5M5-16527-18299

5 vaccinations 9 coded responses 56 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 945 / CA
Registered: 2021-04-08

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-10
Dose 1 — Moderna
2021-04-07
Dose 2 — Moderna
2021-04-08
Registered in v-safe
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Nausea — Feeling: Good · Site: Pain

Free text: Nausea for previous 3 days

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 · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 21, dose 2
Feeling: Good

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

Adult check-in
2021-05-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-19
Survey response — day 42, dose 2
MedDRA: Abdominal distension, Diarrhoea, Flatulence — Feeling: Fair

Free text: Bloating, gas, loose stools w/o clear readin for symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-07
Survey response — 3 months, dose 2
MedDRA: Abdominal discomfort, Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Diarrhea and stomach upset. This resolved after 2 days - so may not be vaccine related. Gassier than before.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-06
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-07
Dose 3 — Moderna
2021-12-07
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · None

Adult check-in
2021-12-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-12-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-12-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Diarrhea

Adult check-in
2021-12-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-12-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache

Adult check-in
2021-12-14
Health check-in — day 7, dose 3
Feeling: Fair · Headache

Adult check-in
2021-12-21
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-28
Survey response — day 21, dose 3
MedDRA: Chills, Cough, Headache, Pyrexia, Respiratory tract congestion, Rhinorrhoea, Upper-airway cough syndrome — Feeling: Poor · Be unable to work or attend school

Free text: Fever, congestion, runny nose, post nasal drip, headache, cough, chills

MedDRA releases: 2024-11 · check-in free text available
2022-01-04
Survey response — day 28, dose 3
MedDRA: Cough, Pyrexia, Upper-airway cough syndrome — Feeling: Good · Be unable to work or attend school

Free text: Fever, cough, post nasal drip,

MedDRA releases: 2024-11 · check-in free text available
2022-01-11
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-18
Survey response — day 42, dose 3
MedDRA: Cough, Dyspnoea, Fatigue, Productive cough, Pyrexia, Upper-airway cough syndrome — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Wet cough, post nasal drip, coughing spasms, intermittent low grade fevers, trouble breathing, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-01-18
Report sent to call center — day 42, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-03-08
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-17
Dose 4 — Moderna
2022-05-17
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2022-05-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2022-05-19
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache

Adult check-in
2022-05-20
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-05-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-05-22
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2022-05-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches

Adult check-in
2022-05-24
Health check-in — day 7, dose 4
Feeling: Fair · Muscle or body aches

Adult check-in
2022-05-31
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-07
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-14
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-21
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-28
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-16
Survey response — 3 months, dose 4
MedDRA: Abdominal distension, Constipation, Diarrhoea, Dyspepsia, Reflux laryngitis, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Feels like larngeal pharyngeal reflux. Indigestion, bloating, diarrhea and sometimes constipation · Healthcare visit (other): Appointment is tomorrow

MedDRA releases: 2024-11 · check-in free text available
2022-08-16
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-08-17
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-11
Dose 5 — Moderna
2022-10-11
Survey response — day 0, dose 5
MedDRA: Feeling hot — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Free text: Felt hot, but had no fever

MedDRA releases: 2024-11 · check-in free text available
2022-10-12
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-13
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2022-10-14
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2022-10-15
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2022-10-16
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2022-10-17
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2022-10-18
Health check-in — day 7, dose 5
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2022-10-25
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-01
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-08
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-15
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-22
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-10
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-11
Survey response — 6 months, dose 5
MedDRA: Fatigue, Gastrooesophageal reflux disease, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-04-11
Report sent to call center — 6 months, dose 5
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-04-12
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Moderna
2	2021-04-07	Moderna
3	2021-12-07	Moderna	No
4	2022-05-17	Moderna	No
5	2022-10-11	Moderna	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-10

Systemic reaction (other): Nausea for previous 3 days

Release 8 — day 42, dose 2

2021-05-19

Symptoms: Bloating, gas, loose stools w/o clear readin for symptoms

Release 9 — 3 months, dose 2

2021-07-07

Symptoms: Diarrhea and stomach upset. This resolved after 2 days - so may not be vaccine related. Gassier than before.

Release 10 — day 21, dose 3

2021-12-28

Symptoms: Fever, congestion, runny nose, post nasal drip, headache, cough, chills

Release 10 — day 28, dose 3

2022-01-04

Symptoms: Fever, cough, post nasal drip,

Release 10 — day 42, dose 3

2022-01-18

Symptoms: Wet cough, post nasal drip, coughing spasms, intermittent low grade fevers, trouble breathing, fatigue

Release 12 — 3 months, dose 4

2022-08-16

Symptoms: Feels like larngeal pharyngeal reflux. Indigestion, bloating, diarrhea and sometimes constipation

Healthcare visit (other): Appointment is tomorrow

Release 12 — day 0, dose 5

2022-10-11

Systemic reaction (other): Felt hot, but had no fever

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	Abdominal discomfort	✓	✓	✓
SD	Abdominal distension	✓	✓	✓
SD	Chills	·	·	✓
SD	Constipation	·	·	✓
SD	Cough	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dyspepsia	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Flatulence	✓	✓	✓
SD	Gastrooesophageal reflux disease	·	·	✓
SD	Headache	·	·	✓
SD	Productive cough	·	·	✓
SD	Pyrexia	·	·	✓
SD	Reflux laryngitis	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Upper-airway cough syndrome	·	·	✓
SRO	Feeling hot	·	·	✓
SRO	Nausea	✓	✓	✓

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