4E2-18064-58981

4 vaccinations 6 coded responses 23 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 278 / NC
Registered: 2021-03-31

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

2021-03-02
Dose 1 — Moderna
2021-03-30
Dose 2 — Moderna
2021-03-31
Registered in v-safe
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

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

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-06
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-29
Survey response — 3 months, dose 2
MedDRA: Emergency care, Supraventricular 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 · Emergency room or emergency department visit

Free text: An episode of Supraventricular tachycardia diagnosed in ER. This is likely due to over extending myself with exercise, and not drinking enough water or eating food

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
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)
2021-07-06
Call 1 — Left Voicemail
2021-09-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-08
Dose 3 — Moderna
2022-03-30
Survey response — 12 months, dose 2
MedDRA: COVID-19, Supraventricular tachycardia — Feeling: Good

Free text: 2nd episode of SVT during the time I was diagnosed withCovid

MedDRA releases: 2024-11 · check-in free text available
2022-07-21
Dose 4 — Moderna
2022-07-21
Survey response — day 0, dose 4
MedDRA: Muscle spasms — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Cramps

MedDRA releases: 2024-11 · check-in free text available
2022-07-22
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-07-24
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-07-30
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-08-11
Survey response — day 21, dose 4
MedDRA: Oropharyngeal pain, Pyrexia — Feeling: Fair

Free text: sore throat, feverish

MedDRA releases: 2024-11 · check-in free text available
2022-08-18
Survey response — day 28, dose 4
MedDRA: COVID-19 — Feeling: Poor · Be unable to do your normal daily activities

Free text: I have COVID

MedDRA releases: 2024-11 · check-in free text available
2022-08-25
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-09-03
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-10-21
Survey response — 3 months, dose 4
MedDRA: Emergency care, Hemiparesis, Magnetic resonance imaging abnormal, Meningioma, Pituitary tumour benign — 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 · Emergency room or emergency department visit

Free text: left sided weakness, went to ER, they did not find evidence of a stroke however. Etiology is unknown. Incidental findings in MRI - pituitary microadenoma and meningioma

MedDRA releases: 2024-11 · check-in free text available
2022-10-21
Report sent to call center — 3 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · 1 call case(s)
2022-10-24
Call 2 — Left Voicemail
2022-10-24
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-02	Moderna
2	2021-03-30	Moderna
3	2021-11-08	Moderna	No
4	2022-07-21	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 9 — 3 months, dose 2

2021-06-29

Symptoms: An episode of Supraventricular tachycardia diagnosed in ER. This is likely due to over extending myself with exercise, and not drinking enough water or eating food

Release 11 — 12 months, dose 2

2022-03-30

Symptoms: 2nd episode of SVT during the time I was diagnosed withCovid

Release 12 — day 0, dose 4

2022-07-21

Systemic reaction (other): Cramps

Release 12 — day 21, dose 4

2022-08-11

Symptoms: sore throat, feverish

Release 12 — day 28, dose 4

2022-08-18

Symptoms: I have COVID

Release 12 — 3 months, dose 4

2022-10-21

Symptoms: left sided weakness, went to ER, they did not find evidence of a stroke however. Etiology is unknown. Incidental findings in MRI - pituitary microadenoma and meningioma

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	COVID-19	·	·	✓
SD	Emergency care	✓	✓	✓
SD	Hemiparesis	·	·	✓
SD	Magnetic resonance imaging abnormal	·	·	✓
SD	Meningioma	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pituitary tumour benign	·	·	✓
SD	Pyrexia	·	·	✓
SD	Supraventricular tachycardia	✓	✓	✓
SRO	Muscle spasms	·	·	✓

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