AH7-21729-22948

3 vaccinations 5 coded responses 29 check-ins 5 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 411 / KY
Registered: 2020-12-24

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

2020-12-23
Dose 1 — Moderna
2020-12-24
Registered in v-safe
2020-12-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2020-12-25
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Free text: Shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2020-12-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills

Adult check-in
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Diarrhea

Adult check-in
2020-12-31
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-20
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-01-22
Dose 2 — Moderna
2021-02-09
Survey response — day 14, dose 2
MedDRA: Road traffic accident, Syncope — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: After receiving my 2nd shot on 1/22, I experience a brief episode of syncope and totaled my car

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Report sent to call center — day 14, 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)
2021-02-12
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-02-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-05
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
2021-07-18
Call 1 — Left Voicemail
2021-07-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-02
Dose 3 — Moderna
2021-09-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · Chills

Adult check-in
2021-09-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Headache

Adult check-in
2021-09-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-09-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-09-09
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-09-16
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-09-23
Survey response — day 21, dose 3
MedDRA: Diarrhoea, Pyrexia, Vomiting — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fever, vomiting, diarrhea

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Survey response — day 28, dose 3
MedDRA: Tremor — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: I have tremors

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2021-10-04
Call 2 — Left Voicemail
2021-10-09
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-02
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-05
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-04
Survey response — 12 months, dose 3
MedDRA: Headache, Pain, Pyrexia — 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 · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Headache, body aches and pains, fever

MedDRA releases: 2024-11 · check-in free text available
2022-09-04
Report sent to call center — 12 months, 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 · Emergency room or emergency department visit · 1 call case(s)
2022-09-07
Call 2 — Left Voicemail
2022-09-07
Call 1 — Left Voicemail
2022-09-07
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-23	Moderna
2	2021-01-22	Moderna
3	2021-09-02	Moderna	No

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-25

Systemic reaction (other): Shortness of breath

Release 3 — day 14, dose 2

2021-02-09

Symptoms: After receiving my 2nd shot on 1/22, I experience a brief episode of syncope and totaled my car

Release 9 — day 21, dose 3

2021-09-23

Symptoms: Fever, vomiting, diarrhea

Release 9 — day 28, dose 3

2021-09-30

Symptoms: I have tremors

Release 12 — 12 months, dose 3

2022-09-04

Symptoms: Headache, body aches and pains, fever

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	Diarrhoea	·	·	✓
SD	Headache	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Road traffic accident	✓	✓	✓
SD	Syncope	✓	✓	✓
SD	Tremor	·	·	✓
SD	Vomiting	·	·	✓
SRO	Dyspnoea	✓	✓	✓

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