4M7-29806-61827

2 vaccinations 11 coded responses 24 check-ins 11 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 080 / NJ
Registered: 2021-04-14

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

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

2021-04-14
Registered in v-safe
2021-04-14
Dose 1 — Moderna
2021-04-14
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-15
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site warmth, Thirst — Feeling: Fair · Fever · Headache, Muscle or body aches

Free text: Warm patch in arm muscle below injection site; have had 3 liters water by 4:30 pm & still thirsty

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site warmth — Feeling: Good · Muscle or body aches

Free text: Warmth in muscles below injection site (maybe nurse put bandage in wrong spot??)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · None

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-04-21
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-28
Survey response — day 14, dose 1
MedDRA: Arthralgia, Headache, Self-medication, Sinus headache — Feeling: Good · Be unable to do your normal daily activities

Free text: Moderate headache in both forehead sinus & base of skull all day 4/26; no relief via Tylenol or ibuprofen. Headaches are rare for me. Pain in right shoulder toward neck.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — day 21, dose 1
MedDRA: Asthma, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: Strong asthma 5/3 & 5/4. However maybe due to high tree/ragweed & grass pollen counts. (Ragweed info via weather.com

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-05-19
Survey response — day 35, dose 1
MedDRA: Diarrhoea, Nausea — Feeling: Good · Be unable to do your normal daily activities

Free text: Loose bowels, vague queasiness on Mon 5/17. Probably food related

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Dose 2 — Moderna
2021-05-26
Survey response — days 1–6 daily, dose 2
MedDRA: Nausea — Feeling: Fair · Site: Pain, Itching · Muscle or body aches

Free text: Queasiness (not strong enough to be nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Muscle or body aches, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-05-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-05-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Diarrhea, Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-05-29
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-30
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Fever · Nausea, Diarrhea · 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: Occasional lightheadness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-30
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-31
Health check-in — day 7, dose 2
Feeling: Fair · Vomiting · Be unable to do your normal daily activities

Adult check-in
2021-06-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-21
Survey response — day 28, dose 2
MedDRA: Headache, Self-medication — Feeling: Good · Be unable to do your normal daily activities

Free text: Headache, not severe but unusual; persisted for several days. Didn't respond to ibuprofen or tylenol. Took 325 mg aspirin that eased it. Have finished 3 wks post 2nd dose of moderna

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
Survey response — day 35, dose 2
MedDRA: Limb discomfort, Muscle spasms, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Heaviness (pre-cramp) or full cramp in left leg every morning on awaking. If lay down later in day heaviness returns when i stand up. · Healthcare visit (other): Not yet. Having difficulty scheduling appt w/ PCP due to my schedule.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-02
Call 1 — Left Voicemail
2021-07-05
Survey response — day 42, dose 2
MedDRA: Contusion, Cough, Rhinorrhoea, Sinus congestion, Sinusitis — Feeling: Good · Be unable to do your normal daily activities

Free text: Runny nose, dry intermittent cough, sinus congestion. Became sinus infection. BUT no fever. O2 level ok. Saline rinses, 1000 mg vit c 3 x day & gargling w/ listerine 3x daily knocked it out. Strange small tiny bruises thru out arms BUT didn't hit any

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-24
Survey response — 6 months, dose 2
MedDRA: Heart rate increased, Office visit, Rhinorrhoea, Self-medication, Urinary tract infection — Feeling: Good · 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: Symptoms: Random episodes of sudden high heart rate. Almost constant runny nose despite daily antihistamine so always worried re covid. I don't believe it's an allergy. UTI · Healthcare visit (other): In person visit w/ my PCP

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-29
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-14	Moderna
2	2021-05-24	Moderna

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-15

Systemic reaction (other): Warm patch in arm muscle below injection site; have had 3 liters water by 4:30 pm & still thirsty

2021-04-16

Systemic reaction (other): Warmth in muscles below injection site (maybe nurse put bandage in wrong spot??)

Release 8 — day 14, dose 1

2021-04-28

Symptoms: Moderate headache in both forehead sinus & base of skull all day 4/26; no relief via Tylenol or ibuprofen. Headaches are rare for me. Pain in right shoulder toward neck.

Release 8 — day 21, dose 1

2021-05-05

Symptoms: Strong asthma 5/3 & 5/4. However maybe due to high tree/ragweed & grass pollen counts. (Ragweed info via weather.com

Release 8 — day 35, dose 1

2021-05-19

Symptoms: Loose bowels, vague queasiness on Mon 5/17. Probably food related

Release 8 — days 1–6 daily, dose 2

2021-05-26

Systemic reaction (other): Queasiness (not strong enough to be nausea

2021-05-30

Systemic reaction (other): Occasional lightheadness

Release 9 — day 28, dose 2

2021-06-21

Symptoms: Headache, not severe but unusual; persisted for several days. Didn't respond to ibuprofen or tylenol. Took 325 mg aspirin that eased it. Have finished 3 wks post 2nd dose of moderna

Release 9 — day 35, dose 2

2021-06-29

Symptoms: Heaviness (pre-cramp) or full cramp in left leg every morning on awaking. If lay down later in day heaviness returns when i stand up.

Healthcare visit (other): Not yet. Having difficulty scheduling appt w/ PCP due to my schedule.

Release 9 — day 42, dose 2

2021-07-05

Symptoms: Runny nose, dry intermittent cough, sinus congestion. Became sinus infection. BUT no fever. O2 level ok. Saline rinses, 1000 mg vit c 3 x day & gargling w/ listerine 3x daily knocked it out. Strange small tiny bruises thru out arms BUT didn't hit any cut off by CDC

Release 10 — 6 months, dose 2

2021-11-24

Symptoms: Random episodes of sudden high heart rate. Almost constant runny nose despite daily antihistamine so always worried re covid. I don't believe it's an allergy. UTI

Healthcare visit (other): In person visit w/ my PCP

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	·	·	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Asthma	✓	✓	✓
SD	Contusion	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heart rate increased	·	·	✓
SD	Limb discomfort	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Sinus congestion	✓	✓	✓
SD	Sinus headache	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SD	Urinary tract infection	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Thirst	✓	✓	✓

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