4VC-20002-73413

2 vaccinations 13 coded responses 20 check-ins 13 free-text entries 2 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 832 / ID
Registered: 2021-03-19

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

2021-03-18
Dose 1 — Moderna
2021-03-19
Registered in v-safe
2021-03-19
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
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Lymph node pain — Feeling: Good · Headache

Free text: Sore glands in throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Lymph node pain, Oropharyngeal pain — Feeling: Good · Joint pains

Free text: Sore throat glands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — day 7, dose 1
MedDRA: Food allergy — Feeling: Poor · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Developed a new anaphylactic allergy to hazelnuts, may not be related (previous anaphylactic allergy to macadamia nuts)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-08
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-15
Dose 2 — Moderna
2021-04-15
Survey response — day 0, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain

Free text: Swollen and sore armpit gland and glands by throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
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, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work

Free text: Sweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Sweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Abdominal pain

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-25
Survey response — day 7, dose 2
MedDRA: Menstrual disorder — Feeling: Good · Diarrhea

Free text: Menstrual bleeding (normally no cycles)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — day 14, dose 2
MedDRA: Anaphylactic reaction, Fatigue, Intermenstrual bleeding — Feeling: Fair

Free text: Developed an anaphylactic reaction to a new food just after the first shot. Then during the skin test, the control histamine that was done one month later (this week) did not react for no identifiable reason. New extreme midday fatigue and spotting.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — day 21, dose 2
MedDRA: Intermenstrual bleeding — Feeling: Fair

Free text: Spotting for 2 weeks

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — day 42, dose 2
MedDRA: Abdominal rigidity, Cough, Fatigue, Menstruation irregular, Nasopharyngitis, Nausea — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Nausea, irregular spot bleeding, abdominal Spasms, extreme fatigue, bad persistent head cold

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-14
Survey response — 6 months, dose 2
MedDRA: Atrioventricular block second degree, Ventricular fibrillation — 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: 2nd degree AV heart block, type 1 and a lot of ventricular fibrillation episodes

MedDRA releases: 2024-11 · check-in free text available
2021-10-14
Report sent to call center — 6 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)
2021-10-15
Call 1 — Left Voicemail
2022-04-15
Survey response — 12 months, dose 2
MedDRA: Asthma, Chest pain, Conduction disorder, Diastolic dysfunction, Dyspnoea — Feeling: Good · Be unable to work or attend school

Free text: Grade 3 diastolic dysfunction with shortness of breath and very frequent chest pain, asthma, conduction disease

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Moderna
2	2021-04-15	Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-21

Systemic reaction (other): Insomnia

2021-03-22

Systemic reaction (other): Sore glands in throat

2021-03-23

Systemic reaction (other): Sore throat glands

Release 6 — day 7, dose 1

2021-03-27

Systemic reaction (other): Developed a new anaphylactic allergy to hazelnuts, may not be related (previous anaphylactic allergy to macadamia nuts)

Release 7 — day 0, dose 2

2021-04-15

Systemic reaction (other): Swollen and sore armpit gland and glands by throat

Release 7 — days 1–6 daily, dose 2

2021-04-17

Systemic reaction (other): Sweats

2021-04-18

Systemic reaction (other): Sweats

Release 7 — day 7, dose 2

2021-04-25

Systemic reaction (other): Menstrual bleeding (normally no cycles)

Release 8 — day 14, dose 2

2021-04-29

Symptoms: Developed an anaphylactic reaction to a new food just after the first shot. Then during the skin test, the control histamine that was done one month later (this week) did not react for no identifiable reason. New extreme midday fatigue and spotting. cut off by CDC

Release 8 — day 21, dose 2

2021-05-06

Symptoms: Spotting for 2 weeks

Release 8 — day 42, dose 2

2021-05-27

Symptoms: Nausea, irregular spot bleeding, abdominal Spasms, extreme fatigue, bad persistent head cold

Release 10 — 6 months, dose 2

2021-10-14

Symptoms: 2nd degree AV heart block, type 1 and a lot of ventricular fibrillation episodes

Release 11 — 12 months, dose 2

2022-04-15

Symptoms: Grade 3 diastolic dysfunction with shortness of breath and very frequent chest pain, asthma, conduction disease

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 rigidity	✓	✓	✓
SD	Anaphylactic reaction	✓	✓	✓
SD	Asthma	·	·	✓
SD	Atrioventricular block second degree	·	·	✓
SD	Chest pain	·	·	✓
SD	Conduction disorder	·	·	✓
SD	Cough	✓	✓	✓
SD	Diastolic dysfunction	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Intermenstrual bleeding	✓	✓	✓
SD	Menstruation irregular	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Ventricular fibrillation	·	·	✓
SRO	Food allergy	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Menstrual disorder	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	○

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