4PR-87140-58636

3 vaccinations 5 coded responses 21 check-ins 5 free-text entries 3 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 030 / NH
Registered: 2021-01-26

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

2021-01-22
Dose 1 — Moderna
2021-01-26
Registered in v-safe
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-20
Dose 2 — Moderna
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-13
Survey response — day 21, dose 2
MedDRA: Headache, Pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair

Free text: just feeling mild achy all over, headaches runny nose, chest congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — day 28, dose 2
MedDRA: Coordination abnormal, Dysarthria, Headache, Nausea, Vomiting — Feeling: Fair · Be unable to work, 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: uncoordinated, nausea, vomiting, headache, slurred speech

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Report sent to call center — day 28, dose 2
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)
2021-03-27
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-21
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-15
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-12-17
Dose 3 — Moderna
2022-02-20
Survey response — 12 months, dose 2
MedDRA: Diplopia, Dysarthria, Headache, Pain, Sinusitis — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: sinus infections, body aches, HA'S, slurred speech, double vision

MedDRA releases: 2024-11 · check-in free text available
2022-02-20
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-21
Call 1 — Left Voicemail
2022-12-17
Survey response — 12 months, dose 3
MedDRA: Ehlers-Danlos syndrome, Hypermobility syndrome, Medical counselling, Migraine, Office visit, Vertigo — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Migraines, vertigo. Was Dx'd with Hypermobility by rheumatologist summer 2022. But D/T these 2 sx's persisted >2 wks then saw chiropractor that discovered/clairfied i have: hEDS (hypermobility Ehler's Danlos Syndrome) = cause of my sx's · Healthcare visit (other): Called drs; then saw chiropractor

MedDRA releases: 2024-11 · check-in free text available
2022-12-17
Report sent to call center — 12 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-12-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna
2	2021-02-20	Moderna
3	2021-12-17	Moderna	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-21

Systemic reaction (other): dizziness

Release 5 — day 21, dose 2

2021-03-13

Symptoms: just feeling mild achy all over, headaches runny nose, chest congestion

Release 6 — day 28, dose 2

2021-03-20

Symptoms: uncoordinated, nausea, vomiting, headache, slurred speech

Release 11 — 12 months, dose 2

2022-02-20

Symptoms: sinus infections, body aches, HA'S, slurred speech, double vision

Release 12 — 12 months, dose 3

2022-12-17

Symptoms: Migraines, vertigo. Was Dx'd with Hypermobility by rheumatologist summer 2022. But D/T these 2 sx's persisted >2 wks then saw chiropractor that discovered/clairfied i have: hEDS (hypermobility Ehler's Danlos Syndrome) = cause of my sx's

Healthcare visit (other): Called drs; then saw chiropractor

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	Medical counselling	·	·	✓
HCVO	Office visit	·	·	✓
SD	Coordination abnormal	✓	✓	✓
SD	Diplopia	·	·	✓
SD	Dysarthria	✓	✓	✓
SD	Ehlers-Danlos syndrome	·	·	✓
SD	Headache	✓	✓	✓
SD	Hypermobility syndrome	·	·	✓
SD	Migraine	·	·	✓
SD	Nausea	✓	✓	✓
SD	Office visit	·	·	✓
SD	Pain	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sinusitis	·	·	✓
SD	Vertigo	·	·	✓
SD	Vomiting	✓	✓	✓
SRO	Dizziness	✓	✓	✓

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