RTL-21883-31563

3 vaccinations 8 coded responses 20 check-ins 7 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 900 / CA
Registered: 2021-07-08

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline

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

2021-07-07
Dose 1 — Moderna
2021-07-08
Registered in v-safe
2021-07-08
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-07-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-07-10
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-16
Health check-in — day 7, dose 1
Feeling: Good · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-07-20
Call 2 — Left Voicemail
2021-07-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-07-28
Survey response — day 21, dose 1
MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Persistent headache

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-10
Dose 2 — Moderna
2021-08-10
Survey response — day 0, dose 2
MedDRA: Cardiac flutter, Heart rate irregular — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Heartbeat is weird or fluttery

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-11
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-08-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-08-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-08-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, 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 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-08-16
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-08-17
Health check-in — day 7, dose 2
Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-08-24
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-09-07
Survey response — day 28, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Really tired

MedDRA releases: 2024-11 · check-in free text available
2021-09-22
Survey response — day 42, dose 2
MedDRA: Blood pressure increased — Feeling: Fair · Be unable to do your normal daily activities

Free text: Very high blood pressure

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Survey response — 3 months, dose 2
MedDRA: Abdominal pain upper, Pulmonary congestion — 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 · Telehealth, virtual health, or email health consultation

Free text: Stomach pain mucus in lungs

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-10
Call 2 — Left Voicemail
2022-01-12
Dose 3 — Moderna
Co-administered: Flu
2022-02-09
Survey response — 6 months, dose 2
MedDRA: Ear pain, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue ear ache

MedDRA releases: 2024-11 · check-in free text available
2022-07-14
Survey response — 6 months, dose 3
MedDRA: Heart rate irregular, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Irregular heartbeat · Healthcare visit (other): Saw doctor at office

MedDRA releases: 2024-11 · check-in free text available
2022-07-14
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

1 call case(s)
2022-07-14
Call 1 — Left Voicemail
2022-07-14
Call 1 — Left Voicemail
2022-07-14
Call 1 — Left Voicemail
2023-01-13
Survey response — 12 months, dose 3
MedDRA: Chest pain, Heart rate irregular, Office visit — 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

MedDRA releases: 2024-11
2023-01-13
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2023-01-16
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-07-07	Moderna	No
2	2021-08-10	Moderna	No
3	2022-01-12	Moderna	Flu

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 9 — day 21, dose 1

2021-07-28

Symptoms: Persistent headache

Release 9 — day 0, dose 2

2021-08-10

Systemic reaction (other): Heartbeat is weird or fluttery

Release 9 — day 28, dose 2

2021-09-07

Symptoms: Really tired

Release 9 — day 42, dose 2

2021-09-22

Symptoms: Very high blood pressure

Release 10 — 3 months, dose 2

2021-11-09

Symptoms: Stomach pain mucus in lungs

Release 11 — 6 months, dose 2

2022-02-09

Symptoms: Fatigue ear ache

Release 12 — 6 months, dose 3

2022-07-14

Symptoms: Irregular heartbeat

Healthcare visit (other): Saw doctor at office

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	Abdominal pain upper	·	·	✓
SD	Blood pressure increased	·	·	✓
SD	Chest pain	·	·	✓
SD	Ear pain	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	·	✓
SD	Heart rate irregular	·	·	✓
SD	Pulmonary congestion	·	·	✓
SRO	Cardiac flutter	✓	·	✓
SRO	Heart rate irregular	✓	·	✓

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