4QH-75592-73418

2 vaccinations 8 coded responses 22 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 542 / WI
Registered: 2021-02-19

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

2021-02-18
Dose 1 — Moderna
2021-02-19
Registered in v-safe
2021-02-19
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Immediate post-injection reaction — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizzy about 5-10 minutes after shot and somewhat light headed.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-02-24
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea, Rhinorrhoea — Feeling: Good · Abdominal pain

Free text: Had a hard time breathing about 1am, sat up and then I could breathe better. Been a little snotty.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-06
Survey response — day 14, dose 1
MedDRA: Fatigue, Headache, Self-medication — Feeling: Fair · Be unable to do your normal daily activities

Free text: Tired today, really feel exhausted and needed nap. My head was pounding with a headache, took acetaminophen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Dose 2 — Moderna
2021-03-20
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Muscle spasms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Joint pains

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2021-04-02
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-24
Survey response — day 35, dose 2
MedDRA: Chest discomfort, Productive cough — Feeling: Fair

Free text: I feel a tightness in my chest and I have small bloody phlegm in the morning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — day 42, dose 2
MedDRA: Chills, Headache, Pyrexia — Feeling: Poor

Free text: Chills, headache, feverish

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Survey response — 3 months, dose 2
MedDRA: Aphonia, Cough, Dysphonia, Headache, Nasal congestion, Nausea, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test — Feeling: Fair · Be unable to work or attend school, 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: Stuffy/runny nose, congestion, cough, lost voice/hoarse nauseous, headache · Healthcare visit (other): CVS-Covid test

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Report sent to call center — 3 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

1 call case(s)
2021-06-25
Call 1 — Left Voicemail
2021-09-17
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-19
Survey response — 12 months, dose 2
MedDRA: Axillary mass — Feeling: Fair · Be unable to do your normal daily activities

Free text: Lump in my armpit just popped up

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-18	Moderna
2	2021-03-19	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-19

Systemic reaction (other): Dizzy about 5-10 minutes after shot and somewhat light headed.

2021-02-24

Systemic reaction (other): Had a hard time breathing about 1am, sat up and then I could breathe better. Been a little snotty.

Release 5 — day 14, dose 1

2021-03-06

Symptoms: Tired today, really feel exhausted and needed nap. My head was pounding with a headache, took acetaminophen.

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): Muscle spasms

Release 7 — day 35, dose 2

2021-04-24

Symptoms: I feel a tightness in my chest and I have small bloody phlegm in the morning.

Release 8 — day 42, dose 2

2021-04-30

Symptoms: Chills, headache, feverish

Release 9 — 3 months, dose 2

2021-06-18

Symptoms: Stuffy/runny nose, congestion, cough, lost voice/hoarse nauseous, headache

Healthcare visit (other): CVS-Covid test

Release 11 — 12 months, dose 2

2022-03-19

Symptoms: Lump in my armpit just popped up

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	SARS-CoV-2 test	✓	✓	✓
SD	Aphonia	✓	✓	✓
SD	Axillary mass	·	·	✓
SD	Chest discomfort	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dysphonia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Productive cough	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Self-medication	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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