4YY-82158-23544

2 vaccinations 4 coded responses 19 check-ins 4 free-text entries 5 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 957 / CA
Registered: 2021-01-12

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

2021-01-12
Registered in v-safe
2021-01-12
Dose 1 — Moderna
2021-01-12
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Good · Site: Pain

Free text: Woosy feeling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, Diarrhea, 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
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
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 — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-09
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-11
Dose 2 — Moderna
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · 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

Free text: Rapid heartbeat- 108

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Report sent to call center — days 1–6 daily, 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)
2021-02-18
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-03
Call 1 — Left Voicemail
2021-08-17
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Back pain, Eye irritation, Headache, Joint swelling, Pre-existing disease, Smoke sensitivity, Swelling, Unevaluable event, Urinary tract infection — 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 · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: UTI. Burning eyes, asthma, headaches from forest fire smoke. Pain and swelling in my low back, hips, knees, & ankles. · Healthcare visit (other): Knee X-ray

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-17
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-19
Call 1 — Left Voicemail
2022-02-15
Survey response — 12 months, dose 2
MedDRA: Anxiety, Condition aggravated, Depressed mood, Impaired work ability, Migraine, Pre-existing disease — 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 have had a bad flare of fibromyalgia with chronic body pain, migraine, and chronic fatigue for about 3 months now. I wasn't able to work at all for a month and am now back to work a few hours a week. I was anxious and depressed. I'm getting better.

MedDRA releases: 2024-11 · check-in free text available
2022-02-15
Report sent to call center — 12 months, dose 2
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)
2022-02-21
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-12	Moderna
2	2021-02-11	Moderna

Call center

5 call center cases

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

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-12

Systemic reaction (other): Woosy feeling

Release 4 — days 1–6 daily, dose 2

2021-02-16

Systemic reaction (other): Rapid heartbeat- 108

Release 9 — 6 months, dose 2

2021-08-17

Symptoms: UTI. Burning eyes, asthma, headaches from forest fire smoke. Pain and swelling in my low back, hips, knees, & ankles.

Healthcare visit (other): Knee X-ray

Release 11 — 12 months, dose 2

2022-02-15

Symptoms: I have had a bad flare of fibromyalgia with chronic body pain, migraine, and chronic fatigue for about 3 months now. I wasn't able to work at all for a month and am now back to work a few hours a week. I was anxious and depressed. I'm getting better. cut off by CDC

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	Anxiety	·	·	✓
SD	Arthralgia	✓	·	✓
SD	Back pain	✓	·	✓
SD	Condition aggravated	·	·	✓
SD	Depressed mood	·	·	✓
SD	Eye irritation	✓	·	✓
SD	Headache	✓	·	✓
SD	Impaired work ability	·	·	✓
SD	Joint swelling	✓	·	✓
SD	Migraine	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Smoke sensitivity	✓	·	✓
SD	Swelling	✓	·	✓
SD	Urinary tract infection	✓	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓

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