L5C-27243-71918

2 vaccinations 8 coded responses 26 check-ins 8 free-text entries 5 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 490 / MI
Registered: 2021-03-20

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

Registered dependents

2UX-25022-58443 Child or adolescent in my care · Female · 2021-11-14

Timeline

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

2021-03-20
Registered in v-safe
2021-03-20
Dose 1 — Moderna
2021-03-20
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache · Be unable to do your normal daily activities

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-17
Dose 2 — Moderna
2021-04-17
Survey response — day 0, dose 2
MedDRA: Anxiety, Fatigue — Feeling: Good · Site: Pain

Free text: I'm anxious and tired, but I think that is because I'm nervous about the 2nd dose I got today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Pyrexia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Low grade fever all day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-24
Survey response — day 7, dose 2
MedDRA: Chest pain — Feeling: Good · Fatigue or tiredness

Free text: Some left sided chest pain, not bad or constant

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — day 14, dose 2
MedDRA: Anxiety, Chest pain, Panic attack — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Panic, anxiety, left side chest pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-15
Survey response — day 28, dose 2
MedDRA: Blood test abnormal, Office visit, Pain in extremity — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Had pain in back of right calf. Doctor ran a blood test which was mildly positive for a clot. Then she ordered an emergency ultrasound. Ultrasound did not find any clot in leg.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-23
Survey response — day 35, dose 2
MedDRA: False positive investigation result — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Still testing positive for blood clot but doctor can't find one

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-31
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-20
Survey response — 3 months, dose 2
MedDRA: Chest pain, Costochondritis, Painful respiration — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Costochondritis, pain in chest when breathing

MedDRA releases: 2024-11 · check-in free text available
2021-07-20
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-27
Call 1 — Left Voicemail
2021-10-16
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-17
Survey response — 12 months, dose 2
MedDRA: Brain fog, Headache, Hot flush — Feeling: Good · 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: Hot flashes, headaches, brain fog

MedDRA releases: 2024-11 · check-in free text available
2022-04-17
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-04-19
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-20	Moderna
2	2021-04-17	Moderna

Call center

5 call center cases

5 unsuccessful

See the call center timeline

Free text

Release 7 — day 0, dose 2

2021-04-17

Systemic reaction (other): I'm anxious and tired, but I think that is because I'm nervous about the 2nd dose I got today.

Release 7 — days 1–6 daily, dose 2

2021-04-18

Systemic reaction (other): Low grade fever all day

Release 7 — day 7, dose 2

2021-04-24

Systemic reaction (other): Some left sided chest pain, not bad or constant

Release 8 — day 14, dose 2

2021-05-01

Symptoms: Panic, anxiety, left side chest pain

Release 8 — day 28, dose 2

2021-05-15

Symptoms: Had pain in back of right calf. Doctor ran a blood test which was mildly positive for a clot. Then she ordered an emergency ultrasound. Ultrasound did not find any clot in leg.

Release 8 — day 35, dose 2

2021-05-23

Symptoms: Still testing positive for blood clot but doctor can't find one

Release 9 — 3 months, dose 2

2021-07-20

Symptoms: Costochondritis, pain in chest when breathing

Release 11 — 12 months, dose 2

2022-04-17

Symptoms: Hot flashes, headaches, brain fog

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	Anxiety	✓	✓	✓
SD	Blood test abnormal	✓	✓	✓
SD	Brain fog	·	·	✓
SD	Chest pain	✓	✓	✓
SD	Costochondritis	·	·	✓
SD	False positive investigation result	✓	✓	✓
SD	Headache	·	·	✓
SD	Hot flush	·	·	✓
SD	Office visit	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Painful respiration	·	·	✓
SD	Panic attack	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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