4XP-91492-17984

2 vaccinations 11 coded responses 23 check-ins 11 free-text entries 8 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 199 / DE
Registered: 2021-01-16

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

2021-01-16
Registered in v-safe
2021-01-16
Dose 1 — Moderna
2021-01-16
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-01-17
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Migraine — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Worse migraine I have had in a long time

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-01-23
Health check-in — day 7, dose 1
Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-01-30
Survey response — day 14, dose 1
MedDRA: Dyspnoea, Fatigue, Migraine — Feeling: Fair · Be unable to do your normal daily activities

Free text: Exhausted, shortness of breath, migraines continue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-15
Survey response — day 28, dose 1
MedDRA: Migraine, Pre-existing disease — Feeling: Good · 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: My migraines have increased since getting the first vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Report sent to call center — day 28, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-19
Dose 2 — Moderna
2021-02-19
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Migraine — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Discomfort, Muscle spasms — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Over all feeling I cant explain. Like heaviness all over and muscle spasms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Blood glucose increased, Chest discomfort — Feeling: Poor · Headache, Nausea, Abdominal pain · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Chest pressure, high blood sugars

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-28
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-12
Survey response — day 21, dose 2
MedDRA: Tachycardia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: New onset tachycardia. Actually have had it for approx two weeks but forgot to report it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-19
Survey response — day 28, dose 2
MedDRA: Blood glucose abnormal, Tachycardia — 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: My blood sugars are uncontrolled, high blood pressure, continue with tachycardia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-26
Survey response — day 35, dose 2
MedDRA: Dyspnoea — Feeling: Good

Free text: Continued shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — day 42, dose 2
MedDRA: Dyspnoea, Fatigue — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Shortness of breath, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-21
Survey response — 3 months, dose 2
MedDRA: Swelling — 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

Free text: Swelling in lower extremeties

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-22
Pregnancy registry survey
Not pregnant at or since vaccination ·
2021-05-25
Call 1 — Left Voicemail
2022-02-19
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-16	Moderna
2	2021-02-19	Moderna

Call center

8 call center cases

6 unsuccessful · 2 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-18

Systemic reaction (other): Worse migraine I have had in a long time

Release 3 — day 14, dose 1

2021-01-30

Symptoms: Exhausted, shortness of breath, migraines continue

Release 4 — day 28, dose 1

2021-02-15

Symptoms: My migraines have increased since getting the first vaccine

Release 4 — days 1–6 daily, dose 2

2021-02-20

Systemic reaction (other): Migraine

2021-02-21

Systemic reaction (other): Over all feeling I cant explain. Like heaviness all over and muscle spasms.

2021-02-25

Systemic reaction (other): Chest pressure, high blood sugars

Release 5 — day 21, dose 2

2021-03-12

Symptoms: New onset tachycardia. Actually have had it for approx two weeks but forgot to report it.

Release 5 — day 28, dose 2

2021-03-19

Symptoms: My blood sugars are uncontrolled, high blood pressure, continue with tachycardia

Release 6 — day 35, dose 2

2021-03-26

Symptoms: Continued shortness of breath

Release 6 — day 42, dose 2

2021-04-02

Symptoms: Shortness of breath, fatigue

Release 8 — 3 months, dose 2

2021-05-21

Symptoms: Swelling in lower extremeties

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	Blood glucose abnormal	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Swelling	✓	✓	✓
SD	Tachycardia	✓	✓	✓
SRO	Blood glucose increased	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓

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