J9B-30401-14974

5 vaccinations 17 coded responses 58 check-ins 16 free-text entries 6 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 015 / MA
Registered: 2021-02-22

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

2021-02-16
Dose 1 — Moderna
2021-02-22
Registered in v-safe
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-03
Survey response — day 14, dose 1
MedDRA: Injection site pruritus — Feeling: Good

Free text: Itchy where vaccination went in

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — day 21, dose 1
MedDRA: Oropharyngeal pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Dose 2 — Moderna
2021-03-16
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-17
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, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-03-23
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-30
Survey response — day 14, dose 2
MedDRA: Dizziness — Feeling: Good · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-27
Survey response — day 42, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-14
Survey response — 6 months, dose 2
MedDRA: Blood uric acid increased, Haematocrit increased, Haemoglobin increased, Renal disorder — 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

Free text: Kidney issueshigh Uric acid, high hematocrit, high hemoglobin

MedDRA releases: 2024-11 · check-in free text available
2021-09-14
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-09-16
Call 1 — Left Voicemail
2021-10-16
Dose 3 — Moderna
Co-administered: Flu
2021-10-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-10-19
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Swollen lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-10-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-10-24
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-30
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-06
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-13
Survey response — day 28, dose 3
MedDRA: Nasopharyngitis — Feeling: Fair · 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

Free text: Constant colds!!

MedDRA releases: 2024-11 · check-in free text available
2021-11-13
Report sent to call center — day 28, 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 · 1 call case(s)
2021-11-16
Call 3 — Left Voicemail
2021-11-20
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-27
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-15
Survey response — 3 months, dose 3
MedDRA: Fatigue, Headache, Oxygen saturation decreased, Pyrexia, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: High fever, congestion, headache, fatigue, low oxygen

MedDRA releases: 2024-11 · check-in free text available
2022-03-30
Dose 4 — Moderna
2022-04-01
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-04-02
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache

Adult check-in
2022-04-03
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache

Adult check-in
2022-04-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches

Adult check-in
2022-04-06
Health check-in — day 7, dose 4
Feeling: Good · Headache · Be unable to do your normal daily activities

Adult check-in
2022-04-13
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-20
Survey response — day 21, dose 4
MedDRA: Insomnia — Feeling: Good · Be unable to do your normal daily activities

Free text: Insomnia

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-04
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-11
Survey response — day 42, dose 4
MedDRA: Cough, Fatigue, Headache, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Runny nose, headache, fatigue, cough

MedDRA releases: 2024-11 · check-in free text available
2022-06-29
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-21
Dose 5 — Moderna
2022-09-21
Health check-in — day 0, dose 5
Feeling: Good · None

Adult check-in
2022-09-22
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-23
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-09-24
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-09-25
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · None · Be unable to do your normal daily activities

Adult check-in
2022-09-26
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-09-27
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-09-28
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-10
Survey response — day 14, dose 5
MedDRA: Malaise — Feeling: Poor · Be unable to work or attend school

Free text: Covid symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-10-12
Survey response — day 21, dose 5
MedDRA: Cough, Dizziness, Musculoskeletal stiffness, Nausea, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive — Feeling: Poor · 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

Free text: 1. Positive Covid test. Fever, nausea, dizziness, sore throat, deep cough, congestion 2. Stiff arm where shot was administered

MedDRA releases: 2024-11 · check-in free text available
2022-10-12
Report sent to call center — day 21, dose 5
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 · 1 call case(s)
2022-10-13
Call 2 — Left Voicemail
2022-10-13
Call 1 — Left Voicemail
2022-10-13
Call 1 — Left Voicemail
2022-10-19
Survey response — day 28, dose 5
MedDRA: COVID-19 — Feeling: Poor · 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

