666-67954-42530

2 vaccinations 13 coded responses 24 check-ins 13 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 836 / ID
Registered: 2021-04-03

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

2021-04-02
Dose 1 — Moderna
2021-04-03
Registered in v-safe
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Sinus pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Light headed, sinus pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in jaw, Sinus pain, Toothache — Feeling: Good · Site: Redness · Headache, Joint pains, Muscle or body aches

Free text: Sinus pain, aching teeth/jaw.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in jaw — Feeling: Fair · Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Jaw pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: Breast pain, Breast swelling — Feeling: Good · Muscle or body aches, Diarrhea, Abdominal pain

Free text: Painful swollen area on breast, same side as injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Breast pain, Breast swelling, Erythema, Medical counselling — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Red, swollen, painful breast tissue on same side as injection site. · Healthcare visit (other): Called my primary care physician.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-09
Survey response — day 7, dose 1
MedDRA: Breast pain — Feeling: Good · Nausea, Abdominal pain

Free text: Painful area on injection-side breast.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-23
Survey response — day 21, dose 1
MedDRA: Diarrhoea — Feeling: Good

Free text: Diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Dose 2 — Moderna
2021-04-30
Survey response — day 0, dose 2
MedDRA: Unevaluable event — Feeling: Good

Free text: Got first and second shots while menstruating and breastfeeding.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in jaw, Toothache — Feeling: Fair · Fever · Joint pains, Muscle or body aches

Free text: Jaw/tooth pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Fatigue or tiredness, Diarrhea

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Nausea, Diarrhea

Adult check-in
2021-05-07
Health check-in — day 7, dose 2
Feeling: Good · Fever · Nausea, Diarrhea

Adult check-in
2021-05-14
Survey response — day 14, dose 2
MedDRA: Arthralgia — Feeling: Good

Free text: Joint pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-28
Survey response — day 28, dose 2
MedDRA: Abdominal discomfort — Feeling: Poor

Free text: Upset stomach

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Survey response — 6 months, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen glands in neck for a few months

MedDRA releases: 2024-11 · check-in free text available
2022-02-11
Call 1 — Left Voicemail
2022-04-30
Survey response — 12 months, dose 2
MedDRA: Nasopharyngitis — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I have a cold.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-02	Moderna
2	2021-04-30	Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-03

Systemic reaction (other): Light headed, sinus pain.

2021-04-05

Systemic reaction (other): Sinus pain, aching teeth/jaw.

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): Jaw pain

2021-04-07

Systemic reaction (other): Painful swollen area on breast, same side as injection site.

2021-04-08

Systemic reaction (other): Red, swollen, painful breast tissue on same side as injection site.

Healthcare visit (other): Called my primary care physician.

Release 7 — day 7, dose 1

2021-04-09

Systemic reaction (other): Painful area on injection-side breast.

Release 7 — day 21, dose 1

2021-04-23

Symptoms: Diarrhea

Release 8 — day 0, dose 2

2021-04-30

Systemic reaction (other): Got first and second shots while menstruating and breastfeeding.

Release 8 — days 1–6 daily, dose 2

2021-05-02

Systemic reaction (other): Jaw/tooth pain.

Release 8 — day 14, dose 2

2021-05-14

Symptoms: Joint pain

Release 8 — day 28, dose 2

2021-05-28

Symptoms: Upset stomach

Release 10 — 6 months, dose 2

2021-10-29

Symptoms: Swollen glands in neck for a few months

Release 11 — 12 months, dose 2

2022-04-30

Symptoms: I have a cold.

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	✓	✓	✓
SD	Abdominal discomfort	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Lymphadenopathy	·	·	✓
SD	Nasopharyngitis	·	·	✓
SRO	Breast pain	✓	✓	✓
SRO	Breast swelling	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓
SRO	Sinus pain	✓	✓	✓
SRO	Toothache	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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