4R6-13589-63716

2 vaccinations 11 coded responses 25 check-ins 11 free-text entries 5 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 490 / MI
Registered: 2021-04-29

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

2021-04-28
Dose 1 — Moderna
2021-04-29
Registered in v-safe
2021-04-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Nausea

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea, Diarrhea

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-05
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-05-12
Survey response — day 14, dose 1
MedDRA: Cough, Hypersensitivity, Paranasal sinus hypersecretion, Respiratory tract congestion, Sneezing — Feeling: Good

Free text: Allergy symptoms..sneezing, congestion, cough, sinus drainage.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-26
Survey response — day 28, dose 1
MedDRA: Abdominal discomfort, Diarrhoea, Gastric disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Gastric upset and diarrhea.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Dose 2 — Moderna
2021-05-27
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-28
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Chills, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-05-31
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Poor · Fever · Chills, Headache, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Survey response — days 1–6 daily, dose 2
MedDRA: Office visit — Feeling: Poor · Fever · Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Get care from a doctor or other healthcare professional

Free text: Dr office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-02
Survey response — days 1–6 daily, dose 2
MedDRA: Diverticulitis, Medical counselling — Feeling: Poor · Chills, Muscle or body aches, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Diverticulitis · Healthcare visit (other): Blood work and update call to doctor.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Report sent to call center — days 1–6 daily, 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)
2021-06-03
Survey response — day 7, dose 2
MedDRA: Abdominal tenderness — Feeling: Fair · Headache, Nausea

Free text: Abdominal tenderness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-17
Survey response — day 21, dose 2
MedDRA: Cough — Feeling: Good

Free text: Dry cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Survey response — day 28, dose 2
MedDRA: Fatigue, Headache, Hyperhidrosis, Nausea, Pyrexia — Feeling: Fair · Be unable to work or attend school

Free text: Headache, fatigue, nausea, feeling like Im feverish with sweating.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-26
Survey response — 3 months, dose 2
MedDRA: Diverticulitis, Hot flush, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Still having trouble getting over the bad flare of diverticulitis I had after 2nd vaccine.Having more intense and frequent hot flashes. · Healthcare visit (other): In-office doctor visit

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-30
Call 1 — Left Voicemail
2021-11-25
Survey response — 6 months, dose 2
MedDRA: Cough, Office visit, Oropharyngeal pain, Sinusitis — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional

Free text: Symptoms: Cough, sore throat, sinus infection · Healthcare visit (other): Physician office visit

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-13
Call 1 — Requested Callback
2022-01-18
Call 2 — Left Voicemail
2022-01-18
Callback requested for
01:00PM ET
2022-05-27
Survey response — 12 months, dose 2
MedDRA: COVID-19, Cough, Dyspnoea, Pyrexia — Feeling: Fair · 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: COVID 19 with fever, cough, shortness or breath.

MedDRA releases: 2024-11 · check-in free text available
2022-05-27
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-31
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-28	Moderna
2	2021-05-27	Moderna

Call center

5 call center cases

5 unsuccessful

See the call center timeline

Free text

Release 8 — day 14, dose 1

2021-05-12

Symptoms: Allergy symptoms..sneezing, congestion, cough, sinus drainage.

Release 8 — day 28, dose 1

2021-05-26

Symptoms: Gastric upset and diarrhea.

Release 8 — days 1–6 daily, dose 2

2021-05-31

Systemic reaction (other): Coughing

2021-06-01

Healthcare visit (other): Dr office visit

2021-06-02

Systemic reaction (other): Diverticulitis

Healthcare visit (other): Blood work and update call to doctor.

Release 8 — day 7, dose 2

2021-06-03

Systemic reaction (other): Abdominal tenderness

Release 9 — day 21, dose 2

2021-06-17

Symptoms: Dry cough

Release 9 — day 28, dose 2

2021-06-24

Symptoms: Headache, fatigue, nausea, feeling like Im feverish with sweating.

Release 9 — 3 months, dose 2

2021-08-26

Symptoms: Still having trouble getting over the bad flare of diverticulitis I had after 2nd vaccine.Having more intense and frequent hot flashes.

Healthcare visit (other): In-office doctor visit

Release 10 — 6 months, dose 2

2021-11-25

Symptoms: Cough, sore throat, sinus infection

Healthcare visit (other): Physician office visit

Release 11 — 12 months, dose 2

2022-05-27

Symptoms: COVID 19 with fever, cough, shortness or breath.

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	Abdominal discomfort	·	·	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Diverticulitis	✓	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Gastric disorder	✓	✓	○
SD	Headache	✓	✓	✓
SD	Hot flush	✓	·	✓
SD	Hyperhidrosis	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Paranasal sinus hypersecretion	✓	✓	✓
SD	Pre-existing disease	✓	·	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Sinusitis	·	·	✓
SD	Sneezing	✓	✓	✓
SRO	Abdominal tenderness	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Diverticulitis	✓	✓	✓

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