ZUU-11690-86837

3 vaccinations 5 coded responses 9 check-ins 5 free-text entries 5 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 473 / IN
Registered: 2021-05-10

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

2021-03-29
Dose 1 — Moderna
2021-04-26
Dose 2 — Moderna
2021-05-10
Registered in v-safe
2021-05-10
Survey response — day 14, dose 2
MedDRA: Dizziness, Headache, Immediate post-injection reaction, Migraine, Nausea, Office visit — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Terrible headachea migraine that kept me in bed for 4 days, unable to tolerate light or sound. The dizziness and nausea began within 15 minutes of receiving my 2nd shot. Im still dealing with the headache and nausea. · Healthcare visit (other): In person Visit with neurologist who prescribed me some prednisone for the migraine6th day of the migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Report sent to call center — day 14, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-18
Survey response — day 21, dose 2
MedDRA: Headache, Medical counselling, Pre-existing disease — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Bad head painWent away but came backVery weirdUnlike headaches and migraines I am used to coping with occasionally · Healthcare visit (other): Sent a message to Dr. via patient portal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-31
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-28
Survey response — 3 months, dose 2
MedDRA: Aphonia, Aphthous ulcer, Cough, Myalgia, Rhinorrhoea, Sneezing, Unevaluable event — 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: Symptoms: A cold? Sneezing coughing runny nose loss of voice canker sores muscle soreness · Healthcare visit (other): Telehealth appointment on this coming Tuesday

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-28
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-04
Call 2 — Left Voicemail
2021-10-25
Survey response — 6 months, dose 2
MedDRA: Medical counselling, Migraine, Office visit, Pre-existing disease — Feeling: Poor · 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: Symptoms: My migraines are worse than they were last year this time My dr is working with me on my preventative medications · Healthcare visit (other): Communicated via patient portal several times

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Report sent to call center — 6 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)
2021-10-26
Call 2 — Could Not Reach Participant
2022-01-12
Dose 3 — Moderna
2022-04-26
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-07-13
Survey response — 6 months, dose 3
MedDRA: Cough, Laryngitis, Office visit, Respiratory tract congestion, Rhinorrhoea — 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

Free text: Symptoms: Just laryngitis, congestion and coughing and a teeny bit of nasal drainage · Healthcare visit (other): Saw allergist and have appointment to see family np in 2 weeks

MedDRA releases: 2024-11 · check-in free text available
2022-07-13
Report sent to call center — 6 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)
2022-07-14
Call 1 — Left Voicemail
2022-07-14
Call 1 — Left Voicemail
2022-07-14
Call 1 — Left Voicemail
2022-07-14
Call 1 — Left Voicemail
2022-07-14
Call 1 — Left Voicemail
2022-07-14
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-14
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-14
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-14
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-14
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-29	Moderna
2	2021-04-26	Moderna
3	2022-01-12	Moderna	No

Call center

5 call center cases

5 successful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 8 — day 14, dose 2

2021-05-10

Symptoms: Terrible headachea migraine that kept me in bed for 4 days, unable to tolerate light or sound. The dizziness and nausea began within 15 minutes of receiving my 2nd shot. Im still dealing with the headache and nausea.

Healthcare visit (other): In person Visit with neurologist who prescribed me some prednisone for the migraine6th day of the migraine

Release 8 — day 21, dose 2

2021-05-18

Symptoms: Bad head painWent away but came backVery weirdUnlike headaches and migraines I am used to coping with occasionally

Healthcare visit (other): Sent a message to Dr. via patient portal

Release 9 — 3 months, dose 2

2021-07-28

Symptoms: A cold? Sneezing coughing runny nose loss of voice canker sores muscle soreness

Healthcare visit (other): Telehealth appointment on this coming Tuesday

Release 10 — 6 months, dose 2

2021-10-25

Symptoms: My migraines are worse than they were last year this time My dr is working with me on my preventative medications

Healthcare visit (other): Communicated via patient portal several times

Release 12 — 6 months, dose 3

2022-07-13

Symptoms: Just laryngitis, congestion and coughing and a teeny bit of nasal drainage

Healthcare visit (other): Saw allergist and have appointment to see family np in 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	Medical counselling	✓	✓	✓
HCVO	Migraine	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Unevaluable event	✓	·	✓
SD	Aphonia	✓	·	✓
SD	Aphthous ulcer	✓	·	✓
SD	Cough	✓	·	✓
SD	Dizziness	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Immediate post-injection reaction	✓	✓	✓
SD	Laryngitis	·	·	✓
SD	Migraine	✓	✓	✓
SD	Myalgia	✓	·	✓
SD	Nausea	✓	✓	✓
SD	Office visit	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	✓	·	✓
SD	Sneezing	✓	·	✓

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