5J6-30320-22943

3 vaccinations 10 coded responses 29 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 978 / OR
Registered: 2021-03-14

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

2021-03-12
Dose 1 — Moderna
2021-03-14
Registered in v-safe
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-21
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-09
Dose 2 — Moderna
2021-04-09
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-04-10
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 do your normal daily activities

Adult check-in
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Thirst — Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Thirst

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Oropharyngeal pain — Feeling: Good · Headache

Free text: Sore throat; cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work

Adult check-in
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — day 7, dose 2
MedDRA: Oropharyngeal pain — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-14
Survey response — day 35, dose 2
MedDRA: Fatigue, Headache, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fevers continue, along with fatigue and headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-09
Survey response — 3 months, dose 2
MedDRA: Dizziness, Hypotension — Feeling: Poor · 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: Low BP, with occasional faintness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-09
Report sent to call center — 3 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)
2021-07-15
Call 2 — Left Voicemail
2021-10-08
Survey response — 6 months, dose 2
MedDRA: Office visit, Thyroiditis — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Thyroiditis · Healthcare visit (other): In office with my primary doctor

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-11
Call successful
Not applicable - Accidental Reporting
2022-03-04
Dose 3 — Moderna
2022-04-09
Health check-in — day 35, dose 3
Feeling: Poor

Adult check-in
2022-04-09
Survey response — 12 months, dose 2
MedDRA: Chest discomfort, Chest pain, Chills, Fatigue, Musculoskeletal pain, Pain, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Frequent chills, low-grade fevers, body aches, fatigue, chest heaviness, mild chest pains that go to my shoulder blade

MedDRA releases: 2024-11 · check-in free text available
2022-04-15
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-06-03
Survey response — 3 months, dose 3
MedDRA: Asthenia, Brain fog, Medical counselling, Palpitations, Presyncope, Pyrexia — Feeling: Poor · 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, Emergency room or emergency department visit

Free text: Symptoms: Heart palpitations, fevers, near syncope episodes, brain fog, overall weakness, long haul covid? · Healthcare visit (other): Phone calls with Dr

MedDRA releases: 2024-11 · check-in free text available
2022-06-03
Report sent to call center — 3 months, dose 3
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 · Emergency room or emergency department visit · 1 call case(s)
2022-06-07
Call 1 — Left Voicemail
2022-06-07
Call 1 — Left Voicemail
2022-09-02
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2023-03-04
Survey response — 12 months, dose 3
MedDRA: Neurodermatitis, Skin disorder — Feeling: Fair

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-12	Moderna
2	2021-04-09	Moderna
3	2022-03-04	Moderna	No

Call center

3 call center cases

1 successful · 2 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-11

Systemic reaction (other): Thirst

2021-04-13

Systemic reaction (other): Sore throat; cough

2021-04-15

Systemic reaction (other): Dizziness

Release 7 — day 7, dose 2

2021-04-16

Systemic reaction (other): Sore throat

Release 8 — day 35, dose 2

2021-05-14

Symptoms: Fevers continue, along with fatigue and headaches

Release 9 — 3 months, dose 2

2021-07-09

Symptoms: Low BP, with occasional faintness

Release 10 — 6 months, dose 2

2021-10-08

Symptoms: Thyroiditis

Healthcare visit (other): In office with my primary doctor

Release 11 — 12 months, dose 2

2022-04-09

Symptoms: Frequent chills, low-grade fevers, body aches, fatigue, chest heaviness, mild chest pains that go to my shoulder blade

Release 11 — 3 months, dose 3

2022-06-03

Symptoms: Heart palpitations, fevers, near syncope episodes, brain fog, overall weakness, long haul covid?

Healthcare visit (other): Phone calls with Dr

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	Medical counselling	·	·	✓
HCVO	Office visit	·	·	✓
SD	Asthenia	·	·	✓
SD	Brain fog	·	·	✓
SD	Chest discomfort	·	·	✓
SD	Chest pain	·	·	✓
SD	Chills	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypotension	✓	✓	✓
SD	Musculoskeletal pain	·	·	✓
SD	Neurodermatitis	·	·	✓
SD	Pain	·	·	✓
SD	Palpitations	·	·	✓
SD	Presyncope	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Skin disorder	·	·	✓
SD	Thyroiditis	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Thirst	✓	✓	✓

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