2BU-32668-68342

3 vaccinations 10 coded responses 26 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 070 / NJ
Registered: 2021-02-08

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

2021-02-08
Registered in v-safe
2021-02-08
Dose 1 — Moderna
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2021-02-11
Survey response — days 1–6 daily, dose 1
MedDRA: Rash — Feeling: Good · Site: Swelling · Rash, not including the immediate area around the injection site

Free text: Had rash one face cheek but went away

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-13
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Joint pains

Free text: I have that normally anyway

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-22
Survey response — day 14, dose 1
MedDRA: Injection site discolouration, Injection site inflammation, Injection site pruritus — Feeling: Good

Free text: Site is discolored and was inflamed but it went down. It was itchy too. Ok now

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-08
Dose 2 — Moderna
2021-03-08
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: I only received injection less hour ago:-)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Free text: My husband didnt register but he has fever, shakes , chills and body aches t

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Redness, Swelling · Headache

Free text: My husband is 100% better- fever, chills and body aches gone except same at injection site as me

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Migraine, Neck pain, Unevaluable event — Feeling: Fair · Site: Pain, Redness, Swelling · Headache · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): My head and neck are hurting on left side only- almost feels like one side migraine but I do not get migraines · Healthcare visit (other): Appointment tomorrow IM Doc otherwise I would seek treatment- woke me up middle night and ran nails side face one side felt diff - left side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Neck pain, Pain in jaw — Feeling: Good · Site: Swelling · Headache

Free text: Head neck and jaw sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Headache

Free text: Neck head

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-22
Survey response — day 14, dose 2
MedDRA: Exposure to SARS-CoV-2, Migraine — Feeling: Fair

Free text: Migraine headaches off and on - temple area left side head only. Last and only time had migraine was 15 years ago.Nephew who I live with tested positive Covid on 3/16. My 2nd vaccine 3/8

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-09-06
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-22
Dose 3 — Moderna
2021-10-29
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-05
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-14
Call 1 — Could Not Reach Participant
2021-12-15
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-08	Moderna
2	2021-03-08	Moderna
3	2021-10-22	Moderna	No

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-11

Systemic reaction (other): Had rash one face cheek but went away

2021-02-13

Systemic reaction (other): I have that normally anyway

Release 4 — day 14, dose 1

2021-02-22

Symptoms: Site is discolored and was inflamed but it went down. It was itchy too. Ok now

Release 5 — day 0, dose 2

2021-03-08

Systemic reaction (other): I only received injection less hour ago:-)

Release 5 — days 1–6 daily, dose 2

2021-03-09

Systemic reaction (other): My husband didnt register but he has fever, shakes , chills and body aches t

2021-03-10

Systemic reaction (other): My husband is 100% better- fever, chills and body aches gone except same at injection site as me

2021-03-11

Systemic reaction (other): My head and neck are hurting on left side only- almost feels like one side migraine but I do not get migraines

Healthcare visit (other): Appointment tomorrow IM Doc otherwise I would seek treatment- woke me up middle night and ran nails side face one side felt diff - left side

2021-03-12

Systemic reaction (other): Head neck and jaw sore

2021-03-13

Systemic reaction (other): Neck head

Release 6 — day 14, dose 2

2021-03-22

Symptoms: Migraine headaches off and on - temple area left side head only. Last and only time had migraine was 15 years ago.Nephew who I live with tested positive Covid on 3/16. My 2nd vaccine 3/8

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	Unevaluable event	✓	✓	✓
SD	Exposure to SARS-CoV-2	✓	✓	✓
SD	Injection site discolouration	✓	✓	✓
SD	Injection site inflammation	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Migraine	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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