FLJ-12519-78883

2 vaccinations 7 coded responses 22 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 030 / NH
Registered: 2020-12-29

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

2020-12-29
Registered in v-safe
2020-12-29
Dose 1 — Moderna
2020-12-29
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-30
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Feeling abnormal — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Mild lightheadedness/feeling off

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

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

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

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

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-05
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-14
Survey response — day 14, dose 1
MedDRA: Polymenorrhoea — Feeling: Good

Free text: Likely unrelated but I got my period 2 weeks early . Usually regular.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-26
Survey response — day 28, dose 1
MedDRA: Fatigue, Headache, Respiratory tract congestion — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Headache fatigue congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Report sent to call center — day 28, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-28
Dose 2 — Moderna
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Headache, Influenza like illness, Injection site erythema, Pain, Pyrexia, Swelling face — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Day after with facial swelling near dermal fillers, severe flu symptoms, fever , severe aches, chills , headache, redness at site,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache · Be unable to do your normal daily activities

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-04
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-11
Survey response — day 14, dose 2
MedDRA: Dry eye — Feeling: Good

Free text: Bad dry eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-27
Survey response — day 28, dose 2
MedDRA: Hypoaesthesia oral — Feeling: Good

Free text: Tip of tongue and lip numbness for 5-10 min 3 times this week. Last episode today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-12
Call 1 — Left Voicemail
2021-04-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-01-28
Survey response — 12 months, dose 2
MedDRA: COVID-19, Pregnancy — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: #NAME?

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-31
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Moderna
2	2021-01-28	Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-30

Systemic reaction (other): Mild lightheadedness/feeling off

Release 2 — day 14, dose 1

2021-01-14

Symptoms: Likely unrelated but I got my period 2 weeks early . Usually regular.

Release 2 — day 28, dose 1

2021-01-26

Symptoms: Headache fatigue congestion

Release 3 — days 1–6 daily, dose 2

2021-01-31

Systemic reaction (other): Day after with facial swelling near dermal fillers, severe flu symptoms, fever , severe aches, chills , headache, redness at site,

Release 4 — day 14, dose 2

2021-02-11

Symptoms: Bad dry eyes

Release 4 — day 28, dose 2

2021-02-27

Symptoms: Tip of tongue and lip numbness for 5-10 min 3 times this week. Last episode today

Release 11 — 12 months, dose 2

2022-01-28

Symptoms: #NAME?

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	Dry eye	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia oral	✓	✓	✓
SD	Polymenorrhoea	✓	✓	✓
SD	Pregnancy	·	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Influenza like illness	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Swelling face	✓	✓	✓

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