4SZ-19165-75805

2 vaccinations 7 coded responses 23 check-ins 7 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 478 / IN
Registered: 2021-01-14

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

2021-01-14
Registered in v-safe
2021-01-14
Dose 1 — Moderna
2021-01-14
Health check-in — day 0, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-01-21
Health check-in — day 7, dose 1
Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-01-28
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-04
Survey response — day 21, dose 1
MedDRA: Night sweats — Feeling: Fair

Free text: Extremely bad night sweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Dose 2 — Moderna
2021-02-11
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-18
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-02-27
Health check-in — day 14, dose 2
Feeling: Poor

Adult check-in
2021-03-04
Survey response — day 21, dose 2
MedDRA: Abnormal menstrual clots, Heavy menstrual bleeding — Feeling: Fair

Free text: Im on my period and bleeding longer then normal and clotting a lot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — day 28, dose 2
MedDRA: Epistaxis, Hypertension, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Nose bleeds blood pressure is really high · Healthcare visit (other): Have an appointment on 3/15/2021

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-20
Survey response — day 35, dose 2
MedDRA: Body temperature increased, Headache — Feeling: Poor · 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: Massive splitting headache and a 103 temp

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Report sent to call center — day 35, 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
Survey response — day 42, dose 2
MedDRA: Blood disorder, Blood pressure measurement, Body temperature increased, Hospitalisation, Infection — 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: Blood pressure , ended up being hospitalized had a really bad infection in my blood. Had a temp.of 103.2.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Report sent to call center — day 42, 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)
2021-05-13
Health check-in — 3 months, dose 2
Feeling: Poor

Adult check-in
2021-08-12
Survey response — 6 months, dose 2
MedDRA: Pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: All over body aches and pains

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-13
Call 1 — Left Voicemail
2022-02-11
Survey response — 12 months, dose 2
MedDRA: Diabetes mellitus, Memory impairment, Pre-existing disease, Unevaluable event — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: My diabetes is worse. I am very forgetful now. And very panicy.

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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-14
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-11	Moderna

Call center

4 call center cases

4 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — day 21, dose 1

2021-02-04

Symptoms: Extremely bad night sweats

Release 5 — day 21, dose 2

2021-03-04

Symptoms: Im on my period and bleeding longer then normal and clotting a lot.

Release 5 — day 28, dose 2

2021-03-11

Symptoms: Nose bleeds blood pressure is really high

Healthcare visit (other): Have an appointment on 3/15/2021

Release 6 — day 35, dose 2

2021-03-20

Symptoms: Massive splitting headache and a 103 temp

Release 6 — day 42, dose 2

2021-03-27

Symptoms: Blood pressure , ended up being hospitalized had a really bad infection in my blood. Had a temp.of 103.2.

Release 9 — 6 months, dose 2

2021-08-12

Symptoms: All over body aches and pains

Release 11 — 12 months, dose 2

2022-02-11

Symptoms: My diabetes is worse. I am very forgetful now. And very panicy.

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	Unevaluable event	✓	✓	✓
SD	Abnormal menstrual clots	✓	✓	✓
SD	Blood disorder	✓	✓	✓
SD	Blood pressure measurement	✓	✓	✓
SD	Body temperature increased	✓	✓	✓
SD	Diabetes mellitus	·	·	✓
SD	Epistaxis	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Hospitalisation	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Infection	✓	✓	✓
SD	Memory impairment	·	·	✓
SD	Night sweats	✓	✓	✓
SD	Pain	✓	·	✓
SD	Pre-existing disease	·	·	✓
SD	Unevaluable event	·	·	✓

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