4RJ-13863-47033

3 vaccinations 7 coded responses 32 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 200 / DC
Registered: 2021-03-11

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

LPC-18582-38308 Child or adolescent in my care · Male · 2021-11-09

WSM-81233-02343 Child or adolescent in my care · Female · 2021-11-09

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-11
Registered in v-safe
2021-03-11
Dose 1 — Moderna
2021-03-11
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-08
Dose 2 — Moderna
2021-04-08
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-09
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 · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-04-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-06
Survey response — day 28, dose 2
MedDRA: Headache, Oropharyngeal pain, Pyrexia — Feeling: Good · Be unable to do your normal daily activities

Free text: Low grade fever, sore throat, headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — day 35, dose 2
MedDRA: Gingival pruritus, Hypersensitivity, Self-medication, Sneezing, Throat tightness — Feeling: Good · Be unable to do your normal daily activities

Free text: I had an unexplained allergic reaction last night -- sneezing, throat tightening, itchy gums. I treated it with Benadryl and Albuterol and it seems to have resolved.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-08
Survey response — 3 months, dose 2
MedDRA: Headache, Rhinorrhoea — Feeling: Good

Free text: runny nose, headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-07
Survey response — 6 months, dose 2
MedDRA: Menstruation irregular — Feeling: Good

Free text: Irregular periods

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Dose 3 — Moderna
2021-12-10
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-17
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-24
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-31
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-18
Survey response — 3 months, dose 3
MedDRA: Abdominal pain upper, Brain fog, Diarrhoea, Fatigue, Headache, Myalgia, Oropharyngeal pain, Pyrexia — 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 · Telehealth, virtual health, or email health consultation

Free text: Fever, fatigue, brain fog, headache, muscle aches, stomachache/diarrhea, sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-02-18
Report sent to call center — 3 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 · 1 call case(s)
2022-02-23
Call 1 — Left Voicemail
2022-05-20
Survey response — 6 months, dose 3
MedDRA: Abdominal discomfort, Brain fog, COVID-19, Fatigue, Headache, Lymphadenopathy, Malaise, Oropharyngeal pain, Pain, Pyrexia — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: I was sick with COVID19 in mid-February, and experienced deep fatigue, brain fog, headaches, body aches, fever, sore throat, swollen glands, and gastro distress. Fatigue + brain fog lasted for ~4 weeks. Some symptoms have recurred in the last week.

MedDRA releases: 2024-11 · check-in free text available
2022-05-20
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)
2022-05-23
Call 2 — Left Voicemail
2022-05-23
Call 1 — Left Voicemail
2022-11-19
Survey response — 12 months, dose 3
MedDRA: Asthma, Dyspnoea — 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 · Outpatient clinic or urgent care clinic visit

Free text: asthma attacks + difficulty breathing

MedDRA releases: 2024-11 · check-in free text available
2022-11-19
Report sent to call center — 12 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-21
Call 3 — Left Voicemail
2022-11-21
Call 2 — Left Voicemail
2022-11-21
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Moderna
2	2021-04-08	Moderna
3	2021-11-19	Moderna	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 8 — day 28, dose 2

2021-05-06

Symptoms: Low grade fever, sore throat, headache

Release 8 — day 35, dose 2

2021-05-13

Symptoms: I had an unexplained allergic reaction last night -- sneezing, throat tightening, itchy gums. I treated it with Benadryl and Albuterol and it seems to have resolved.

Release 9 — 3 months, dose 2

2021-07-08

Symptoms: runny nose, headache

Release 10 — 6 months, dose 2

2021-10-07

Symptoms: Irregular periods

Release 11 — 3 months, dose 3

2022-02-18

Symptoms: Fever, fatigue, brain fog, headache, muscle aches, stomachache/diarrhea, sore throat

Release 11 — 6 months, dose 3

2022-05-20

Symptoms: I was sick with COVID19 in mid-February, and experienced deep fatigue, brain fog, headaches, body aches, fever, sore throat, swollen glands, and gastro distress. Fatigue + brain fog lasted for ~4 weeks. Some symptoms have recurred in the last week. cut off by CDC

Release 12 — 12 months, dose 3

2022-11-19

Symptoms: asthma attacks + difficulty breathing

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	Abdominal discomfort	·	·	✓
SD	Abdominal pain upper	·	·	✓
SD	Asthma	·	·	✓
SD	Brain fog	·	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Gingival pruritus	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Lymphadenopathy	·	·	✓
SD	Malaise	·	·	✓
SD	Menstruation irregular	·	·	✓
SD	Myalgia	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Sneezing	✓	✓	✓
SD	Throat tightness	✓	✓	✓

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