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4 vaccinations 10 coded responses 26 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 326 / FL
Registered: 2021-02-03

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

2021-01-06
Dose 1 — Moderna
2021-02-03
Registered in v-safe
2021-02-05
Dose 2 — Moderna
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 · Be unable to do your normal daily activities

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Thought blocking — Feeling: Fair · Fever · Headache, Fatigue or tiredness

Free text: Loss train of thought

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

Adult check-in
2021-02-14
Survey response — day 7, dose 2
MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore throat, cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-26
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-21
Survey response — day 42, dose 2
MedDRA: Fatigue, Rhinorrhoea — Feeling: Fair

Free text: Running nose, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — 3 months, dose 2
MedDRA: Headache, Rhinorrhoea, Sinus disorder — Feeling: Fair

Free text: Non stop sinus issues! Runny nose! Severe headache!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-06
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-08-19
Dose 3 — Moderna
2022-02-05
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-04-25
Dose 4 — Moderna
2022-04-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Nausea · Be unable to work or attend school

Adult check-in
2022-04-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-29
Survey response — days 1–6 daily, dose 4
MedDRA: Dysmenorrhoea, Fatigue, Heavy menstrual bleeding — Feeling: Fair · Fatigue or tiredness

Free text: Have my menstrual and its a very heavy bleed with cramps, feel tired.

MedDRA releases: 2024-11 · check-in free text available
2022-04-30
Survey response — days 1–6 daily, dose 4
MedDRA: Breast feeding — Feeling: Good

Free text: I breast feed my 2 month old daughter and she has felt feverish. Been treating with tylenol. Shes also been sneezing, symptoms have been for 3 days now.

MedDRA releases: 2024-11 · check-in free text available
2022-05-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-02
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-09
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-16
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-23
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-30
Survey response — day 35, dose 4
MedDRA: Nasopharyngitis, Pre-existing disease — Feeling: Fair

Free text: Allergies, cold symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-06-06
Survey response — day 42, dose 4
MedDRA: Fatigue, Pre-existing disease, Sinus congestion — Feeling: Fair

Free text: Allergies- sinus congestion. Fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-07-25
Survey response — 3 months, dose 4
MedDRA: Unevaluable event — 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 · Hospitalization

Free text: Has to have surgery. Laminectomy

MedDRA releases: 2024-11 · check-in free text available
2022-07-25
Report sent to call center — 3 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Hospitalization · 1 call case(s)
2022-07-26
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-24
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-25
Survey response — 12 months, dose 4
MedDRA: Pre-existing disease, Viral infection, Vomiting — 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
2023-04-25
Report sent to call center — 12 months, dose 4
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)
2023-04-26
Call successful
Not applicable - Accidental Reporting

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Moderna
2	2021-02-05	Moderna
3	2021-08-19	Moderna	No
4	2022-04-25	Moderna	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-08

Systemic reaction (other): Loss train of thought

Release 4 — day 7, dose 2

2021-02-14

Systemic reaction (other): Sore throat, cough

Release 6 — day 42, dose 2

2021-03-21

Symptoms: Running nose, fatigue

Release 8 — 3 months, dose 2

2021-05-07

Symptoms: Non stop sinus issues! Runny nose! Severe headache!

Release 11 — days 1–6 daily, dose 4

2022-04-29

Systemic reaction (other): Have my menstrual and its a very heavy bleed with cramps, feel tired.

2022-04-30

Systemic reaction (other): I breast feed my 2 month old daughter and she has felt feverish. Been treating with tylenol. Shes also been sneezing, symptoms have been for 3 days now.

Release 11 — day 35, dose 4

2022-05-30

Symptoms: Allergies, cold symptoms

Release 11 — day 42, dose 4

2022-06-06

Symptoms: Allergies- sinus congestion. Fatigue

Release 12 — 3 months, dose 4

2022-07-25

Symptoms: Has to have surgery. Laminectomy

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	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sinus congestion	·	·	✓
SD	Sinus disorder	✓	✓	✓
SD	Unevaluable event	·	·	✓
SD	Viral infection	·	·	✓
SD	Vomiting	·	·	✓
SRO	Breast feeding	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Dysmenorrhoea	·	·	✓
SRO	Fatigue	·	·	✓
SRO	Heavy menstrual bleeding	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Thought blocking	✓	✓	✓

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