JAL-23565-17071

3 vaccinations 10 coded responses 36 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 142 / NY
Registered: 2021-01-28

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

Registered dependents

BV3-10485-44500 Child or adolescent in my care · Male · 2021-12-20

7GB-60822-07377 Child or adolescent in my care · Male · 2021-12-20

Timeline

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

2021-01-28
Registered in v-safe
2021-01-28
Dose 1 — Moderna
2021-01-28
Health check-in — day 0, dose 1
Feeling: Good · None

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

Free text: Mild sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

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

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-24
Dose 2 — Moderna
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · 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
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · Headache

Adult check-in
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Epistaxis — Feeling: Good · Site: Pain

Free text: Bloody nose- 3 times in 24hours

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Headache — Feeling: Fair · Site: Redness · Fatigue or tiredness

Free text: Headache and cough(mild asthma flare)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-25
Survey response — day 28, dose 2
MedDRA: Asthma, Back pain, Menopause, Pre-existing disease — Feeling: Fair

Free text: Asthma flare-not sure if this is due to seasonal changes. Also lower back pain which could be due to peri menopause.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-26
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-25
Survey response — 6 months, dose 2
MedDRA: Hypertonic bladder, Mammogram abnormal, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: OAB diagnosis could be due to peri menopause, abnormal mammogram in July- probably benign with follow up in 6 months. · Healthcare visit (other): In office visit and testing

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-25
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-01
Call 1 — Left Voicemail
2021-12-18
Dose 3 — Moderna
2021-12-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-12-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache

Adult check-in
2021-12-27
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-01
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-10
Survey response — day 21, dose 3
MedDRA: Headache, Oropharyngeal pain — Feeling: Fair

Free text: Headache and sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-01-15
Survey response — day 28, dose 3
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: Sore throat all week. My kid tested positive on 1/10. I tested negative on 1/12 and will retest on 1/17.

MedDRA releases: 2024-11 · check-in free text available
2022-01-22
Survey response — day 35, dose 3
MedDRA: Headache, Respiratory tract congestion — Feeling: Fair

Free text: Headache and some congestion

MedDRA releases: 2024-11 · check-in free text available
2022-01-29
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-21
Survey response — 3 months, dose 3
MedDRA: Cough, Nasal congestion, Oropharyngeal pain — Feeling: Fair

Free text: Sore throat, stuffy nose and cough

MedDRA releases: 2024-11 · check-in free text available
2022-06-20
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-20
Survey response — 12 months, dose 3
MedDRA: Asthma, Dysphonia, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Raspy voice- had 2 members of household test positive with symptoms. I did not test positive, had asthma flare treated with prednisone and continued with raspy voice for well over an month- unsure if had RSV due to possible exposure or general Flu.

MedDRA releases: 2024-11 · check-in free text available
2022-12-20
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-12-21
Call 2 — Left Voicemail
2022-12-21
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-28	Moderna
2	2021-02-24	Moderna
3	2021-12-18	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-29

Systemic reaction (other): Mild sore throat

Release 4 — days 1–6 daily, dose 2

2021-02-27

Systemic reaction (other): Bloody nose- 3 times in 24hours

2021-02-28

Systemic reaction (other): Headache and cough(mild asthma flare)

Release 6 — day 28, dose 2

2021-03-25

Symptoms: Asthma flare-not sure if this is due to seasonal changes. Also lower back pain which could be due to peri menopause.

Release 9 — 6 months, dose 2

2021-08-25

Symptoms: OAB diagnosis could be due to peri menopause, abnormal mammogram in July- probably benign with follow up in 6 months.

Healthcare visit (other): In office visit and testing

Release 10 — day 21, dose 3

2022-01-10

Symptoms: Headache and sore throat

Release 10 — day 28, dose 3

2022-01-15

Symptoms: Sore throat all week. My kid tested positive on 1/10. I tested negative on 1/12 and will retest on 1/17.

Release 11 — day 35, dose 3

2022-01-22

Symptoms: Headache and some congestion

Release 11 — 3 months, dose 3

2022-03-21

Symptoms: Sore throat, stuffy nose and cough

Release 12 — 12 months, dose 3

2022-12-20

Symptoms: Raspy voice- had 2 members of household test positive with symptoms. I did not test positive, had asthma flare treated with prednisone and continued with raspy voice for well over an month- unsure if had RSV due to possible exposure or general Flu. cut off by CDC

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
HCVO	Office visit	✓	·	✓
SD	Asthma	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Cough	·	·	✓
SD	Dysphonia	·	·	✓
SD	Headache	·	·	✓
SD	Hypertonic bladder	✓	·	✓
SD	Mammogram abnormal	✓	·	✓
SD	Menopause	○	✓	○
SD	Nasal congestion	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Epistaxis	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓

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