EE3-13553-85397

3 vaccinations 6 coded responses 41 check-ins 6 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 447 / OH
Registered: 2020-12-30

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2020-12-30
Registered in v-safe
2020-12-30
Dose 1 — Moderna
2020-12-30
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Pre-existing disease — Feeling: Fair · Site: Pain · Headache

Free text: Increased back pain,more than normal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Nausea

Adult check-in
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-01-06
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-21
Survey response — day 21, dose 1
MedDRA: Dyspnoea — Feeling: Fair

Free text: Slight shortness or breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Dose 2 — Moderna
2021-01-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, 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
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches

Adult check-in
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Palpitations, Tachycardia — Feeling: Fair · Site: Pain · Headache

Free text: Tachycardia,palpitations hr in the 130s

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Tachycardia — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Tachycardia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-02
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-09
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-29
Survey response — 6 months, dose 2
MedDRA: Pregnancy — Feeling: Good

Free text: Pregnant

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-01-26
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-02-20
Dose 3 — Moderna
2022-02-20
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-02-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-02-22
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-02-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-02-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-02-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-02-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2022-02-27
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-03-07
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-03-13
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-03-20
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-03-27
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-04-03
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-05-22
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-08-21
Survey response — 6 months, dose 3
MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Covid

MedDRA releases: 2024-11 · check-in free text available
2023-02-21
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-01-26	Moderna
3	2022-02-20	Moderna	No

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-01

Systemic reaction (other): Increased back pain,more than normal

Release 2 — day 21, dose 1

2021-01-21

Symptoms: Slight shortness or breath

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Tachycardia,palpitations hr in the 130s

2021-01-30

Systemic reaction (other): Tachycardia

Release 9 — 6 months, dose 2

2021-07-29

Symptoms: Pregnant

Release 12 — 6 months, dose 3

2022-08-21

Symptoms: Covid

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	COVID-19	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Pregnancy	✓	·	✓
SRO	Back pain	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Tachycardia	✓	✓	✓

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