JUA-10968-85747

3 vaccinations 7 coded responses 38 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 359 / AL
Registered: 2021-06-21

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

2021-06-21
Registered in v-safe
2021-06-21
Dose 1 — Moderna
2021-06-21
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-06-22
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-06-23
Survey response — days 1–6 daily, dose 1
MedDRA: Blood pressure decreased — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Drop in blood pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness, Swelling, Itching · Joint pains, Muscle or body aches

Adult check-in
2021-06-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-06-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness, Itching · Muscle or body aches

Adult check-in
2021-06-28
Health check-in — day 7, dose 1
Feeling: Fair · Site: Redness, Itching · Muscle or body aches

Adult check-in
2021-07-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-07-12
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-07-19
Dose 2 — Moderna
2021-07-19
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-07-20
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-07-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · Joint pains, Muscle or body aches

Adult check-in
2021-07-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-07-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · Fatigue or tiredness

Adult check-in
2021-07-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-07-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness · Fatigue or tiredness

Adult check-in
2021-07-26
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-08-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-08-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-08-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-08-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-08-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-10-18
Survey response — 3 months, dose 2
MedDRA: Hypertension — Feeling: Fair

Free text: High blood pressure

MedDRA releases: 2024-11 · check-in free text available
2022-01-18
Dose 3 — Moderna
2022-01-19
Survey response — 6 months, dose 2
MedDRA: Chills, Headache, Hypertension, Pain, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities

Free text: High blood pressure, chills and low grade fever, body aches and headaches

MedDRA releases: 2024-11 · check-in free text available
2022-01-19
Survey response — days 1–6 daily, dose 3
MedDRA: Heart rate increased — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: High heart rate

MedDRA releases: 2024-11 · check-in free text available
2022-01-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-22
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2022-01-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Swelling, Itching · None

Adult check-in
2022-01-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2022-01-25
Health check-in — day 7, dose 3
Feeling: Fair · Site: Redness, Swelling, Itching · None

Adult check-in
2022-02-01
Survey response — day 14, dose 3
MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sore throat, head congestion, chest congestion, coughing

MedDRA releases: 2024-11 · check-in free text available
2022-02-08
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-15
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-22
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-03-01
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-19
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-07-19
Survey response — 6 months, dose 3
MedDRA: Parasomnia — Feeling: Good

Free text: Parasomia

MedDRA releases: 2024-11 · check-in free text available
2023-01-18
Survey response — 12 months, dose 3
MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion — 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

MedDRA releases: 2024-11
2023-01-18
Report sent to call center — 12 months, 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-21	Moderna	No
2	2021-07-19	Moderna	No
3	2022-01-18	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-06-23

Systemic reaction (other): Drop in blood pressure

Release 10 — 3 months, dose 2

2021-10-18

Symptoms: High blood pressure

Release 10 — days 1–6 daily, dose 3

2022-01-19

Systemic reaction (other): High heart rate

Release 10 — 6 months, dose 2

2022-01-19

Symptoms: High blood pressure, chills and low grade fever, body aches and headaches

Release 11 — day 14, dose 3

2022-02-01

Symptoms: Sore throat, head congestion, chest congestion, coughing

Release 12 — 6 months, dose 3

2022-07-19

Symptoms: Parasomia

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	Headache	·	·	✓
SD	Hypertension	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Parasomnia	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SRO	Blood pressure decreased	✓	✓	✓
SRO	Heart rate increased	·	·	✓

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