F68-17786-22655

3 vaccinations 6 coded responses 32 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 601 / IL
Registered: 2021-04-13

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

Registered dependents

LCN-21234-67569 Child or adolescent in my care · Male · 2022-02-10

2JA-82453-66392 Child or adolescent in my care · Male · 2022-02-10

Timeline

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

2021-04-07
Dose 1 — Moderna
2021-04-13
Registered in v-safe
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-05
Dose 2 — Moderna
2021-05-05
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-12
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-02
Survey response — day 28, dose 2
MedDRA: Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache and fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-06
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-11-03
Survey response — 6 months, dose 2
MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cough and congestion

MedDRA releases: 2024-11 · check-in free text available
2022-02-09
Dose 3 — Pfizer-BioNTech
2022-02-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities

Adult check-in
2022-02-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-02-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-02-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-02-18
Health check-in — day 7, dose 3
Feeling: Good · Headache · Be unable to do your normal daily activities

Adult check-in
2022-02-23
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-03-02
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-03-09
Survey response — day 28, dose 3
MedDRA: Fatigue, Headache — Feeling: Poor · Be unable to do your normal daily activities

Free text: Extreme fatigue and bad headaches.

MedDRA releases: 2024-11 · check-in free text available
2022-03-18
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-03-23
Survey response — day 42, dose 3
MedDRA: Dysmenorrhoea, Heavy menstrual bleeding, Menstrual clots — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Very heavy menstruation with severe cramps and large clots.

MedDRA releases: 2024-11 · check-in free text available
2022-05-11
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-08-10
Survey response — 6 months, dose 3
MedDRA: Chills, Cough, Pyrexia, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fever, chills, runny nose, cough

MedDRA releases: 2024-11 · check-in free text available
2023-02-09
Survey response — 12 months, dose 3
MedDRA: Delivery, Gestational hypertension, Hypertension — Feeling: Fair · 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
2023-02-09
Report sent to call center — 12 months, dose 3
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 · 1 call case(s)
2023-02-10
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Moderna
2	2021-05-05	Moderna
3	2022-02-09	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 8 — day 28, dose 2

2021-06-02

Symptoms: Headache and fatigue

Release 10 — 6 months, dose 2

2021-11-03

Symptoms: Cough and congestion

Release 11 — day 28, dose 3

2022-03-09

Symptoms: Extreme fatigue and bad headaches.

Release 11 — day 42, dose 3

2022-03-23

Symptoms: Very heavy menstruation with severe cramps and large clots.

Release 12 — 6 months, dose 3

2022-08-10

Symptoms: Fever, chills, runny nose, cough

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	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Delivery	·	·	✓
SD	Dysmenorrhoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Gestational hypertension	·	·	✓
SD	Headache	✓	✓	✓
SD	Heavy menstrual bleeding	·	·	✓
SD	Hypertension	·	·	✓
SD	Menstrual clots	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓

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