5D5-89118-07287

2 vaccinations 6 coded responses 23 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 636 / MO
Registered: 2021-03-05

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

2021-03-02
Dose 1 — Moderna
2021-03-05
Registered in v-safe
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Dizziness, Headache, Pyrexia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Free text: About 25-36 hours after injection began with sever chills and fevers between 102.5 & 103.4 while taking 400 mg ibuprofen as directed on bottle. Headache and dizziness during that timeframe.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-03-09
Health check-in — day 7, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-16
Survey response — day 14, dose 1
MedDRA: Headache, Pruritus — Feeling: Good

Free text: Itching and headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-30
Dose 2 — Moderna
2021-03-30
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Itching · Joint pains, Muscle or body aches, Diarrhea

Adult check-in
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Good · Site: Pain, Itching · Headache, Fatigue or tiredness

Free text: Itchy all over. Moderate.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Muscle or body aches

Adult check-in
2021-04-06
Health check-in — day 7, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-04-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-27
Survey response — day 28, dose 2
MedDRA: Cough, Dyspepsia, Headache, Oropharyngeal pain, Pain, Paranasal sinus hypersecretion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe headache. Heartburn. Body aches. Sore throat. Coughing. Sinus drainage.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-29
Survey response — 3 months, dose 2
MedDRA: Atrial fibrillation, Implantable cardiac monitor insertion, Office visit, Palpitations — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Heart palpitations, Afib: loop monitor surgical procedure to record intermittent episodes. · Healthcare visit (other): PCP visit, Cardiologist visits & tests. Loop monitor advised.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
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)
2021-07-02
Call 1 — Left Voicemail
2021-09-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-30
Survey response — 12 months, dose 2
MedDRA: Dyspnoea, Fatigue, Office visit, Palpitations — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Shortness of breath. Heart palpitations. Fatigue. · Healthcare visit (other): Drs appointments. Diagnostic tests. Newly added prescriptions.

MedDRA releases: 2024-11 · check-in free text available
2022-03-30
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-31
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-02	Moderna
2	2021-03-30	Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-05

Systemic reaction (other): About 25-36 hours after injection began with sever chills and fevers between 102.5 & 103.4 while taking 400 mg ibuprofen as directed on bottle. Headache and dizziness during that timeframe.

Release 5 — day 14, dose 1

2021-03-16

Symptoms: Itching and headache

Release 6 — days 1–6 daily, dose 2

2021-04-03

Systemic reaction (other): Itchy all over. Moderate.

Release 8 — day 28, dose 2

2021-04-27

Symptoms: Severe headache. Heartburn. Body aches. Sore throat. Coughing. Sinus drainage.

Release 9 — 3 months, dose 2

2021-06-29

Symptoms: Heart palpitations, Afib: loop monitor surgical procedure to record intermittent episodes.

Healthcare visit (other): PCP visit, Cardiologist visits & tests. Loop monitor advised.

Release 11 — 12 months, dose 2

2022-03-30

Symptoms: Shortness of breath. Heart palpitations. Fatigue.

Healthcare visit (other): Drs appointments. Diagnostic tests. Newly added prescriptions.

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	Office visit	✓	✓	✓
SD	Atrial fibrillation	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dyspepsia	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Implantable cardiac monitor insertion	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Palpitations	○	✓	✓
SD	Paranasal sinus hypersecretion	✓	✓	✓
SD	Pruritus	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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