4MK-28507-27984

2 vaccinations 11 coded responses 20 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 283 / NC
Registered: 2021-04-15

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

2021-04-13
Dose 1 — Moderna
2021-04-15
Registered in v-safe
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-20
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-04
Survey response — day 21, dose 1
MedDRA: Anxiety — Feeling: Good · Be unable to do your normal daily activities

Free text: More anxiety

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Dose 2 — Moderna
2021-05-11
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities

Adult check-in
2021-05-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-15
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work

Free text: No

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: No adverse event — Feeling: Good · Site: Pain · Joint pains · Be unable to do your normal daily activities

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Survey response — day 7, dose 2
MedDRA: Anxiety — Feeling: Good · Muscle or body aches · Be unable to do your normal daily activities

Free text: Anxiety

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — day 14, dose 2
MedDRA: Anxiety — Feeling: Good · Be unable to do your normal daily activities

Free text: Super anxiety

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Survey response — day 21, dose 2
MedDRA: Amnesia, Anxiety, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Having more anxiety than before. Having trouble remembering. Everyone tells me I am stressing over everything and out of control with it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-15
Survey response — day 35, dose 2
MedDRA: Alopecia — Feeling: Fair

Free text: Hair is falling out!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Survey response — day 42, dose 2
MedDRA: Trichorrhexis — Feeling: Good

Free text: Hair breakage

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-10
Survey response — 3 months, dose 2
MedDRA: Alopecia, Purpura — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Hair loss continues, have pockets of blood Occasionally under the skin · Healthcare visit (other): Taking biotin supplement for hair loss and have scheduled health appointment with cardiologist for the blood pockets understand under skin

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-10
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-17
Call 3 — Left Voicemail
2021-11-09
Survey response — 6 months, dose 2
MedDRA: Alopecia, Myocardial infarction, Petechiae — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Heart attack Still having hair loss Blood pockets underneath my skin

MedDRA releases: 2024-11 · check-in free text available
2022-05-11
Survey response — 12 months, dose 2
MedDRA: Myocardial infarction, Stent placement — 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, Hospitalization

Free text: Heart attack 11/05/21. Stent implant 11/05/21

MedDRA releases: 2024-11 · check-in free text available
2022-05-11
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

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-05-12
Call 1 — Could Not Reach Participant
2022-05-12
Call 1 — Could Not Reach Participant
2022-05-17
Call 2 — Could Not Reach Participant
2022-05-17
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-13	Moderna
2	2021-05-11	Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 8 — day 21, dose 1

2021-05-04

Symptoms: More anxiety

Release 8 — days 1–6 daily, dose 2

2021-05-15

Systemic reaction (other): No

2021-05-16

Systemic reaction (other): None

Release 8 — day 7, dose 2

2021-05-18

Systemic reaction (other): Anxiety

Release 8 — day 14, dose 2

2021-05-27

Symptoms: Super anxiety

Release 8 — day 21, dose 2

2021-06-01

Symptoms: Having more anxiety than before. Having trouble remembering. Everyone tells me I am stressing over everything and out of control with it.

Release 9 — day 35, dose 2

2021-06-15

Symptoms: Hair is falling out!

Release 9 — day 42, dose 2

2021-06-22

Symptoms: Hair breakage

Release 9 — 3 months, dose 2

2021-08-10

Symptoms: Hair loss continues, have pockets of blood Occasionally under the skin

Healthcare visit (other): Taking biotin supplement for hair loss and have scheduled health appointment with cardiologist for the blood pockets understand under skin

Release 10 — 6 months, dose 2

2021-11-09

Symptoms: Heart attack Still having hair loss Blood pockets underneath my skin

Release 11 — 12 months, dose 2

2022-05-11

Symptoms: Heart attack 11/05/21. Stent implant 11/05/21

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	Alopecia	✓	·	✓
HCVO	Purpura	✓	·	✓
SD	Alopecia	✓	✓	✓
SD	Amnesia	✓	✓	✓
SD	Anxiety	✓	✓	✓
SD	Myocardial infarction	·	·	✓
SD	Petechiae	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Purpura	✓	·	✓
SD	Stent placement	·	·	✓
SD	Trichorrhexis	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	No adverse event	✓	✓	✓

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