5NX-29774-35652

3 vaccinations 6 coded responses 28 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 117 / NY
Registered: 2021-01-18

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-01-18
Registered in v-safe
2021-01-18
Dose 1 — Moderna
2021-01-18
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-18
Report sent to call center — day 0, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Survey response — day 14, dose 1
MedDRA: Office visit, Retinal detachment — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: My posterior aqueous chamber detached from my retina. I went to the optometrist and I do not have a retnal tear or detachment. · Healthcare visit (other): Optometrist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-08
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-15
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-16
Dose 2 — Moderna
2021-02-16
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-02
Survey response — day 14, dose 2
MedDRA: Heavy menstrual bleeding, Menstruation irregular — Feeling: Good · Be unable to do your normal daily activities

Free text: My menstrual period came very early and was very very heavy. This is very unusual for me. I have been tracking my periods with an app and this is definitely different than normal.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-14
Call 1 — Left Voicemail
2021-08-17
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-05
Dose 3 — Moderna
2022-02-05
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-02-06
Survey response — days 1–6 daily, dose 3
MedDRA: Back pain — Feeling: Fair · Site: Pain · Chills, Joint pains, Fatigue or tiredness

Free text: Back pain between my shoulder blades.

MedDRA releases: 2024-11 · check-in free text available
2022-02-08
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain — Feeling: Good

Free text: Pain in right axillary lymph node

MedDRA releases: 2024-11 · check-in free text available
2022-02-11
Survey response — days 1–6 daily, dose 3
MedDRA: Vitreous floaters — Feeling: Fair · Be unable to do your normal daily activities

Free text: New floaters in my eye. Im trying to acertain any vision problems. If there are any i will go to my optometrist.

MedDRA releases: 2024-11 · check-in free text available
2022-02-15
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-02-21
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-05-07
Survey response — 3 months, dose 3
MedDRA: Influenza — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I have the flu

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-18	Moderna
2	2021-02-16	Moderna
3	2022-02-05	Moderna	No

Call center

2 call center cases

1 unsuccessful · 1 priority 2/3 (triaged and no follow up)

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — day 14, dose 1

2021-02-01

Symptoms: My posterior aqueous chamber detached from my retina. I went to the optometrist and I do not have a retnal tear or detachment.

Healthcare visit (other): Optometrist

Release 4 — day 14, dose 2

2021-03-02

Symptoms: My menstrual period came very early and was very very heavy. This is very unusual for me. I have been tracking my periods with an app and this is definitely different than normal.

Release 11 — days 1–6 daily, dose 3

2022-02-06

Systemic reaction (other): Back pain between my shoulder blades.

2022-02-08

Systemic reaction (other): Pain in right axillary lymph node

2022-02-11

Systemic reaction (other): New floaters in my eye. Im trying to acertain any vision problems. If there are any i will go to my optometrist.

Release 11 — 3 months, dose 3

2022-05-07

Symptoms: I have the flu

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	Heavy menstrual bleeding	✓	✓	✓
SD	Influenza	·	·	✓
SD	Menstruation irregular	✓	✓	✓
SD	Retinal detachment	✓	✓	✓
SRO	Back pain	·	·	✓
SRO	Lymph node pain	·	·	✓
SRO	Vitreous floaters	·	·	✓

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