5UC-33685-71976

2 vaccinations 9 coded responses 23 check-ins 9 free-text entries 5 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 606 / IL
Registered: 2021-02-17

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

2021-02-17
Registered in v-safe
2021-02-17
Dose 1 — Moderna
2021-02-17
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Nausea · Be unable to do your normal daily activities

Free text: DIZZY

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Nausea · Be unable to work

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Nausea

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Abdominal pain

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-10
Survey response — day 21, dose 1
MedDRA: Breast mass — Feeling: Good

Free text: Small lump in my left breast

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Dose 2 — Moderna
2021-03-17
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-24
Health check-in — day 7, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-31
Survey response — day 14, dose 2
MedDRA: Arthralgia — Feeling: Good · Be unable to do your normal daily activities

Free text: Join pain special in my right side of my body is worse, do not can handle items

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — day 21, dose 2
MedDRA: Pseudostroke — Feeling: Poor · Be unable to work, 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: Mini Stroke TIA

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Report sent to call center — day 21, 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)
2021-04-14
Survey response — day 28, dose 2
MedDRA: Confusional state, Fatigue, Pain, Slow speech — Feeling: Fair · Be unable to work

Free text: Extreme fatigue, pain in half of my body,slowly talk,confused.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 35, dose 2
MedDRA: Ear pain, Facial pain, Fatigue, Furuncle, Headache, Oropharyngeal pain, Pain in jaw — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Ear pain,headache, Gum boils,very tired,jew pain,sore chin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-30
Survey response — day 42, dose 2
MedDRA: Fatigue, Neck pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Very tired,jaw pain,neck pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-15
Survey response — 6 months, dose 2
MedDRA: Chest pain, Diarrhoea, Hypoaesthesia, Nausea, Vomiting — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Chest painNauseaVomitDiarrhea Numbness

MedDRA releases: 2024-11 · check-in free text available
2021-09-15
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-16
Call 1 — Left Voicemail
2022-03-17
Survey response — 12 months, dose 2
MedDRA: Ageusia, Anosmia, Blister, Chest discomfort, Chest pain, Chills, Dyspnoea, Fatigue, Headache, Myalgia, Nail discolouration, Nausea, Pain — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Chills, chest pain and pressure,difficulty breathing, blue nails,blisters in my feet,loss of test and smell, headache, extreme fatigue, body and muscles aches,nausea

MedDRA releases: 2024-11 · check-in free text available
2022-03-17
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-18
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-17	Moderna
2	2021-03-17	Moderna

Call center

5 call center cases

5 unsuccessful

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-17

Systemic reaction (other): DIZZY

Release 5 — day 21, dose 1

2021-03-10

Symptoms: Small lump in my left breast

Release 6 — day 14, dose 2

2021-03-31

Symptoms: Join pain special in my right side of my body is worse, do not can handle items

Release 7 — day 21, dose 2

2021-04-07

Symptoms: Mini Stroke TIA

Release 7 — day 28, dose 2

2021-04-14

Symptoms: Extreme fatigue, pain in half of my body,slowly talk,confused.

Release 7 — day 35, dose 2

2021-04-21

Symptoms: Ear pain,headache, Gum boils,very tired,jew pain,sore chin

Release 8 — day 42, dose 2

2021-04-30

Symptoms: Very tired,jaw pain,neck pain

Release 9 — 6 months, dose 2

2021-09-15

Symptoms: Chest painNauseaVomitDiarrhea Numbness

Release 11 — 12 months, dose 2

2022-03-17

Symptoms: Chills, chest pain and pressure,difficulty breathing, blue nails,blisters in my feet,loss of test and smell, headache, extreme fatigue, body and muscles aches,nausea

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	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Blister	·	·	✓
SD	Breast mass	✓	✓	✓
SD	Chest discomfort	·	·	✓
SD	Chest pain	·	·	✓
SD	Chills	·	·	✓
SD	Confusional state	✓	✓	✓
SD	Diarrhoea	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Ear pain	✓	✓	✓
SD	Facial pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Furuncle	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	·	·	✓
SD	Myalgia	·	·	✓
SD	Nail discolouration	·	·	✓
SD	Nausea	·	·	✓
SD	Neck pain	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in jaw	✓	✓	✓
SD	Pseudostroke	✓	✓	✓
SD	Slow speech	✓	✓	✓
SD	Vomiting	·	·	✓
SRO	Dizziness	✓	✓	✓

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