4N3-36603-59138

2 vaccinations 10 coded responses 19 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 080 / NJ
Registered: 2021-03-04

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

2021-03-04
Registered in v-safe
2021-03-05
Dose 1 — Moderna
2021-03-05
Health check-in — day 0, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Pain in arm at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Survey response — day 14, dose 1
MedDRA: Abdominal discomfort, Abdominal pain upper, Diarrhoea — Feeling: Good

Free text: Stomach or intestinal issue: diarrhea and stomach cramps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — day 21, dose 1
MedDRA: Surgery, Tooth extraction, Tooth infection — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: Not related: Tooth infection w/3 teeth extracted · Healthcare visit (other): Oral surgeon

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-02
Dose 2 — Moderna
2021-04-03
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, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work

Adult check-in
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Emergency care — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Chest pain . Gone to ER

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Emergency care — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Was in ER yesterday for chest pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Autoimmune disorder, Condition aggravated, Inflammation, Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Inflammatory issues flareup. I have autoimmune disease,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — day 7, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-16
Survey response — day 14, dose 2
MedDRA: Tinnitus — Feeling: Good

Free text: Tinnitus is louder

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-30
Survey response — day 28, dose 2
MedDRA: Arthralgia, Gastritis, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Some inflammatory issues; bladder; joint pain. I have autoimmune disease so it may be that inflammation has been triggered by something.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-07-02
Survey response — 3 months, dose 2
MedDRA: Inflammation, Peripheral vascular disorder — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Some sort of circulatory issue with legs; inflammation issues.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-08
Call 1 — Left Voicemail
2021-10-03
Survey response — 6 months, dose 2
MedDRA: Gastritis — Feeling: Fair

Free text: Inflammatory gastric

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Moderna
2	2021-04-02	Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-06

Systemic reaction (other): Pain in arm at injection site

Release 5 — day 14, dose 1

2021-03-19

Symptoms: Stomach or intestinal issue: diarrhea and stomach cramps

Release 6 — day 21, dose 1

2021-03-26

Symptoms: Not related: Tooth infection w/3 teeth extracted

Healthcare visit (other): Oral surgeon

Release 6 — days 1–6 daily, dose 2

2021-04-05

Systemic reaction (other): Chest pain . Gone to ER

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Was in ER yesterday for chest pain.

2021-04-07

Systemic reaction (other): Inflammatory issues flareup. I have autoimmune disease,

Release 7 — day 14, dose 2

2021-04-16

Symptoms: Tinnitus is louder

Release 8 — day 28, dose 2

2021-04-30

Symptoms: Some inflammatory issues; bladder; joint pain. I have autoimmune disease so it may be that inflammation has been triggered by something.

Release 9 — 3 months, dose 2

2021-07-02

Symptoms: Some sort of circulatory issue with legs; inflammation issues.

Release 9 — 6 months, dose 2

2021-10-03

Symptoms: Inflammatory gastric

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	Surgery	✓	✓	✓
SD	Abdominal discomfort	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Gastritis	✓	✓	✓
SD	Inflammation	✓	✓	✓
SD	Peripheral vascular disorder	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SD	Tooth extraction	✓	✓	✓
SD	Tooth infection	✓	✓	✓
SRO	Autoimmune disorder	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Emergency care	✓	✓	✓
SRO	Inflammation	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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