PHR-24114-90024

3 vaccinations 9 coded responses 38 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 553 / MN
Registered: 2021-04-11

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

2021-04-11
Registered in v-safe
2021-04-11
Dose 1 — Moderna
2021-04-11
Survey response — day 0, dose 1
MedDRA: Syncope — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Faint feeling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-19
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-09
Dose 2 — Moderna
2021-05-09
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Abdominal pain

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea · Be unable to work, 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 · Site: Pain · Fever · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-05-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-05-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-15
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good

Free text: Dizziness a few times today, don't know if related

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Survey response — day 7, dose 2
MedDRA: Dizziness — Feeling: Good

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-20
Survey response — day 42, dose 2
MedDRA: Anxiety — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Worse anxiety

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-20
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-29
Call 1 — Left Voicemail
2021-08-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-07
Survey response — 6 months, dose 2
MedDRA: Anxiety, Pre-existing disease, Self-medication — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Heightened anxiety, increased dose and added another supplemental medication.

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-09
Call 3 — Left Voicemail
2022-04-20
Dose 3 — Moderna
2022-04-20
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-04-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-22
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Lightheadedness

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Lightheadedness

MedDRA releases: 2024-11 · check-in free text available
2022-04-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-04-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-04-27
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-05-04
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-05-11
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-05-18
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-05-25
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-06-01
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-07-20
Survey response — 3 months, dose 3
MedDRA: Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Low iron and possible gestational diabetes. All due to pregnancy, not due to the vaccine.

MedDRA releases: 2024-11 · check-in free text available
2022-07-20
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-07-21
Call 2 — Left Voicemail
2022-07-21
Call 1 — Left Voicemail
2022-07-21
Call 1 — Left Voicemail
2022-10-19
Survey response — 6 months, dose 3
MedDRA: Mastitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Mastitis

MedDRA releases: 2024-11 · check-in free text available
2022-10-19
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-10-20
Call 3 — Left Voicemail
2022-10-20
Call 2 — Left Voicemail
2022-10-20
Call 2 — Left Voicemail
2022-10-20
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-11	Moderna
2	2021-05-09	Moderna
3	2022-04-20	Moderna	No

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 7 — day 0, dose 1

2021-04-11

Systemic reaction (other): Faint feeling

Release 8 — days 1–6 daily, dose 2

2021-05-15

Systemic reaction (other): Dizziness a few times today, don't know if related

Release 8 — day 7, dose 2

2021-05-16

Systemic reaction (other): Dizziness

Release 9 — day 42, dose 2

2021-06-20

Symptoms: Worse anxiety

Release 10 — 6 months, dose 2

2021-11-07

Symptoms: Heightened anxiety, increased dose and added another supplemental medication.

Release 11 — days 1–6 daily, dose 3

2022-04-22

Systemic reaction (other): Lightheadedness

2022-04-23

Systemic reaction (other): Lightheadedness

Release 12 — 3 months, dose 3

2022-07-20

Symptoms: Low iron and possible gestational diabetes. All due to pregnancy, not due to the vaccine.

Release 12 — 6 months, dose 3

2022-10-19

Symptoms: Mastitis

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	Mastitis	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pregnancy	·	·	✓
SD	Self-medication	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Syncope	✓	✓	✓

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