SRT-33324-80338

3 vaccinations 6 coded responses 24 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 467 / IN
Registered: 2021-04-01

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

2021-04-01
Registered in v-safe
2021-04-01
Dose 1 — Moderna
2021-04-01
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Throat irritation — Feeling: Fair · Site: Pain

Free text: Scratchy throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Nausea

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-04-08
Health check-in — day 7, dose 1
Feeling: Fair · Headache

Adult check-in
2021-04-24
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
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-09
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Free text: Dizziness

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 · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-05-12
Health check-in — day 7, dose 2
Feeling: Fair · Chills, Headache

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

Adult check-in
2021-05-26
Survey response — day 21, dose 2
MedDRA: Diarrhoea, Nausea — Feeling: Fair

Free text: Diarrhea for the last three days and some nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-04
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-03
Survey response — 6 months, dose 2
MedDRA: Ear infection, Nasopharyngitis, SARS-CoV-2 test negative, Sinusitis, Type 1 diabetes mellitus — Feeling: Fair · Be unable to work or attend school

Free text: I've had a sinus infection, an ear infection, a cold, and developed insulin dependent diabetes all in two months from September thru October. No COVID positive tests received but was tested several times

MedDRA releases: 2024-11 · check-in free text available
2022-03-07
Dose 3 — Moderna
2022-09-05
Survey response — 6 months, dose 3
MedDRA: Diabetes mellitus, Pre-existing disease — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Diabetic changes in sugar readings. Due to schedule changes at work according to my diabetic educator

MedDRA releases: 2024-11 · check-in free text available
2022-09-05
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)
2022-09-07
Call 2 — Left Voicemail
2023-03-07
Survey response — 12 months, dose 3
MedDRA: COVID-19, Dyspnoea, Fatigue — 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

MedDRA releases: 2024-11
2023-03-07
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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-03-08
Call 1 — Left Voicemail
2023-03-08
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Moderna
2	2021-05-05	Moderna
3	2022-03-07	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-03

Systemic reaction (other): Scratchy throat

Release 8 — days 1–6 daily, dose 2

2021-05-09

Systemic reaction (other): Dizziness

Release 8 — day 21, dose 2

2021-05-26

Symptoms: Diarrhea for the last three days and some nausea

Release 10 — 6 months, dose 2

2021-11-03

Symptoms: I've had a sinus infection, an ear infection, a cold, and developed insulin dependent diabetes all in two months from September thru October. No COVID positive tests received but was tested several times

Release 12 — 6 months, dose 3

2022-09-05

Symptoms: Diabetic changes in sugar readings. Due to schedule changes at work according to my diabetic educator

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	COVID-19	·	·	✓
SD	Diabetes mellitus	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Ear infection	·	·	✓
SD	Fatigue	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinusitis	·	·	✓
SD	Type 1 diabetes mellitus	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Throat irritation	✓	✓	✓

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