8CL-11766-02253

4 vaccinations 13 coded responses 30 check-ins 13 free-text entries 2 call cases

Sex: —
Age at first dose: 26-30
ZIP prefix: 156 / PA
Registered: 2021-05-06

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

2021-05-05
Dose 1 — Moderna
2021-05-06
Registered in v-safe
2021-05-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-07
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Good · Site: Pain, Swelling

Free text: Brain Fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — days 1–6 daily, dose 1
MedDRA: Hypersensitivity, Pre-existing disease — Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness

Free text: Seasonal allergy flare up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-19
Survey response — day 14, dose 1
MedDRA: Abdominal discomfort, Abdominal pain, Constipation, Faeces soft, Frequent bowel movements — Feeling: Poor · Be unable to do your normal daily activities

Free text: Abdominal cramping and some menstrual bleeding.Upset stomach and frequent soft bowel movements or constipation.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-06-02
Dose 2 — Moderna
2021-06-02
Survey response — day 0, dose 2
MedDRA: Brain fog — Feeling: Good · Site: Pain, Swelling

Free text: Foggy feeling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Survey response — days 1–6 daily, dose 2
MedDRA: Pollakiuria — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Frequent urination

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Neck pain — Feeling: Good · Site: Swelling · Headache

Free text: Pain up into neck on side of injection.; Ear ache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-06-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-06-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Abdominal pain

Adult check-in
2021-06-11
Health check-in — day 7, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-06-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-23
Survey response — day 21, dose 2
MedDRA: Fatigue — Feeling: Good

Free text: Fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Survey response — day 28, dose 2
MedDRA: New daily persistent headache — Feeling: Fair

Free text: Daily headache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-16
Survey response — day 42, dose 2
MedDRA: Headache — Feeling: Fair

Free text: Daily headache in the left temple.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-12-01
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-19
Dose 3 — Moderna
2022-06-19
Survey response — 6 months, dose 3
MedDRA: Oropharyngeal pain, Rhinorrhoea, Sinus congestion, Sneezing — Feeling: Poor · Be unable to do your normal daily activities

Free text: Extremely sore throat, sinus congestion, nasal drainage, sneezing.

MedDRA releases: 2024-11 · check-in free text available
2022-11-25
Dose 4 — Moderna
2022-11-26
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-11-28
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2022-11-29
Survey response — days 1–6 daily, dose 4
MedDRA: Nasal congestion — Feeling: Fair · Headache

Free text: Nasal congestion.

MedDRA releases: 2024-11 · check-in free text available
2022-11-30
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2022-12-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache, Fatigue or tiredness, Nausea

Adult check-in
2022-12-04
Health check-in — day 7, dose 4
Feeling: Poor · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2022-12-09
Survey response — day 14, dose 4
MedDRA: Headache, Nausea, Respiratory syncytial virus infection, Vision blurred — Feeling: Fair · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Headache, blurry vision, nausea. Possible preeclampsia. RSV diagnosis.

MedDRA releases: 2024-11 · check-in free text available
2022-12-09
Report sent to call center — day 14, dose 4
Get care from a doctor or other healthcare professional

Hospitalization · 1 call case(s)
2022-12-12
Call 1 — Left Voicemail
2022-12-16
Survey response — day 21, dose 4
MedDRA: Pre-eclampsia — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Preeclampsia.

MedDRA releases: 2024-11 · check-in free text available
2022-12-16
Report sent to call center — day 21, dose 4
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-12-19
Call 1 — Left Voicemail
2023-02-27
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-05	Moderna
2	2021-06-02	Moderna
3	2021-12-19	Moderna	No
4	2022-11-25	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-07

Systemic reaction (other): Brain Fog

2021-05-08

Systemic reaction (other): Seasonal allergy flare up

Release 8 — day 14, dose 1

2021-05-19

Symptoms: Abdominal cramping and some menstrual bleeding.Upset stomach and frequent soft bowel movements or constipation.

Release 8 — day 0, dose 2

2021-06-02

Systemic reaction (other): Foggy feeling

Release 8 — days 1–6 daily, dose 2

2021-06-03

Systemic reaction (other): Frequent urination

2021-06-04

Systemic reaction (other): Pain up into neck on side of injection.; Ear ache.

Release 9 — day 21, dose 2

2021-06-23

Symptoms: Fatigue

Release 9 — day 28, dose 2

2021-07-02

Symptoms: Daily headache.

Release 9 — day 42, dose 2

2021-07-16

Symptoms: Daily headache in the left temple.

Release 12 — 6 months, dose 3

2022-06-19

Symptoms: Extremely sore throat, sinus congestion, nasal drainage, sneezing.

Release 12 — days 1–6 daily, dose 4

2022-11-29

Systemic reaction (other): Nasal congestion.

Release 12 — day 14, dose 4

2022-12-09

Symptoms: Headache, blurry vision, nausea. Possible preeclampsia. RSV diagnosis.

Release 12 — day 21, dose 4

2022-12-16

Symptoms: Preeclampsia.

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	Abdominal pain	✓	✓	✓
SD	Constipation	✓	✓	✓
SD	Faeces soft	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Frequent bowel movements	✓	✓	✓
SD	Headache	✓	·	✓
SD	Nausea	·	·	✓
SD	New daily persistent headache	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pre-eclampsia	·	·	✓
SD	Respiratory syncytial virus infection	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Sneezing	·	·	✓
SD	Vision blurred	·	·	✓
SRO	Brain fog	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Nasal congestion	·	·	✓
SRO	Neck pain	✓	✓	✓
SRO	Pollakiuria	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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