5SK-18054-44948

3 vaccinations 12 coded responses 38 check-ins 12 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 145 / NY
Registered: 2021-01-13

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

2021-01-13
Registered in v-safe
2021-01-13
Dose 1 — Moderna
2021-01-13
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Chills, Fatigue or tiredness

Adult check-in
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Body temperature decreased — Feeling: Good · Site: Pain, Swelling

Free text: Not today but yesterday I forgot to report that I was just cold all day. I did not have a fever but just was cold enough to need a heavy sweater and a sweatshirt. It is quite unusual for me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-03
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-10
Survey response — day 28, dose 1
MedDRA: Headache, Office visit, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Sinus infection and headaches. · Healthcare visit (other): A normal doctor visit in the office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Report sent to call center — day 28, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-11
Dose 2 — Moderna
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Medical counselling — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Phone call

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Dizziness — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness and lower back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Gastric pH decreased — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness, stomach acid for the past three days has been really bad. I forgot to mention it because it's not on your checklist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspepsia — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Acid indigestion this has been like this everyday since the shop

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

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

Adult check-in
2021-02-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-25
Survey response — day 42, dose 2
MedDRA: Chills, Fatigue, Nasopharyngitis, SARS-CoV-2 test negative, Sinus disorder — Feeling: Fair · Be unable to work

Free text: A serious cold. Covid test was negative although I'm not convinced they did it correctly. It wasn't even in my nose for 2 seconds and definitely not even halfway up. but symptoms were significant sinus, fatigue and cold chills.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — 3 months, dose 2
MedDRA: Dyspnoea — Feeling: Good

Free text: Shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-22
Call 1 — Left Voicemail
2021-08-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-02
Dose 3 — Moderna
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-12-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-12-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-12-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-09
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-17
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-23
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-30
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-06
Survey response — day 35, dose 3
MedDRA: Headache, Throat irritation, Unevaluable event — Feeling: Fair

Free text: Headache and sinus with mild scratchy throat.

MedDRA releases: 2024-11 · check-in free text available
2022-01-13
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-03
Survey response — 3 months, dose 3
MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: On and off minor cold symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-06-04
Survey response — 6 months, dose 3
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: On and off days of heavy fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-12-04
Survey response — 12 months, dose 3
MedDRA: Abdominal pain, Asthenia, Oropharyngeal pain, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Right now I'm experiencing fever extreme weakness extreme sore throat and achy abdomin.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Moderna
2	2021-02-11	Moderna
3	2021-12-02	Moderna	No

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): Not today but yesterday I forgot to report that I was just cold all day. I did not have a fever but just was cold enough to need a heavy sweater and a sweatshirt. It is quite unusual for me.

Release 4 — day 28, dose 1

2021-02-10

Symptoms: Sinus infection and headaches.

Healthcare visit (other): A normal doctor visit in the office

Release 4 — days 1–6 daily, dose 2

2021-02-12

Healthcare visit (other): Phone call

2021-02-13

Systemic reaction (other): Dizziness and lower back pain

2021-02-14

Systemic reaction (other): Dizziness, stomach acid for the past three days has been really bad. I forgot to mention it because it's not on your checklist

2021-02-15

Systemic reaction (other): Acid indigestion this has been like this everyday since the shop

Release 6 — day 42, dose 2

2021-03-25

Symptoms: A serious cold. Covid test was negative although I'm not convinced they did it correctly. It wasn't even in my nose for 2 seconds and definitely not even halfway up. but symptoms were significant sinus, fatigue and cold chills.

Release 8 — 3 months, dose 2

2021-05-13

Symptoms: Shortness of breath

Release 10 — day 35, dose 3

2022-01-06

Symptoms: Headache and sinus with mild scratchy throat.

Release 11 — 3 months, dose 3

2022-03-03

Symptoms: On and off minor cold symptoms

Release 11 — 6 months, dose 3

2022-06-04

Symptoms: On and off days of heavy fatigue.

Release 12 — 12 months, dose 3

2022-12-04

Symptoms: Right now I'm experiencing fever extreme weakness extreme sore throat and achy abdomin.

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	Abdominal pain	·	·	✓
SD	Asthenia	·	·	✓
SD	Chills	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Sinus disorder	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SD	Throat irritation	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	Body temperature decreased	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Gastric pH decreased	✓	✓	✓

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