6MS-23331-98953

3 vaccinations 7 coded responses 24 check-ins 7 free-text entries 4 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 442 / OH
Registered: 2021-03-27

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

2021-03-20
Dose 1 — Moderna
2021-03-27
Registered in v-safe
2021-03-27
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-03
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-17
Dose 2 — Moderna
2021-04-17
Health check-in — day 0, dose 2
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-24
Health check-in — day 7, dose 2
Feeling: Fair · Site: Redness · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-03
Survey response — day 14, dose 2
MedDRA: Asthma, Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Increased asthma attacks

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-23
Survey response — day 35, dose 2
MedDRA: Asthma — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Increased asthma attacks

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Report sent to call center — day 35, 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)
2021-05-29
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-17
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-17
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-28
Dose 3 — Moderna
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · 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

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-04
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-11
Survey response — day 14, dose 3
MedDRA: Fatigue, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fever and fatigue increased

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Survey response — day 21, dose 3
MedDRA: Fatigue, Headache, Lymphadenopathy, Myalgia, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test negative — 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 · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Swollen gland left side, super sore throat, fever as high as 101, fatigue, muscle aches and severe headache x 4 days · Healthcare visit (other): Negative covid test

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Report sent to call center — day 21, 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-19
Call 1 — Left Voicemail
2021-11-25
Survey response — day 28, dose 3
MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cold symptoms.

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Survey response — day 35, dose 3
MedDRA: Bronchospasm, Cough, Dyspnoea, Headache, Myalgia, SARS-CoV-2 test, Vomiting — 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 · Telehealth, virtual health, or email health consultation

Free text: Short of breath, severe muscle aches and pain, bronchial spasms, severe headache, coughing so hard I'm vomiting. Covid test taken 11am 12/3/2021 Rite Aid (b)(6) Ohio (b)(6)

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-08
Call 1 — Left Voicemail
2021-12-09
Survey response — day 42, dose 3
MedDRA: Back pain, Dehydration, Headache, Pain, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, Hospitalization

Free text: Full body aches and pains including legs, back, hourly headache, super dehydrated

MedDRA releases: 2024-11 · check-in free text available
2021-12-09
Report sent to call center — day 42, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2021-12-10
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-20	Moderna
2	2021-04-17	Moderna
3	2021-10-28	Moderna	No

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 8 — day 14, dose 2

2021-05-03

Symptoms: Increased asthma attacks

Release 8 — day 35, dose 2

2021-05-23

Symptoms: Increased asthma attacks

Release 10 — day 14, dose 3

2021-11-11

Symptoms: Fever and fatigue increased

Release 10 — day 21, dose 3

2021-11-18

Symptoms: Swollen gland left side, super sore throat, fever as high as 101, fatigue, muscle aches and severe headache x 4 days

Healthcare visit (other): Negative covid test

Release 10 — day 28, dose 3

2021-11-25

Symptoms: Cold symptoms.

Release 10 — day 35, dose 3

2021-12-04

Symptoms: Short of breath, severe muscle aches and pain, bronchial spasms, severe headache, coughing so hard I'm vomiting. Covid test taken 11am 12/3/2021 Rite Aid (b)(6) Ohio (b)(6)

redacted (b)(6)

Release 10 — day 42, dose 3

2021-12-09

Symptoms: Full body aches and pains including legs, back, hourly headache, super dehydrated

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	SARS-CoV-2 test negative	·	·	✓
SD	Asthma	✓	✓	✓
SD	Back pain	·	·	✓
SD	Bronchospasm	·	·	✓
SD	Cough	·	·	✓
SD	Dehydration	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Myalgia	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	SARS-CoV-2 test	·	·	✓
SD	Vomiting	·	·	✓

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