EQJ-31680-88678

4 vaccinations 9 coded responses 29 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 453 / OH
Registered: 2020-12-30

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

2020-12-30
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: Good · Site: Pain, Redness · Headache, Fatigue or tiredness

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

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Vertigo — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-08
Health check-in — day 7, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-01-20
Survey response — day 21, dose 1
MedDRA: Migraine — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Migraine

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, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · 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: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Rhinorrhoea — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Diarrhea

Free text: Rhinorrhea, cough

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: Cough, Nasal congestion — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Cough, nasal congestion

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: Fair · Site: Redness, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness · Headache, Diarrhea

Adult check-in
2021-02-02
Survey response — day 7, dose 2
MedDRA: Pain in extremity — Feeling: Good · Site: Redness

Free text: Pain down arm below injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-16
Health check-in — day 21, dose 2
Feeling: Good

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

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
Survey response — 3 months, dose 2
MedDRA: Abortion spontaneous, Pregnancy — Feeling: Poor · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Pregnancy and miscarriage

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Report sent to call center — 3 months, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-18
Call 1 — Left Voicemail
2021-07-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-19
Dose 3 — Moderna
2022-01-29
Survey response — 12 months, dose 2
MedDRA: Sleep apnoea syndrome, Undifferentiated connective tissue disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Sleep apnea, undifferentiated connective tissue disease

MedDRA releases: 2024-11 · check-in free text available
2022-01-29
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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-01
Call 1 — Left Voicemail
2022-09-27
Dose 4 — Pfizer-BioNTech
2022-10-21
Survey response — day 21, dose 4
MedDRA: Asthma, Pre-existing disease, Upper respiratory tract infection — Feeling: Fair · Be unable to work or attend school

Free text: URI and asthma exacerbation

MedDRA releases: 2024-11 · check-in free text available
2022-10-25
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-01
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-08
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-27
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-28
Survey response — 6 months, dose 4
MedDRA: Preterm premature rupture of membranes — 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 · Outpatient clinic or urgent care clinic visit, Hospitalization

MedDRA releases: 2024-11
2023-03-28
Report sent to call center — 6 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
2023-03-29
Call successful
Does not wish to fill out VAERS report
2023-03-29
Call successful
Does not wish to fill out VAERS report
2023-03-29
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-01-26	Moderna
3	2021-12-19	Moderna	No
4	2022-09-27	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-27	Successful 2023-03-29	Does not wish to fill out VAERS report
2022-01-29	Successful 2023-03-29	Does not wish to fill out VAERS report
2023-03-28	Successful 2023-03-29	Does not wish to fill out VAERS report

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-03

Systemic reaction (other): Vertigo

Release 2 — day 21, dose 1

2021-01-20

Symptoms: Migraine

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Rhinorrhea, cough

2021-01-30

Systemic reaction (other): Cough, nasal congestion

Release 3 — day 7, dose 2

2021-02-02

Systemic reaction (other): Pain down arm below injection site

Release 8 — 3 months, dose 2

2021-04-27

Symptoms: Pregnancy and miscarriage

Release 11 — 12 months, dose 2

2022-01-29

Symptoms: Sleep apnea, undifferentiated connective tissue disease

Release 12 — day 21, dose 4

2022-10-21

Symptoms: URI and asthma exacerbation

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	Abortion spontaneous	✓	✓	✓
SD	Asthma	·	·	✓
SD	Migraine	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Pregnancy	✓	✓	✓
SD	Preterm premature rupture of membranes	·	·	✓
SD	Sleep apnoea syndrome	·	·	✓
SD	Undifferentiated connective tissue disease	·	·	✓
SD	Upper respiratory tract infection	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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