6V4-20192-28560

2 vaccinations 8 coded responses 23 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 070 / NJ
Registered: 2021-02-25

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

2021-02-25
Registered in v-safe
2021-02-25
Dose 1 — Moderna
2021-02-25
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-03-04
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-11
Survey response — day 14, dose 1
MedDRA: Malaise, Sinusitis — Feeling: Good

Free text: I think I have a sinus infection. Going to ear throat & nose doctor tomorrow. I actually feel better today. But still going to the doctor.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — day 21, dose 1
MedDRA: Anxiety, Hypertension, Office visit, Telemedicine — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: My blood pressure was high. I normally have normal. The doctor put me on medication Losartan Potassium 50mg. My pressure and pulse is up and down. Could be from anxiety for the second shot. Getting my second vaccine on Thursday March 25th. · Healthcare visit (other): My primary in person and my cardiologists ekg in the office it was normal and zoom call in the afternoon. Plan to go back to the cardiologists in 2 weeks after my second shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-25
Dose 2 — Moderna
2021-03-25
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: Just got the shot 12:30 today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
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 do your normal daily activities

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Joint pains

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-08
Survey response — day 14, dose 2
MedDRA: Office visit, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Sinus infection · Healthcare visit (other): Went to ENT & Cardiologist.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-15
Survey response — day 21, dose 2
MedDRA: Dizziness, Headache, Office visit, Palpitations, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Still not feeling well. Racing heart beat, dizzy and headache. No fever. Went to the cardiologist. I am going back to the ENT for a re-check for my sinus infection. Not feeling my best.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-22
Survey response — day 28, dose 2
MedDRA: Vertigo — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Dealing with vertigo per my doctor.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-29
Survey response — day 35, dose 2
MedDRA: Vertigo — Feeling: Fair · Be unable to do your normal daily activities

Free text: Vertigo..... working with the ENT for vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — day 42, dose 2
MedDRA: Vertigo — Feeling: Fair · Be unable to do your normal daily activities

Free text: Vertigo....

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-12-30
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-25	Moderna
2	2021-03-25	Moderna

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 5 — day 14, dose 1

2021-03-11

Symptoms: I think I have a sinus infection. Going to ear throat & nose doctor tomorrow. I actually feel better today. But still going to the doctor.

Release 6 — day 21, dose 1

2021-03-20

Symptoms: My blood pressure was high. I normally have normal. The doctor put me on medication Losartan Potassium 50mg. My pressure and pulse is up and down. Could be from anxiety for the second shot. Getting my second vaccine on Thursday March 25th.

Healthcare visit (other): My primary in person and my cardiologists ekg in the office it was normal and zoom call in the afternoon. Plan to go back to the cardiologists in 2 weeks after my second shot.

Release 6 — day 0, dose 2

2021-03-25

Systemic reaction (other): Just got the shot 12:30 today.

Release 7 — day 14, dose 2

2021-04-08

Symptoms: Sinus infection

Healthcare visit (other): Went to ENT & Cardiologist.

Release 7 — day 21, dose 2

2021-04-15

Symptoms: Still not feeling well. Racing heart beat, dizzy and headache. No fever. Went to the cardiologist. I am going back to the ENT for a re-check for my sinus infection. Not feeling my best.

Release 7 — day 28, dose 2

2021-04-22

Symptoms: Dealing with vertigo per my doctor.

Release 8 — day 35, dose 2

2021-04-29

Symptoms: Vertigo..... working with the ENT for vertigo

Release 8 — day 42, dose 2

2021-05-06

Symptoms: Vertigo....

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	✓	✓	✓
HCVO	Telemedicine	✓	✓	✓
SD	Anxiety	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Malaise	·	·	✓
SD	Office visit	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SD	Vertigo	✓	✓	✓
SRO	No adverse event	✓	✓	✓

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