PXQ-21267-14717

2 vaccinations 7 coded responses 23 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 260 / WV
Registered: 2021-08-14

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

2021-08-12
Dose 1 — Moderna
2021-08-14
Registered in v-safe
2021-08-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-08-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-08-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-08-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Headache, Muscle or body aches

Adult check-in
2021-08-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Headache

Adult check-in
2021-08-19
Survey response — day 7, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
Survey response — day 14, dose 1
MedDRA: Headache — Feeling: Fair · Be unable to work or attend school

Free text: Daily headaches

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-03
Survey response — day 21, dose 1
MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activities

Free text: Daily headaches.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-09
Dose 2 — Moderna
2021-09-09
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Fair

Free text: Nothing so far.

MedDRA releases: 2024-11 · check-in free text available
2021-09-10
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school

Adult check-in
2021-09-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-09-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea

Adult check-in
2021-09-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · Fatigue or tiredness

Adult check-in
2021-09-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-09-15
Survey response — days 1–6 daily, dose 2
MedDRA: Alopecia — Feeling: Good · Fatigue or tiredness

Free text: Hair is falling out in clumps

MedDRA releases: 2024-11 · check-in free text available
2021-09-17
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-09-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-10-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-10-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-10-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-10-23
Health check-in — day 42, dose 2
Feeling: Poor

Adult check-in
2021-12-09
Survey response — 3 months, dose 2
MedDRA: Flank pain, Office visit, Pain, Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Side and upper right pains and UTI. · Healthcare visit (other): PCP

MedDRA releases: 2024-11 · check-in free text available
2021-12-09
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-10
Call 2 — Left Voicemail
2022-09-09
Survey response — 12 months, dose 2
MedDRA: COVID-19, Type 2 diabetes mellitus — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Diagnosed in August with Type 2 Diabetes. Had COVID 8/23 for almost 2 weeks.

MedDRA releases: 2024-11 · check-in free text available
2022-09-09
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-12
Call 1 — Left Voicemail
2022-09-12
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-12	Moderna	No
2	2021-09-09	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 9 — day 7, dose 1

2021-08-19

Systemic reaction (other): No

Release 9 — day 14, dose 1

2021-08-26

Symptoms: Daily headaches

Release 9 — day 21, dose 1

2021-09-03

Symptoms: Daily headaches.

Release 9 — day 0, dose 2

2021-09-09

Systemic reaction (other): Nothing so far.

Release 9 — days 1–6 daily, dose 2

2021-09-15

Systemic reaction (other): Hair is falling out in clumps

Release 10 — 3 months, dose 2

2021-12-09

Symptoms: Side and upper right pains and UTI.

Healthcare visit (other): PCP

Release 12 — 12 months, dose 2

2022-09-09

Symptoms: Diagnosed in August with Type 2 Diabetes. Had COVID 8/23 for almost 2 weeks.

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	Office visit	·	·	✓
SD	COVID-19	·	·	✓
SD	Flank pain	·	·	✓
SD	Headache	✓	·	✓
SD	Pain	·	·	✓
SD	Type 2 diabetes mellitus	·	·	✓
SD	Urinary tract infection	·	·	✓
SRO	Alopecia	·	·	✓
SRO	No adverse event	✓	·	✓

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