4J7-25750-98588

2 vaccinations 9 coded responses 24 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 446 / OH
Registered: 2021-04-17

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

2021-04-16
Dose 1 — Moderna
2021-04-17
Registered in v-safe
2021-04-17
Survey response — days 1–6 daily, dose 1
MedDRA: Blood glucose increased — 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

Free text: High glucose readings. 200 to 250

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-04-20
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site warmth — Feeling: Good · Site: Redness, Itching

Free text: Injection site slightly warm to the touch

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-23
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-07
Survey response — day 21, dose 1
MedDRA: Blood glucose abnormal, Office visit, Pain in extremity — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: My blood glucose is out of control and my legs have been hurting. · Healthcare visit (other): Regular doctor visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Report sent to call center — day 21, dose 1
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)
2021-05-14
Dose 2 — Moderna
2021-05-15
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Flushing — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Flushing, dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Survey response — days 1–6 daily, dose 2
MedDRA: Blood glucose increased, Dizziness — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: High blood sugar, dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Survey response — days 1–6 daily, dose 2
MedDRA: Vision blurred — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Blurry vision,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-05-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches

Adult check-in
2021-05-21
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-26
Survey response — day 42, dose 2
MedDRA: Condition aggravated, Muscle spasms, Pre-existing disease — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Worsening neuropathy, back spasms, and possible kidney infection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-13
Survey response — 3 months, dose 2
MedDRA: Asthma, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: My asthma has been bothering me more often

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-12
Survey response — 6 months, dose 2
MedDRA: Ear infection, Nasopharyngitis, Sinus pain — Feeling: Poor · 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

Free text: Bad ear infection, and I feel like I have constant sinus pain. I also am more susceptible to head colds than I used to be.

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Report sent to call center — 6 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-15
Call 1 — Left Voicemail
2022-05-14
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-16	Moderna
2	2021-05-14	Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-17

Systemic reaction (other): High glucose readings. 200 to 250

2021-04-20

Systemic reaction (other): Injection site slightly warm to the touch

Release 8 — day 21, dose 1

2021-05-07

Symptoms: My blood glucose is out of control and my legs have been hurting.

Healthcare visit (other): Regular doctor visit

Release 8 — days 1–6 daily, dose 2

2021-05-15

Systemic reaction (other): Flushing, dizziness

2021-05-16

Systemic reaction (other): High blood sugar, dizziness

2021-05-17

Systemic reaction (other): Blurry vision,

Release 9 — day 42, dose 2

2021-06-26

Symptoms: Worsening neuropathy, back spasms, and possible kidney infection.

Release 9 — 3 months, dose 2

2021-08-13

Symptoms: My asthma has been bothering me more often

Release 10 — 6 months, dose 2

2021-11-12

Symptoms: Bad ear infection, and I feel like I have constant sinus pain. I also am more susceptible to head colds than I used to be.

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	✓	✓	✓
SD	Asthma	✓	·	✓
SD	Blood glucose abnormal	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Ear infection	·	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Sinus pain	·	·	✓
SRO	Blood glucose increased	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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