5JT-20369-74681

4 vaccinations 14 coded responses 49 check-ins 14 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 605 / IL
Registered: 2021-01-04

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

2021-01-04
Registered in v-safe
2021-01-04
Dose 1 — Moderna
2021-01-04
Health check-in — day 0, dose 1
Feeling: Fair · Chills, Headache, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-01-05
Survey response — days 1–6 daily, dose 1
MedDRA: Eye disorder, Feeling abnormal, Palpitations — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Free text: Heart palpitations; Eye issues; Fogginess

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Site: Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Eye issues (underlying condition)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Survey response — days 1–6 daily, dose 1
MedDRA: Photophobia — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Eye sensitivity

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-11
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-25
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-01
Dose 2 — Moderna
2021-02-01
Health check-in — day 0, dose 2
Feeling: Fair · Site: Redness, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-02-08
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-02-15
Survey response — day 14, dose 2
MedDRA: Fatigue, Headache, Pain, Pain in extremity, Peripheral swelling, Pyrexia — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: pain and swelling in feet and legs, slight fever - random, aching throughout body, headache, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Report sent to call center — day 14, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-22
Health check-in — day 21, dose 2
Feeling: Poor

Adult check-in
2021-03-01
Survey response — day 28, dose 2
MedDRA: Fatigue, Headache, Musculoskeletal stiffness, Myalgia — Feeling: Fair · Be unable to work

Free text: Excessive fatigue, muscle aches and stiffness throughout body, and headache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-15
Survey response — day 42, dose 2
MedDRA: Haemorrhoids — Feeling: Fair · Be unable to do your normal daily activities

Free text: Hemorrhoids

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — 3 months, dose 2
MedDRA: Rash — Feeling: Fair

Free text: Indented and painful rash on arms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-01
Call 1 — Left Voicemail
2021-08-02
Survey response — 6 months, dose 2
MedDRA: Alopecia, Fatigue, Office visit — Feeling: Good

Free text: Extreme fatigue - being treated by my doctor. Loss of hair.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-01
Dose 3 — Moderna
2021-11-01
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Headache, Diarrhea

Adult check-in
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Vertigo — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Vertigo

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Dizzyness, lightheadedness

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend school

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-08
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-11-15
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-22
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-29
Survey response — day 28, dose 3
MedDRA: Fatigue, Malaise — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fatigue, feelings of being sick/ill

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Survey response — day 35, dose 3
MedDRA: Abdominal distension, Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue, headache, bloating

MedDRA releases: 2024-11 · check-in free text available
2021-12-13
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-31
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-05-02
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-09-19
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-09-24
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-25
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-26
Health check-in — day 7, dose 4
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-03
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-10
Survey response — day 21, dose 4
MedDRA: Ear haemorrhage — Feeling: Fair

Free text: Blood in my ears.

MedDRA releases: 2024-11 · check-in free text available
2022-10-17
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-24
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-31
Survey response — day 42, dose 4
MedDRA: Scab, Skin haemorrhage — Feeling: Good

Free text: Scabs in my ears, which bleed when they're opened.

MedDRA releases: 2024-11 · check-in free text available
2022-12-19
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-20
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-04	Moderna
2	2021-02-01	Moderna
3	2021-11-01	Moderna	No
4	2022-09-19	Pfizer-BioNTech	Flu

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-05

Systemic reaction (other): Heart palpitations; Eye issues; Fogginess

2021-01-06

Systemic reaction (other): Eye issues (underlying condition)

2021-01-07

Systemic reaction (other): Eye sensitivity

Release 4 — day 14, dose 2

2021-02-15

Symptoms: pain and swelling in feet and legs, slight fever - random, aching throughout body, headache, fatigue

Release 4 — day 28, dose 2

2021-03-01

Symptoms: Excessive fatigue, muscle aches and stiffness throughout body, and headache.

Release 5 — day 42, dose 2

2021-03-15

Symptoms: Hemorrhoids

Release 8 — 3 months, dose 2

2021-05-03

Symptoms: Indented and painful rash on arms.

Release 9 — 6 months, dose 2

2021-08-02

Symptoms: Extreme fatigue - being treated by my doctor. Loss of hair.

Release 10 — days 1–6 daily, dose 3

2021-11-02

Systemic reaction (other): Vertigo

2021-11-03

Systemic reaction (other): Dizzyness, lightheadedness

Release 10 — day 28, dose 3

2021-11-29

Symptoms: Fatigue, feelings of being sick/ill

Release 10 — day 35, dose 3

2021-12-06

Symptoms: Fatigue, headache, bloating

Release 12 — day 21, dose 4

2022-10-10

Symptoms: Blood in my ears.

Release 12 — day 42, dose 4

2022-10-31

Symptoms: Scabs in my ears, which bleed when they're opened.

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 distension	·	·	✓
SD	Alopecia	✓	·	✓
SD	Ear haemorrhage	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Haemorrhoids	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Malaise	·	·	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Office visit	✓	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Scab	·	·	✓
SD	Skin haemorrhage	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Eye disorder	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Photophobia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Vertigo	·	·	✓

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