Q9J-82100-77666

3 vaccinations 7 coded responses 39 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 152 / PA
Registered: 2021-03-24

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

2021-03-24
Registered in v-safe
2021-03-24
Dose 1 — Moderna
2021-03-24
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Nausea

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-29
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-31
Health check-in — day 7, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-21
Dose 2 — Moderna
2021-04-21
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Diarrhea

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

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Nausea, Diarrhea

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-28
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

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

Adult check-in
2021-05-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-19
Survey response — day 28, dose 2
MedDRA: Arthralgia, Ligament sprain, Stress fracture, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Ankle pain. Seeing a podiatrist tomorrow. Believe it may be a tendon sprain or stress fracture. No idea what caused it. Been painful for about a month. · Healthcare visit (other): Doctors office tomorrow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-21
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-24
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-11-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-11-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-11-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Itching · Fatigue or tiredness, Diarrhea

Adult check-in
2021-11-30
Survey response — days 1–6 daily, dose 3
MedDRA: Mobility decreased, Paraesthesia, Tenderness — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My arm is experiencing a pins and needles sensation and is hard to use. Any pressure on it at all causes pain and pins and needles all the way down to my fingers. I could sleep last night from this pain.

MedDRA releases: 2024-11 · check-in free text available
2021-12-01
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school

Adult check-in
2021-12-08
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-15
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-22
Survey response — day 28, dose 3
MedDRA: Fatigue, Nausea, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Nausea, fatigue, congestion

MedDRA releases: 2024-11 · check-in free text available
2021-12-29
Survey response — day 35, dose 3
MedDRA: Fatigue — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Exhaustion

MedDRA releases: 2024-11 · check-in free text available
2022-01-05
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-23
Survey response — 3 months, dose 3
MedDRA: COVID-19, Pregnancy — Feeling: Fair · 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: Pregnancy and covid

MedDRA releases: 2024-11 · check-in free text available
2022-02-23
Report sent to call center — 3 months, dose 3
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)
2022-02-24
Call 1 — Left Voicemail
2022-02-24
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-27
Survey response — 6 months, dose 3
MedDRA: Pregnancy, Sinusitis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Pregnancy, sinus infection

MedDRA releases: 2024-11 · check-in free text available
2022-05-27
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-06-01
Call 1 — Left Voicemail
2022-11-24
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Moderna
2	2021-04-21	Moderna
3	2021-11-24	Pfizer-BioNTech	Flu

Call center

3 call center cases

1 successful · 2 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-29

Systemic reaction (other): Light headed

Release 8 — day 28, dose 2

2021-05-19

Symptoms: Ankle pain. Seeing a podiatrist tomorrow. Believe it may be a tendon sprain or stress fracture. No idea what caused it. Been painful for about a month.

Healthcare visit (other): Doctors office tomorrow

Release 10 — days 1–6 daily, dose 3

2021-11-30

Systemic reaction (other): My arm is experiencing a pins and needles sensation and is hard to use. Any pressure on it at all causes pain and pins and needles all the way down to my fingers. I could sleep last night from this pain.

Release 10 — day 28, dose 3

2021-12-22

Symptoms: Nausea, fatigue, congestion

Release 10 — day 35, dose 3

2021-12-29

Symptoms: Exhaustion

Release 11 — 3 months, dose 3

2022-02-23

Symptoms: Pregnancy and covid

Release 11 — 6 months, dose 3

2022-05-27

Symptoms: Pregnancy, sinus infection

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	Unevaluable event	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	Ligament sprain	✓	✓	✓
SD	Nausea	·	·	✓
SD	Pregnancy	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sinusitis	·	·	✓
SD	Stress fracture	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Mobility decreased	·	·	✓
SRO	Paraesthesia	·	·	✓
SRO	Tenderness	·	·	✓

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