6GF-23492-83303

5 vaccinations 18 coded responses 58 check-ins 17 free-text entries 4 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 034 / NH
Registered: 2020-12-28

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
Registered in v-safe
2020-12-28
Dose 1 — Moderna
2020-12-28
Health check-in — day 0, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2020-12-29
Survey response — days 1–6 daily, dose 1
MedDRA: Migraine — Feeling: Fair · Site: Pain · Chills, Headache · Be unable to work, Be unable to do your normal daily activities

Free text: Migraine all day next day after vaccination

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-29
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Abdominal pain

Adult check-in
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-01-04
Survey response — day 7, dose 1
MedDRA: Injection site pain, Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Swelling

Free text: Lymph node swelling right armpit- some mild pain at site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-18
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-25
Dose 2 — Moderna
2021-01-25
Health check-in — day 0, dose 2
Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-26
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Numbness/ needle feeling hands, needle feeling legs & arms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

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

Adult check-in
2021-02-01
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-01
Survey response — day 35, dose 2
MedDRA: Abdominal discomfort — Feeling: Good

Free text: Upset stomach

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-30
Dose 3 — Moderna
2021-10-30
Survey response — day 0, dose 3
MedDRA: Unevaluable event — Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Arm - injection site

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Ear pain — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Ear ache

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site reaction, Lymph node pain — Feeling: Fair · Site: Pain · Headache, Joint pains

Free text: Lymph node pain same arm as injection site

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Good

Free text: Lymph node on the right same arm as injection

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-11-05
Survey response — days 1–6 daily, dose 3
MedDRA: Discomfort — Feeling: Good

Free text: Still slight discomfort lymph node - same arm as injection site

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Survey response — day 7, dose 3
MedDRA: Discomfort — Feeling: Good

Free text: Lymph node discomfort- same arm as injection site

MedDRA releases: 2024-11 · check-in free text available
2021-11-13
Survey response — day 14, dose 3
MedDRA: Vomiting — Feeling: Good · Be unable to work or attend school

Free text: Vomiting

MedDRA releases: 2024-11 · check-in free text available
2021-11-20
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-28
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-05
Survey response — day 35, dose 3
MedDRA: Chest pain, Dyspepsia — Feeling: Fair · Be unable to work or attend school, 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: Severe heart burn - chest pain

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Report sent to call center — day 35, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · 1 call case(s)
2021-12-06
Call 2 — Left Voicemail
2021-12-11
Survey response — day 42, dose 3
MedDRA: Gastrointestinal disorder, Oesophageal spasm — Feeling: Good · Be unable to work or attend school, 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: GI issues - spasms of the esophagus

MedDRA releases: 2024-11 · check-in free text available
2021-12-11
Report sent to call center — day 42, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · 1 call case(s)
2021-12-13
Call 2 — Left Voicemail
2022-01-29
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-30
Dose 4 — Moderna
2022-04-30
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain · Abdominal pain

Adult check-in
2022-05-02
Survey response — days 1–6 daily, dose 4
MedDRA: Lymph node pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: In arm with injection, lymph node tender

MedDRA releases: 2024-11 · check-in free text available
2022-05-03
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches

Adult check-in
2022-05-04
Survey response — days 1–6 daily, dose 4
MedDRA: Asthenia — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Low energy

MedDRA releases: 2024-11 · check-in free text available
2022-05-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Chills, Muscle or body aches

Adult check-in
2022-05-06
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches, Abdominal pain

Adult check-in
2022-05-07
Health check-in — day 7, dose 4
Feeling: Good · Abdominal pain

Adult check-in
2022-05-16
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-21
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-28
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-04
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-11
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-31
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-17
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-09-25
Survey response — day 7, dose 5
MedDRA: Ear pain, Unevaluable event — Feeling: Fair · Headache

Free text: Sinus & earache

MedDRA releases: 2024-11 · check-in free text available
2022-10-01
Survey response — day 14, dose 5
MedDRA: Diarrhoea, Dizziness, Nausea, Rash — Feeling: Poor · Be unable to work or attend school, 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: Dizziness - nausea-diarrhea - ras

MedDRA releases: 2024-11 · check-in free text available
2022-10-01
Report sent to call center — day 14, dose 5
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · 1 call case(s)
2022-10-03
Call 1 — Left Voicemail
2022-10-03
Call 1 — Left Voicemail
2022-10-03
Call 1 — Left Voicemail
2022-10-08
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-16
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-22
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-29
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-17
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-18
Survey response — 6 months, dose 5
MedDRA: Dyspepsia, Gastrooesophageal reflux disease, Pre-existing disease — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Moderna
2	2021-01-25	Moderna
3	2021-10-30	Moderna	No
4	2022-04-30	Moderna	No
5	2022-09-17	Pfizer-BioNTech	Flu

Call center

4 call center cases

3 unsuccessful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-29

Systemic reaction (other): Migraine all day next day after vaccination

Release 1 — day 7, dose 1

2021-01-04

Systemic reaction (other): Lymph node swelling right armpit- some mild pain at site

Release 2 — days 1–6 daily, dose 2

2021-01-26

Systemic reaction (other): Numbness/ needle feeling hands, needle feeling legs & arms

Release 4 — day 35, dose 2

2021-03-01

Symptoms: Upset stomach

Release 10 — day 0, dose 3

2021-10-30

Systemic reaction (other): Arm - injection site

Release 10 — days 1–6 daily, dose 3

2021-10-31

Systemic reaction (other): Ear ache

2021-11-01

Systemic reaction (other): Lymph node pain same arm as injection site

2021-11-02

Systemic reaction (other): Lymph node on the right same arm as injection

2021-11-05

Systemic reaction (other): Still slight discomfort lymph node - same arm as injection site

Release 10 — day 7, dose 3

2021-11-06

Systemic reaction (other): Lymph node discomfort- same arm as injection site

Release 10 — day 14, dose 3

2021-11-13

Symptoms: Vomiting

Release 10 — day 35, dose 3

2021-12-05

Symptoms: Severe heart burn - chest pain

Release 10 — day 42, dose 3

2021-12-11

Symptoms: GI issues - spasms of the esophagus

Release 11 — days 1–6 daily, dose 4

2022-05-02

Systemic reaction (other): In arm with injection, lymph node tender

2022-05-04

Systemic reaction (other): Low energy

Release 12 — day 7, dose 5

2022-09-25

Systemic reaction (other): Sinus & earache

Release 12 — day 14, dose 5

2022-10-01

Symptoms: Dizziness - nausea-diarrhea - ras

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	Abdominal discomfort	✓	✓	✓
SD	Chest pain	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dizziness	·	·	✓
SD	Dyspepsia	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Gastrooesophageal reflux disease	·	·	✓
SD	Nausea	·	·	✓
SD	Oesophageal spasm	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rash	·	·	✓
SD	Vomiting	·	·	✓
SRO	Asthenia	·	·	✓
SRO	Discomfort	·	·	✓
SRO	Ear pain	·	·	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site reaction	·	·	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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