6DU-14126-21422

2 vaccinations 8 coded responses 20 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 074 / NJ
Registered: 2021-01-18

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

2021-01-18
Registered in v-safe
2021-01-18
Dose 1 — Moderna
2021-01-18
Survey response — day 0, dose 1
MedDRA: Injection site pain — Feeling: Good · Fatigue or tiredness

Free text: Just a tenderness at the site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite, Dehydration, Hypersomnia, Mobility decreased — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Started getting sick last night about8 hours after getting the vaccine. Today I slept all day, very dehydrated, no appetite, couldnt move, never left my bed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Survey response — days 1–6 daily, dose 1
MedDRA: Body temperature abnormal, Body temperature decreased — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Temperature off but no fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Energy increased, Feeling hot — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Fatigue or tiredness

Free text: No temp but got overheated in store today although I have more energy but this is day 5!!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Body temperature abnormal — Feeling: Fair · Site: Pain, Redness, Swelling, Itching

Free text: Temp seems off, reaction concerns me, would like a call from CDC (b)(6)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Temperature regulation disorder — Feeling: Good · Site: Pain, Redness, Swelling, Itching

Free text: Temp regulation issues.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-02-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-08
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-15
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-17
Dose 2 — Moderna
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Good

Free text: Had a very bad glue like reaction to shot 2 for 48 hrs plus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-03
Survey response — day 14, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Report sent to call center — day 14, 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)
2021-03-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-18
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-23
Call 1 — Left Voicemail
2022-02-17
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-18	Moderna
2	2021-02-17	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 2 — day 0, dose 1

2021-01-18

Systemic reaction (other): Just a tenderness at the site

Release 2 — days 1–6 daily, dose 1

2021-01-19

Systemic reaction (other): Started getting sick last night about8 hours after getting the vaccine. Today I slept all day, very dehydrated, no appetite, couldnt move, never left my bed

2021-01-21

Systemic reaction (other): Temperature off but no fever

2021-01-22

Systemic reaction (other): No temp but got overheated in store today although I have more energy but this is day 5!!

2021-01-23

Systemic reaction (other): Temp seems off, reaction concerns me, would like a call from CDC (b)(6)

redacted (b)(6)

2021-01-24

Systemic reaction (other): Temp regulation issues.

Release 4 — days 1–6 daily, dose 2

2021-02-23

Systemic reaction (other): Had a very bad glue like reaction to shot 2 for 48 hrs plus

Release 5 — day 14, dose 2

2021-03-03

Symptoms: Tiredness

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	Fatigue	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Body temperature abnormal	✓	✓	✓
SRO	Body temperature decreased	○	✓	○
SRO	Decreased appetite	✓	✓	✓
SRO	Dehydration	✓	✓	✓
SRO	Energy increased	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Hypersomnia	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Temperature regulation disorder	✓	✓	✓

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