. cut off by CDC

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	Arthralgia	✓	✓	✓
SD	Aspiration	·	·	✓
SD	Back pain	✓	✓	✓
SD	Brain fog	✓	·	✓
SD	Chest discomfort	·	·	✓
SD	Choking sensation	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Insomnia	✓	·	✓
SD	Lung disorder	·	·	✓
SD	Myalgia	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Tachyphrenia	✓	·	✓
SD	Tendon pain	✓	✓	✓
SRO	Cough	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Sinus pain	✓	✓	✓
SRO	Tremor	✓	✓	✓

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