LUD-67816-27878

4 vaccinations 13 coded responses 43 check-ins 12 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 085 / NJ
Registered: 2021-04-06

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

Registered dependents

6LP-19566-97314 Child or adolescent in my care · Female · 2021-11-11

X5P-62519-40504 Child or adolescent in my care · Male · 2021-11-11

Timeline

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

2021-04-06
Registered in v-safe
2021-04-06
Dose 1 — Moderna
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Fatigue last night at 8pm, went to bed an hour early

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

Free text: 30-minute pisode of slight fatigue last night at 9pm, went to bed usual time

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-21
Survey response — day 14, dose 1
MedDRA: Abdominal discomfort — Feeling: Good · Be unable to do your normal daily activities

Free text: Some abdominal discomfort

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-05-05
Dose 2 — Moderna
2021-05-09
Survey response — days 1–6 daily, dose 2
MedDRA: Immunisation reaction — Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: This occurred 2nd night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-12
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-26
Survey response — day 21, dose 2
MedDRA: Cough, Respiratory tract congestion, Throat irritation — Feeling: Good

Free text: Chest congestion, cough, slightly scratchy throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-09
Survey response — day 35, dose 2
MedDRA: Gastrointestinal disorder — Feeling: Good

Free text: Some GI issues, possibly due to heat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-04
Survey response — 3 months, dose 2
MedDRA: Headache, Oropharyngeal pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Some headaches and sore throat

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-03
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-11
Dose 3 — Moderna
2021-11-11
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · None

Adult check-in
2021-11-12
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · None

Adult check-in
2021-11-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-17
Survey response — days 1–6 daily, dose 3
MedDRA: Diarrhoea — Feeling: Fair · Fatigue or tiredness, Diarrhea

Free text: Bouts of diarrhea for past 2 days

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Health check-in — day 7, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-11-25
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-02
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-09
Survey response — day 28, dose 3
MedDRA: Acupuncture, Back pain — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Low back pain · Healthcare visit (other): Acupuncture

MedDRA releases: 2024-11 · check-in free text available
2021-12-09
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-13
Call 2 — Left Voicemail
2021-12-16
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-23
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-05-12
Survey response — 6 months, dose 3
MedDRA: Sinus congestion, Sinus headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe sinus congestion and headaches

MedDRA releases: 2024-11 · check-in free text available
2022-09-16
Dose 4 — Pfizer-BioNTech
2022-09-19
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2022-09-20
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2022-09-30
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-10-07
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-14
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-10-21
Survey response — day 35, dose 4
MedDRA: Condition aggravated, Fatigue, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Autoimmune flare. Extreme fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-18
Survey response — 3 months, dose 4
MedDRA: Gastrointestinal disorder — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: GI issues

MedDRA releases: 2024-11 · check-in free text available
2022-12-18
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-19
Call 3 — Left Voicemail
2022-12-19
Call 2 — Left Voicemail
2023-03-19
Survey response — 6 months, dose 4
MedDRA: Nasopharyngitis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-03-19
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-03-20
Call 1 — Left Voicemail
2023-03-20
Call 1 — Left Voicemail
2023-03-20
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-06	Moderna
2	2021-05-05	Moderna
3	2021-11-11	Moderna	No
4	2022-09-16	Pfizer-BioNTech	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-08

Systemic reaction (other): Fatigue last night at 8pm, went to bed an hour early

2021-04-09

Systemic reaction (other): 30-minute pisode of slight fatigue last night at 9pm, went to bed usual time

Release 7 — day 14, dose 1

2021-04-21

Symptoms: Some abdominal discomfort

Release 8 — days 1–6 daily, dose 2

2021-05-09

Systemic reaction (other): This occurred 2nd night

Release 8 — day 21, dose 2

2021-05-26

Symptoms: Chest congestion, cough, slightly scratchy throat

Release 9 — day 35, dose 2

2021-06-09

Symptoms: Some GI issues, possibly due to heat

Release 9 — 3 months, dose 2

2021-08-04

Symptoms: Some headaches and sore throat

Release 10 — days 1–6 daily, dose 3

2021-11-17

Systemic reaction (other): Bouts of diarrhea for past 2 days

Release 10 — day 28, dose 3

2021-12-09

Symptoms: Low back pain

Healthcare visit (other): Acupuncture

Release 11 — 6 months, dose 3

2022-05-12

Symptoms: Severe sinus congestion and headaches

Release 12 — day 35, dose 4

2022-10-21

Symptoms: Autoimmune flare. Extreme fatigue

Release 12 — 3 months, dose 4

2022-12-18

Symptoms: GI issues

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	Acupuncture	·	·	✓
SD	Abdominal discomfort	✓	✓	✓
SD	Back pain	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Cough	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Gastrointestinal disorder	✓	✓	✓
SD	Headache	✓	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pre-existing disease	·	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Sinus congestion	·	·	✓
SD	Sinus headache	·	·	✓
SD	Throat irritation	✓	✓	✓
SRO	Diarrhoea	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Immunisation reaction	✓	✓	✓

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