28F-29779-62055

3 vaccinations 12 coded responses 35 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 782 / TX
Registered: 2021-04-24

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-04-24
Registered in v-safe
2021-04-24
Dose 1 — Moderna
2021-04-24
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Swelling, Itching · None

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

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-01
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-08
Survey response — day 14, dose 1
MedDRA: Injection site pruritus, Vaccination site rash — Feeling: Good

Free text: Got the rash again on the vaccination site since Sunday May 2nd with random itching . I still have the rash

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Survey response — day 21, dose 1
MedDRA: Tinnitus — Feeling: Good

Free text: Ringing in my ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Dose 2 — Moderna
2021-05-22
Survey response — day 0, dose 2
MedDRA: Tinnitus — Feeling: Good

Free text: Only the ringing of my left ear from the previous shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Musculoskeletal discomfort — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: I dont know if I have a swollen lymph node on the side of my right side of neck or if I slept wrong - its just a discomfort I feel depending when I yawn

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-25
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Redness, Swelling · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Nausea · Be unable to work

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — days 1–6 daily, dose 2
MedDRA: Vertigo — Feeling: Poor · Headache · Be unable to work, Be unable to do your normal daily activities

Free text: Vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Vertigo — Feeling: Poor · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: VÃ©rtigo dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Survey response — day 7, dose 2
MedDRA: Dizziness, Vertigo — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: VÃ©rtigo light head dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-26
Survey response — day 35, dose 2
MedDRA: Chills, Headache, Lethargy, Nausea, Pyrexia, Vertigo — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Vertigo nausea headache chills fever lethargy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-03
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-30
Dose 3 — Moderna
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · None

Adult check-in
2021-12-07
Health check-in — day 7, dose 3
Feeling: Good · None

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

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

Adult check-in
2021-12-28
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-04
Survey response — day 35, dose 3
MedDRA: Cough — Feeling: Fair · Be unable to work or attend school

Free text: Weird cough

MedDRA releases: 2024-11 · check-in free text available
2022-01-11
Survey response — day 42, dose 3
MedDRA: Cough — Feeling: Fair · Be unable to work or attend school

Free text: Coughing

MedDRA releases: 2024-11 · check-in free text available
2022-03-01
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-31
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-30
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-24	Moderna
2	2021-05-22	Moderna
3	2021-11-30	Moderna	No

Free text

Release 8 — day 14, dose 1

2021-05-08

Symptoms: Got the rash again on the vaccination site since Sunday May 2nd with random itching . I still have the rash

Release 8 — day 21, dose 1

2021-05-15

Symptoms: Ringing in my ears

Release 8 — day 0, dose 2

2021-05-22

Systemic reaction (other): Only the ringing of my left ear from the previous shot

Release 8 — days 1–6 daily, dose 2

2021-05-23

Systemic reaction (other): I dont know if I have a swollen lymph node on the side of my right side of neck or if I slept wrong - its just a discomfort I feel depending when I yawn

2021-05-25

Systemic reaction (other): Dizziness

2021-05-26

Systemic reaction (other): Dizziness

2021-05-27

Systemic reaction (other): Vertigo

2021-05-28

Systemic reaction (other): VÃ©rtigo dizziness

Release 8 — day 7, dose 2

2021-05-29

Release 9 — day 35, dose 2

2021-06-26

Symptoms: Vertigo nausea headache chills fever lethargy

Release 10 — day 35, dose 3

2022-01-04

Symptoms: Weird cough

Release 10 — day 42, dose 3

2022-01-11

Symptoms: Coughing

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	Chills	✓	✓	✓
SD	Cough	·	·	✓
SD	Headache	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Lethargy	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SD	Vaccination site rash	✓	✓	✓
SD	Vertigo	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Musculoskeletal discomfort	✓	✓	✓
SRO	Tinnitus	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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