4TH-22814-61725

2 vaccinations 8 coded responses 24 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 407 / KY
Registered: 2021-11-05

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

2021-11-05
Registered in v-safe
2021-11-05
Dose 1 — Moderna
2021-11-05
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Nausea, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-11-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-11-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-11-12
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-11-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-12-03
Dose 2 — Moderna
2021-12-03
Survey response — day 0, dose 2
MedDRA: Chest discomfort, Dyspnoea — Feeling: Poor · Site: Pain, Itching · Fever · Headache, Nausea · Be unable to work or attend school

Free text: My chest feels heavy and I'm experiencing shortness of breath.

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Dyspnoea, Palpitations — Feeling: Poor · Site: Pain, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: dizziness and shortness of breath, and I feel like my heart is racing.

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Dyspnoea — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Shortness of breath and chest pain.

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school

Adult check-in
2021-12-07
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school

Adult check-in
2021-12-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-12-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-10
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-12-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-12-24
Survey response — day 21, dose 2
MedDRA: Abdominal discomfort, Feeling cold, Pyrexia, Vomiting — Feeling: Poor

Free text: I'm running a fever, upset stomach, vomiting and chilling.

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Survey response — day 28, dose 2
MedDRA: Gastrointestinal disorder, Nasopharyngitis, Pyrexia — Feeling: Poor · Be unable to work or attend school

Free text: Stomach issues and cold like symptoms and fever for a week now.

MedDRA releases: 2024-11 · check-in free text available
2022-01-07
Survey response — day 35, dose 2
MedDRA: Cough, Fatigue, Gastrointestinal disorder, Headache, Nasal congestion, Pyrexia, Rhinorrhoea, Visual impairment — Feeling: Poor · Be unable to work or attend school, 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: cough, fever, headaches and stomach issues. Stuffy nose and runny. Tired all the time. Eye sight issue as well.

MedDRA releases: 2024-11 · check-in free text available
2022-01-07
Report sent to call center — day 35, 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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-10
Call 1 — Could Not Reach Participant
2022-01-13
Call 2 — Could Not Reach Participant
2022-01-15
Survey response — day 42, dose 2
MedDRA: Abdominal discomfort, Headache, Nasal congestion, Oropharyngeal pain — Feeling: Poor · 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: Nasal congestion sore throat headache upset stomach

MedDRA releases: 2024-11 · check-in free text available
2022-01-15
Report sent to call center — day 42, dose 2
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 · 1 call case(s)
2022-01-17
Call 1 — Could Not Reach Participant
2022-01-20
Call 2 — Could Not Reach Participant
2022-03-04
Survey response — 3 months, dose 2
MedDRA: Headache, Respiratory tract congestion — Feeling: Fair · 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: Headaches and congestion even since I got the shots.

MedDRA releases: 2024-11 · check-in free text available
2022-03-04
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-07
Call 1 — Left Voicemail
2022-06-03
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-11-05	Moderna	No
2	2021-12-03	Moderna	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 10 — day 0, dose 2

2021-12-03

Systemic reaction (other): My chest feels heavy and I'm experiencing shortness of breath.

Release 10 — days 1–6 daily, dose 2

2021-12-04

Systemic reaction (other): dizziness and shortness of breath, and I feel like my heart is racing.

2021-12-05

Systemic reaction (other): Shortness of breath and chest pain.

Release 10 — day 21, dose 2

2021-12-24

Symptoms: I'm running a fever, upset stomach, vomiting and chilling.

Release 10 — day 28, dose 2

2021-12-31

Symptoms: Stomach issues and cold like symptoms and fever for a week now.

Release 10 — day 35, dose 2

2022-01-07

Symptoms: cough, fever, headaches and stomach issues. Stuffy nose and runny. Tired all the time. Eye sight issue as well.

Release 10 — day 42, dose 2

2022-01-15

Symptoms: Nasal congestion sore throat headache upset stomach

Release 11 — 3 months, dose 2

2022-03-04

Symptoms: Headaches and congestion even since I got the shots.

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	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Feeling cold	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Visual impairment	·	·	✓
SD	Vomiting	·	·	✓
SRO	Chest discomfort	·	·	✓
SRO	Chest pain	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Dyspnoea	·	·	✓
SRO	Palpitations	·	·	✓

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