65X-23429-14879

2 vaccinations 10 coded responses 25 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 452 / OH
Registered: 2020-12-29

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

2020-12-28
Dose 1 — Moderna
2020-12-29
Registered in v-safe
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Headache

Adult check-in
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache

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

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Site: Swelling, Itching · Fever · Nausea, Diarrhea

Free text: Maybe coincidental

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Health check-in — day 7, dose 1
Feeling: Good · Site: Swelling, Itching · None

Adult check-in
2021-01-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-18
Survey response — day 21, dose 1
MedDRA: Fatigue — Feeling: Fair

Free text: Severe fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Dose 2 — Moderna
2021-01-25
Survey response — day 0, dose 2
MedDRA: Neck pain — Feeling: Good

Free text: Neck ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — days 1–6 daily, dose 2
MedDRA: Neck pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Neck ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Good · Site: Pain

Free text: Fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Fatigue or tiredness

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Blood pressure increased — Feeling: Fair · Be unable to do your normal daily activities

Free text: Elevated blood pressure (abnormal fir me), same after 1st dose but unreported

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — day 7, dose 2
MedDRA: Hypertension — Feeling: Fair · Headache

Free text: Elevated blood pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-17
Survey response — day 21, dose 2
MedDRA: Blood pressure increased, Palpitations — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Blood pressure went up again without explanation. 210/120 yesterday, had been back to normal since 4 days post injection when it was elevated for 4 days. 178.100 this morning. Sering MD this week. Ongoing palpatations · Healthcare visit (other): 24 hr holter for palpatations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-26
Survey response — 6 months, dose 2
MedDRA: Blood pressure increased, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Elevated blood pressure, was never over 152/88-90- Now even with medication 160/100 · Healthcare visit (other): MD office inperson

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-26
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-03
Call 1 — Could Not Reach Participant
2021-08-05
Call 2 — Could Not Reach Participant
2022-01-25
Survey response — 12 months, dose 2
MedDRA: Blood pressure increased, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Elevated blood pressure · Healthcare visit (other): PCP

MedDRA releases: 2024-11 · check-in free text available
2022-01-25
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-26
Call 1 — Could Not Reach Participant
2022-01-31
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Moderna
2	2021-01-25	Moderna

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-03

Systemic reaction (other): Maybe coincidental

Release 2 — day 21, dose 1

2021-01-18

Symptoms: Severe fatigue

Release 2 — day 0, dose 2

2021-01-25

Systemic reaction (other): Neck ache

Release 2 — days 1–6 daily, dose 2

2021-01-26

Systemic reaction (other): Neck ache

2021-01-27

Systemic reaction (other): Fatigue

Release 3 — days 1–6 daily, dose 2

2021-01-31

Systemic reaction (other): Elevated blood pressure (abnormal fir me), same after 1st dose but unreported

Release 3 — day 7, dose 2

2021-02-01

Systemic reaction (other): Elevated blood pressure

Release 4 — day 21, dose 2

2021-02-17

Symptoms: Blood pressure went up again without explanation. 210/120 yesterday, had been back to normal since 4 days post injection when it was elevated for 4 days. 178.100 this morning. Sering MD this week. Ongoing palpatations

Healthcare visit (other): 24 hr holter for palpatations

Release 9 — 6 months, dose 2

2021-07-26

Symptoms: Elevated blood pressure, was never over 152/88-90- Now even with medication 160/100

Healthcare visit (other): MD office inperson

Release 11 — 12 months, dose 2

2022-01-25

Symptoms: Elevated blood pressure

Healthcare visit (other): PCP

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	✓	·	✓
HCVO	Palpitations	✓	✓	✓
SD	Blood pressure increased	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Palpitations	✓	✓	✓
SRO	Blood pressure increased	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Hypertension	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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