JUA-19118-28819

3 vaccinations 8 coded responses 27 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 207 / MD
Registered: 2021-01-08

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

2021-01-08
Registered in v-safe
2021-01-08
Dose 1 — Moderna
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-10
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Nausea

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-15
Health check-in — day 7, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-01-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-29
Survey response — day 21, dose 1
MedDRA: Fatigue — Feeling: Fair

Free text: Fatigue has been extreme

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Dose 2 — Moderna
2021-02-05
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-06
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, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, 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
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Swollen lymph nodes in axilla

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-02-12
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-19
Survey response — day 14, dose 2
MedDRA: Fatigue, Headache, Injection site pain, Myalgia, Nausea, Rash, Vomiting — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Soreness at the injection site, fatigue, nausea, headache, vomiting, muscle aches, rash

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-05
Survey response — day 28, dose 2
MedDRA: Fatigue, Headache, Rash — Feeling: Fair

Free text: Pinpoint Rash bilaterally on arms and upper trunk, headache and fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — day 35, dose 2
MedDRA: Dizziness, Fatigue, Feeling abnormal, Injection site pain — Feeling: Fair

Free text: Fatigue, dizziness/foggy, intermittent upper arm ache at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — day 42, dose 2
MedDRA: Fatigue, Headache — Feeling: Good

Free text: Fatigue and headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-06
Survey response — 6 months, dose 2
MedDRA: Cough, Headache, Nasopharyngitis, Sinus congestion — Feeling: Fair

Free text: Cough, sinus congestion, headache (cold)

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-19
Dose 3 — Moderna
2022-02-05
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-02-18
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-05-20
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-19
Survey response — 12 months, dose 3
MedDRA: COVID-19 — 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: COVID

MedDRA releases: 2024-11 · check-in free text available
2022-11-19
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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-11-21
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	2021-01-08	Moderna
2	2021-02-05	Moderna
3	2021-11-19	Moderna	No

Call center

2 call center cases

1 successful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 3 — day 21, dose 1

2021-01-29

Symptoms: Fatigue has been extreme

Release 3 — days 1–6 daily, dose 2

2021-02-09

Systemic reaction (other): Swollen lymph nodes in axilla

Release 4 — day 14, dose 2

2021-02-19

Symptoms: Soreness at the injection site, fatigue, nausea, headache, vomiting, muscle aches, rash

Release 5 — day 28, dose 2

2021-03-05

Symptoms: Pinpoint Rash bilaterally on arms and upper trunk, headache and fatigue

Release 5 — day 35, dose 2

2021-03-12

Symptoms: Fatigue, dizziness/foggy, intermittent upper arm ache at injection site

Release 5 — day 42, dose 2

2021-03-19

Symptoms: Fatigue and headaches

Release 9 — 6 months, dose 2

2021-08-06

Symptoms: Cough, sinus congestion, headache (cold)

Release 12 — 12 months, dose 3

2022-11-19

Symptoms: COVID

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	Cough	✓	·	✓
SD	COVID-19	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nasopharyngitis	✓	·	✓
SD	Nausea	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Sinus congestion	✓	·	✓
SD	Vomiting	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓

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