5XT-16988-98903

2 vaccinations 6 coded responses 25 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 484 / MI
Registered: 2021-01-23

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

2021-01-23
Registered in v-safe
2021-01-23
Dose 1 — Moderna
2021-01-23
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Good

Free text: Dizzy and light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: A very sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-30
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-20
Dose 2 — Moderna
2021-02-20
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Fair · Fatigue or tiredness

Free text: Light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Muscle or body aches

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-27
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-13
Survey response — day 21, dose 2
MedDRA: Pain — Feeling: Fair

Free text: Just sore and ache body

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-22
Survey response — 3 months, dose 2
MedDRA: Headache, Muscle twitching, Pain — Feeling: Poor · Be unable to work, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Horrible horrible Headaches and eye twitching. Certain part of my body hurts

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Report sent to call center — 3 months, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-21
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Chest pain, Emergency care, Feeling abnormal, Headache, Hospitalisation, Inflammation, Oral pain, Pain, Vision blurred — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: I had major headaches and blurred visions and I went to the ER and I never get headaches and I just felt horrible and chest and shoulder pain. Plus my body feels like I have a lot of inflammation going on because my body hurts and my mouth · Healthcare visit (other): I was in the hospital for 3 days and had a lot of tests done

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-21
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-24
Call 1 — Left Voicemail
2022-02-20
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-23	Moderna
2	2021-02-20	Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-23

Systemic reaction (other): Dizzy and light headed

Release 2 — days 1–6 daily, dose 1

2021-01-27

Systemic reaction (other): A very sore throat

Release 4 — day 0, dose 2

2021-02-20

Systemic reaction (other): Light headed

Release 5 — day 21, dose 2

2021-03-13

Symptoms: Just sore and ache body

Release 8 — 3 months, dose 2

2021-05-22

Symptoms: Horrible horrible Headaches and eye twitching. Certain part of my body hurts

Release 9 — 6 months, dose 2

2021-08-21

Symptoms: I had major headaches and blurred visions and I went to the ER and I never get headaches and I just felt horrible and chest and shoulder pain. Plus my body feels like I have a lot of inflammation going on because my body hurts and my mouth

Healthcare visit (other): I was in the hospital for 3 days and had a lot of tests done

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	Hospitalisation	✓	·	✓
SD	Arthralgia	✓	·	✓
SD	Chest pain	✓	·	✓
SD	Emergency care	✓	·	✓
SD	Feeling abnormal	✓	·	✓
SD	Headache	✓	✓	✓
SD	Inflammation	✓	·	✓
SD	Muscle twitching	✓	✓	✓
SD	Oral pain	✓	·	✓
SD	Pain	✓	✓	✓
SD	Vision blurred	✓	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓

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