5KF-73590-23521

2 vaccinations 12 coded responses 20 check-ins 12 free-text entries 2 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 956 / CA
Registered: 2021-07-05

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

2021-07-05
Registered in v-safe
2021-07-05
Dose 1 — Moderna
2021-07-05
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-07-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-07-07
Survey response — days 1–6 daily, dose 1
MedDRA: Skin exfoliation — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Nausea

Free text: Skin peeling on hand

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-08
Survey response — days 1–6 daily, dose 1
MedDRA: Bronchial irritation — Feeling: Good · Headache

Free text: Bronchial irritation

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

Free text: Soreness on top of head

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-10
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Good · Fatigue or tiredness

Free text: Pain on top of head

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-07-12
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-07-19
Survey response — day 14, dose 1
MedDRA: Anxiety, Chest pain, Headache, Muscle tightness, Nausea — Feeling: Fair

Free text: Chest soreness from mid chest up felt like congestion soreness from coughing but breathing fine, nausea on and off, tight feeling in upper back like constricted breathing but still able to breath, pain behind left ear /headache, higher anxiety feelin

MedDRA releases: 2024-11 · check-in free text available
2021-07-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-08-02
Dose 2 — Moderna
2021-08-02
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-08-09
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches, Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-08-16
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-08-23
Survey response — day 21, dose 2
MedDRA: Cough, Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Diarrhea everyday for the past two weeks, persistent shallow cough

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-30
Survey response — day 28, dose 2
MedDRA: Chest pain, Myalgia — Feeling: Fair

Free text: Pain in chest on and off more in muscle

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-06
Survey response — day 35, dose 2
MedDRA: COVID-19, Cough, Headache, Pain, Respiratory tract congestion, Sinus disorder — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I got covid so im having headache, cough, congestion, sinus problems, random shooting pains, aches, etc

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-13
Survey response — day 42, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Survey response — 3 months, dose 2
MedDRA: Pain in extremity — Feeling: Good

Free text: Pains in legs

MedDRA releases: 2024-11 · check-in free text available
2022-02-02
Survey response — 6 months, dose 2
MedDRA: Cough — 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, Emergency room or emergency department visit

Free text: Recurring cough for over a month

MedDRA releases: 2024-11 · check-in free text available
2022-02-02
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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-02-04
Call 1 — Could Not Reach Participant
2022-02-09
Call 2 — Could Not Reach Participant
2022-08-04
Survey response — 12 months, dose 2
MedDRA: Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Leg pain

MedDRA releases: 2024-11 · check-in free text available
2022-08-04
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-08-05
Call 3 — Left Voicemail
2022-08-05
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-07-05	Moderna	No
2	2021-08-02	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-07-07

Systemic reaction (other): Skin peeling on hand

2021-07-08

Systemic reaction (other): Bronchial irritation

2021-07-09

Systemic reaction (other): Soreness on top of head

2021-07-10

Systemic reaction (other): Pain on top of head

Release 9 — day 14, dose 1

2021-07-19

Symptoms: Chest soreness from mid chest up felt like congestion soreness from coughing but breathing fine, nausea on and off, tight feeling in upper back like constricted breathing but still able to breath, pain behind left ear /headache, higher anxiety feelin cut off by CDC

Release 9 — day 21, dose 2

2021-08-23

Symptoms: Diarrhea everyday for the past two weeks, persistent shallow cough

Release 9 — day 28, dose 2

2021-08-30

Symptoms: Pain in chest on and off more in muscle

Release 9 — day 35, dose 2

2021-09-06

Symptoms: I got covid so im having headache, cough, congestion, sinus problems, random shooting pains, aches, etc

Release 9 — day 42, dose 2

2021-09-13

Symptoms: Fatigue

Release 10 — 3 months, dose 2

2021-11-01

Symptoms: Pains in legs

Release 11 — 6 months, dose 2

2022-02-02

Symptoms: Recurring cough for over a month

Release 12 — 12 months, dose 2

2022-08-04

Symptoms: Leg pain

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	Anxiety	·	·	✓
SD	Chest pain	✓	·	✓
SD	Cough	✓	·	✓
SD	COVID-19	✓	·	✓
SD	Diarrhoea	✓	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	·	✓
SD	Muscle tightness	·	·	✓
SD	Myalgia	✓	·	✓
SD	Nausea	·	·	✓
SD	Pain	✓	·	✓
SD	Pain in extremity	·	·	✓
SD	Respiratory tract congestion	✓	·	✓
SD	Sinus disorder	✓	·	✓
SRO	Bronchial irritation	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Skin exfoliation	✓	✓	✓

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