5TP-88428-65082

3 vaccinations 7 coded responses 24 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 117 / NY
Registered: 2021-01-16

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

2021-01-15
Dose 1 — Moderna
2021-01-16
Registered in v-safe
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 · Nausea, Diarrhea

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

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-25
Dose 2 — Moderna
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Eye disorder, Head discomfort — Feeling: Fair · Fatigue or tiredness, Vomiting · Be unable to do your normal daily activities

Free text: Light headed my head feels weak eyes little off

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — day 14, dose 2
Feeling: Good

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

Adult check-in
2021-04-03
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-08-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-02
Dose 3 — Moderna
Co-administered: Flu
2022-02-05
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain, Unevaluable event — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Diarrhea, Abdominal pain · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Sore throat · Healthcare visit (other): Im letting you guys know

MedDRA releases: 2024-11 · check-in free text available
2022-02-05
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains

Adult check-in
2022-02-10
Call 1 — Could Not Reach Participant
2022-02-11
Survey response — day 7, dose 3
MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Nausea, Diarrhea, Abdominal pain

Free text: Like a wierd underlying sore throat. Runny nose . My symptoms are worse today. Is this possible ? Week and half past when I received the booster?

MedDRA releases: 2024-11 · check-in free text available
2022-02-15
Call 2 — Could Not Reach Participant
2022-02-18
Survey response — day 14, dose 3
MedDRA: Immune system disorder, Infection, Office visit, Unevaluable event — 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

Free text: I had go doctor to get antibiotics. My immune system is terrible. I got a bad head infection ears nose and throat hell.

MedDRA releases: 2024-11 · check-in free text available
2022-02-18
Report sent to call center — day 14, dose 3
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 · 1 call case(s)
2022-02-21
Call 1 — Left Voicemail
2022-02-24
Survey response — day 21, dose 3
MedDRA: Anxiety, Fatigue, Headache, Respiratory disorder — Feeling: Poor · Be unable to do your normal daily activities

Free text: Worser headaches and tired and like anxiety type breathing issues

MedDRA releases: 2024-11 · check-in free text available
2022-03-03
Survey response — day 28, dose 3
MedDRA: Anxiety, Headache, Respiratory disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Ive headachrs like never before and i still have this like anxiety type breathing issue. Ive like wait to get air. Im not breathing normally.

MedDRA releases: 2024-11 · check-in free text available
2022-03-09
Survey response — day 35, dose 3
MedDRA: Abdominal pain upper, Vomiting — 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 · Emergency room or emergency department visit

Free text: Stomach pains and vomiting

MedDRA releases: 2024-11 · check-in free text available
2022-03-09
Report sent to call center — day 35, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · 1 call case(s)
2022-03-14
Call 1 — Could Not Reach Participant
2022-03-17
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Moderna
2	2021-02-25	Moderna
3	2022-02-02	Moderna	Flu

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-03-02

Systemic reaction (other): Light headed my head feels weak eyes little off

Release 11 — days 1–6 daily, dose 3

2022-02-05

Systemic reaction (other): Sore throat

Healthcare visit (other): Im letting you guys know

Release 11 — day 7, dose 3

2022-02-11

Systemic reaction (other): Like a wierd underlying sore throat. Runny nose . My symptoms are worse today. Is this possible ? Week and half past when I received the booster?

Release 11 — day 14, dose 3

2022-02-18

Symptoms: I had go doctor to get antibiotics. My immune system is terrible. I got a bad head infection ears nose and throat hell.

Release 11 — day 21, dose 3

2022-02-24

Symptoms: Worser headaches and tired and like anxiety type breathing issues

Release 11 — day 28, dose 3

2022-03-03

Symptoms: Ive headachrs like never before and i still have this like anxiety type breathing issue. Ive like wait to get air. Im not breathing normally.

Release 11 — day 35, dose 3

2022-03-09

Symptoms: Stomach pains and vomiting

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 pain upper	·	·	✓
SD	Anxiety	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Immune system disorder	·	·	✓
SD	Infection	·	·	✓
SD	Office visit	·	·	✓
SD	Respiratory disorder	·	·	✓
SD	Unevaluable event	·	·	✓
SD	Vomiting	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Eye disorder	✓	✓	✓
SRO	Head discomfort	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Rhinorrhoea	·	·	✓

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