6PT-28286-91095

3 vaccinations 8 coded responses 28 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 481 / MI
Registered: 2021-03-25

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

2021-03-25
Registered in v-safe
2021-03-25
Dose 1 — Moderna
2021-03-25
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-08
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-15
Survey response — day 21, dose 1
MedDRA: Fatigue, Headache, Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache, fatigue, cold symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-23
Dose 2 — Moderna
2021-04-23
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-04-30
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-14
Survey response — day 21, dose 2
MedDRA: Arthralgia, Fatigue, Headache, Menstruation delayed — Feeling: Good

Free text: Headaches, and joint pains and I get tired earlier. Still have not started my period had horrible cramps but no cycle which is really wierd because I'm always on time...NO CHANCE IF PREGNANCY...LOL...

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Survey response — day 28, dose 2
MedDRA: Arthralgia, Headache — Feeling: Good

Free text: Joint paint, headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Survey response — day 35, dose 2
MedDRA: Headache — Feeling: Fair

Free text: Headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-22
Survey response — 6 months, dose 2
MedDRA: Back pain, Hypoaesthesia, Office visit, Pain in extremity — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Numbness in my foot , pain in my legs and back · Healthcare visit (other): Dr visits, emg , waiting for MRI AND CAT SCANS

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-27
Call 2 — Could Not Reach Participant
2021-11-01
Call 3 — Could Not Reach Participant
2022-04-23
Survey response — 12 months, dose 2
MedDRA: Limb injury, Ophthalmic herpes zoster — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Shingles in my eyes, shoulder injury

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-04-25
Call 2 — Left Voicemail
2022-07-12
Dose 3 — Moderna
2022-08-17
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-08-23
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2023-01-10
Survey response — 6 months, dose 3
MedDRA: Kidney infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-01-10
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
2023-01-11
Call 1 — Left Voicemail
2023-01-11
Call 1 — Left Voicemail
2023-01-11
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Moderna
2	2021-04-23	Moderna
3	2022-07-12	Moderna	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 7 — day 21, dose 1

2021-04-15

Symptoms: Headache, fatigue, cold symptoms

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): Coughing

Release 8 — day 21, dose 2

2021-05-14

Symptoms: Headaches, and joint pains and I get tired earlier. Still have not started my period had horrible cramps but no cycle which is really wierd because I'm always on time...NO CHANCE IF PREGNANCY...LOL...

Release 8 — day 28, dose 2

2021-05-22

Symptoms: Joint paint, headaches

Release 8 — day 35, dose 2

2021-05-28

Symptoms: Headaches

Release 10 — 6 months, dose 2

2021-10-22

Symptoms: Numbness in my foot , pain in my legs and back

Healthcare visit (other): Dr visits, emg , waiting for MRI AND CAT SCANS

Release 11 — 12 months, dose 2

2022-04-23

Symptoms: Shingles in my eyes, shoulder injury

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	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	·	·	✓
SD	Kidney infection	·	·	✓
SD	Limb injury	·	·	✓
SD	Menstruation delayed	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Ophthalmic herpes zoster	·	·	✓
SD	Pain in extremity	·	·	✓
SRO	Cough	✓	✓	✓

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