22Q-34809-98542

4 vaccinations 4 coded responses 37 check-ins 4 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 982 / WA
Registered: 2021-03-14

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

9EZ-26985-67868 Child or adolescent in my care · Male · 2021-11-12

Timeline

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

2021-03-05
Dose 1 — Moderna
2021-03-14
Registered in v-safe
2021-03-14
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-03-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-26
Survey response — day 21, dose 1
MedDRA: Arthralgia, Fatigue, Injection site pain — Feeling: Fair

Free text: Fatigue that comes and goes. Still occasional joint pain. Persistent ache at injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Dose 2 — Moderna
2021-04-02
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Muscle or body aches

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

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Nausea

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Nausea

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Nausea

Adult check-in
2021-04-11
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches, Nausea

Adult check-in
2021-04-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-02
Survey response — 3 months, dose 2
MedDRA: Heavy menstrual bleeding — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Excessively heavy menstruation that required doctor consultation.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-07
Call 1 — Left Voicemail
2021-10-01
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-23
Dose 3 — Moderna
2021-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-11-01
Health check-in — day 7, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-11-06
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-13
Health check-in — day 0, dose 1, dependent
Feeling: Good · None

Adult check-in
2021-11-13
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-20
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-27
Survey response — day 35, dose 3
MedDRA: Blepharospasm, Visual impairment, Vitreous floaters — Feeling: Fair

Free text: Unsure if it's related: muscle around right eye has been spasming regularly and I've developed a light-type floater in that eye that blocks my vision a bit. These were never issues I experienced prior in my life.

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-24
Survey response — 3 months, dose 3
MedDRA: Cough, Nasopharyngitis, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Fair

Free text: Head cold symptoms over last 5-6 days. Congestion, small cough, mild headache. Three negative Covid tests. Symptoms improving on day 4.

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-26
Dose 4 — Moderna
2022-10-23
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2022-10-26
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-31
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-09
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-26
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-29
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Moderna
2	2021-04-02	Moderna
3	2021-10-23	Moderna	No
4	2022-09-26	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — day 21, dose 1

2021-03-26

Symptoms: Fatigue that comes and goes. Still occasional joint pain. Persistent ache at injection site.

Release 9 — 3 months, dose 2

2021-07-02

Symptoms: Excessively heavy menstruation that required doctor consultation.

Release 10 — day 35, dose 3

2021-11-27

Symptoms: Unsure if it's related: muscle around right eye has been spasming regularly and I've developed a light-type floater in that eye that blocks my vision a bit. These were never issues I experienced prior in my life.

Release 11 — 3 months, dose 3

2022-01-24

Symptoms: Head cold symptoms over last 5-6 days. Congestion, small cough, mild headache. Three negative Covid tests. Symptoms improving on day 4.

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	Arthralgia	✓	✓	✓
SD	Blepharospasm	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Visual impairment	·	·	✓
SD	Vitreous floaters	·	·	✓

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