Free text: Covid

MedDRA releases: 2024-11 · check-in free text available
2022-10-19
Report sent to call center — day 28, dose 5
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 · 1 call case(s)
2022-10-20
Call 3 — Left Voicemail
2022-10-20
Call 2 — Left Voicemail
2022-10-20
Call 2 — Left Voicemail
2022-10-20
Call 1 — Left Voicemail
2022-10-26
Survey response — day 35, dose 5
MedDRA: Injection site reaction, Muscle spasms, Musculoskeletal stiffness — Feeling: Good

Free text: Muscle where shot was given has been stiff and cramped since vaccination

MedDRA releases: 2024-11 · check-in free text available
2022-11-02
Survey response — day 42, dose 5
MedDRA: Injection site pain, Musculoskeletal stiffness — Feeling: Good

Free text: Still have stiffness and some pain at injection site

MedDRA releases: 2024-11 · check-in free text available
2022-12-21
Survey response — 3 months, dose 5
MedDRA: Respiratory disorder — Feeling: Fair · 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

Free text: Respiratory illnesses

MedDRA releases: 2024-11 · check-in free text available
2022-12-21
Report sent to call center — 3 months, dose 5
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 · 1 call case(s)
2022-12-22
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-22
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-22
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-22
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-22
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-22
Survey response — 6 months, dose 5
MedDRA: Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-03-22
Report sent to call center — 6 months, dose 5
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-03-23
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-16	Moderna
2	2021-03-16	Moderna
3	2021-10-16	Moderna	Flu
4	2022-03-30	Moderna	No
5	2022-09-21	Moderna	No

Call center

6 call center cases

5 successful · 1 unsuccessful

See the call center timeline

Free text

Release 5 — day 14, dose 1

2021-03-03

Symptoms: Itchy where vaccination went in

Release 5 — day 21, dose 1

2021-03-09

Symptoms: Sore throat

Release 6 — day 14, dose 2

2021-03-30

Symptoms: Dizziness

Release 8 — day 42, dose 2

2021-04-27

Symptoms: Severe fatigue

Release 9 — 6 months, dose 2

2021-09-14

Symptoms: Kidney issueshigh Uric acid, high hematocrit, high hemoglobin

Release 10 — days 1–6 daily, dose 3

2021-10-19

Systemic reaction (other): Swollen lymph nodes

Release 10 — day 28, dose 3

2021-11-13

Symptoms: Constant colds!!

Release 10 — 3 months, dose 3

2022-01-15

Symptoms: High fever, congestion, headache, fatigue, low oxygen

Release 11 — day 21, dose 4

2022-04-20

Symptoms: Insomnia

Release 11 — day 42, dose 4

2022-05-11

Symptoms: Runny nose, headache, fatigue, cough

Release 12 — day 14, dose 5

2022-10-10

Symptoms: Covid symptoms

Release 12 — day 21, dose 5

2022-10-12

Symptoms: 1. Positive Covid test. Fever, nausea, dizziness, sore throat, deep cough, congestion 2. Stiff arm where shot was administered

Release 12 — day 28, dose 5

2022-10-19

Symptoms: Covid

Release 12 — day 35, dose 5

2022-10-26

Symptoms: Muscle where shot was given has been stiff and cramped since vaccination

Release 12 — day 42, dose 5

2022-11-02

Symptoms: Still have stiffness and some pain at injection site

Release 12 — 3 months, dose 5

2022-12-21

Symptoms: Respiratory illnesses

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	Blood uric acid increased	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Haematocrit increased	·	·	✓
SD	Haemoglobin increased	·	·	✓
SD	Headache	·	·	✓
SD	Injection site pain	·	·	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site reaction	·	·	✓
SD	Insomnia	·	·	✓
SD	Malaise	·	·	✓
SD	Muscle spasms	·	·	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Oxygen saturation decreased	·	·	✓
SD	Pyrexia	·	·	✓
SD	Renal disorder	·	·	✓
SD	Respiratory disorder	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Lymphadenopathy	·	·	✓

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