4PM-65095-33441

4 vaccinations 7 coded responses 45 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 453 / OH
Registered: 2021-03-19

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

2021-03-19
Registered in v-safe
2021-03-19
Dose 1 — Moderna
2021-03-19
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Nausea

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache · Be unable to do your normal daily activities

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-26
Health check-in — day 7, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-04-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-16
Dose 2 — Moderna
2021-04-16
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Loss of consciousness, Paraesthesia — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Tingling in hands, blacking out

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

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-25
Health check-in — day 7, dose 2
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-30
Survey response — day 14, dose 2
MedDRA: Dizziness, Fatigue, Pyrexia — Feeling: Good · Be unable to do your normal daily activities

Free text: Fever, dizziness, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — day 21, dose 2
Feeling: Good

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

Adult check-in
2021-05-21
Survey response — day 35, dose 2
MedDRA: Fatigue, Oropharyngeal pain, Pain, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sore throat, mild fever, body aches, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-15
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-05
Dose 3 — Moderna
2021-11-05
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling · None

Adult check-in
2021-11-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-12
Health check-in — day 7, dose 3
Feeling: Good · Headache, Joint pains

Adult check-in
2021-11-19
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-27
Survey response — day 21, dose 3
MedDRA: Fatigue, Myalgia, Oropharyngeal pain, Respiratory tract congestion, Sinusitis, Viral upper respiratory tract infection — Feeling: Fair · Be unable to do your normal daily activities

Free text: Upper resp viral infection. Sore throat, congestion, inflammed sinuses, achy muscles, fatigue.

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-11
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-17
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-05
Survey response — 3 months, dose 3
MedDRA: Dizziness, Headache, Ligament sprain, Muscle strain, Nausea, Oropharyngeal pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Ligament strain in the knee. Pulled muscle in lower back. Headache and nausea and dizziness with intermittent sore throat for a couple days last week.

MedDRA releases: 2024-11 · check-in free text available
2022-05-08
Survey response — 6 months, dose 3
MedDRA: Norovirus infection, Staphylococcal skin infection — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Norovirus, staph infection in left pinky cuticle.

MedDRA releases: 2024-11 · check-in free text available
2022-05-08
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-09
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-01
Dose 4 — Moderna
Co-administered: Flu
2022-10-19
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-23
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-29
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-05
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-13
Survey response — day 42, dose 4
MedDRA: Chills, Hot flush, Nausea, Oropharyngeal pain, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Achiness, hot flashes, chills, nausea, sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-12-31
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-01
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-19	Moderna
2	2021-04-16	Moderna
3	2021-11-05	Moderna	No
4	2022-10-01	Moderna	Flu

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-17

Systemic reaction (other): Tingling in hands, blacking out

Release 8 — day 14, dose 2

2021-04-30

Symptoms: Fever, dizziness, fatigue

Release 8 — day 35, dose 2

2021-05-21

Symptoms: Sore throat, mild fever, body aches, fatigue

Release 10 — day 21, dose 3

2021-11-27

Symptoms: Upper resp viral infection. Sore throat, congestion, inflammed sinuses, achy muscles, fatigue.

Release 11 — 3 months, dose 3

2022-02-05

Symptoms: Ligament strain in the knee. Pulled muscle in lower back. Headache and nausea and dizziness with intermittent sore throat for a couple days last week.

Release 11 — 6 months, dose 3

2022-05-08

Symptoms: Norovirus, staph infection in left pinky cuticle.

Release 12 — day 42, dose 4

2022-11-13

Symptoms: Achiness, hot flashes, chills, nausea, sore throat

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	Chills	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Hot flush	·	·	✓
SD	Ligament sprain	·	·	✓
SD	Muscle strain	·	·	✓
SD	Myalgia	·	·	✓
SD	Nausea	·	·	✓
SD	Norovirus infection	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sinusitis	·	·	✓
SD	Staphylococcal skin infection	·	·	✓
SD	Viral upper respiratory tract infection	·	·	✓
SRO	Loss of consciousness	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓

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