2CC-25369-89345

5 vaccinations 6 coded responses 41 check-ins 6 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 570 / SD
Registered: 2021-04-01

Relationship: Self
Race: White
Ethnicity: Not 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

2021-03-04
Dose 1 — Moderna
2021-04-01
Registered in v-safe
2021-04-01
Dose 2 — Moderna
2021-04-01
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Migraine, Pre-existing disease — Feeling: Fair · Site: Pain

Free text: I suffer from migraines and have one today. It probably is unrelated to the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Migraine — Feeling: Fair · Headache

Free text: Started the day with the migraine i reported uesterday, but it cleared by noon with Advil. I get migraines frequently, and this was not likely related to the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-22
Survey response — day 21, dose 2
MedDRA: Headache, Neck pain — Feeling: Good

Free text: I had a sore neck and headaches last week. Again, I get regular headaches, so that has never been a good indicator of illness for me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-11
Dose 3 — Moderna
2022-04-01
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-06-15
Dose 4 — Pfizer-BioNTech
2022-06-15
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain · None

Adult check-in
2022-06-16
Survey response — days 1–6 daily, dose 4
MedDRA: Eructation, Gastrooesophageal reflux disease, Tremor — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Tremors , excessive belching/acid reflux

MedDRA releases: 2024-11 · check-in free text available
2022-06-17
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache · Be unable to do your normal daily activities

Adult check-in
2022-06-18
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache · Be unable to do your normal daily activities

Adult check-in
2022-06-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache

Adult check-in
2022-06-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-22
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-06-30
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-07-20
Survey response — day 35, dose 4
MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school

Free text: I got covid

MedDRA releases: 2024-11 · check-in free text available
2022-07-27
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-09-16
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-27
Dose 5 — Moderna
Co-administered: Flu
2022-10-27
Health check-in — day 0, dose 5
Feeling: Fair · Site: Pain · None

Adult check-in
2022-10-28
Survey response — days 1–6 daily, dose 5
MedDRA: Cough, Tremor — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Tremors, cough

MedDRA releases: 2024-11 · check-in free text available
2022-10-30
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-31
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-11-01
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Headache

Adult check-in
2022-11-02
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Headache

Adult check-in
2022-11-03
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-11-10
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-17
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-24
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-12-03
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-12-10
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-28
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-27
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-04	Moderna
2	2021-04-01	Moderna
3	2021-11-11	Moderna	No
4	2022-06-15	Pfizer-BioNTech	No
5	2022-10-27	Moderna	Flu

Free text

Release 6 — days 1–6 daily, dose 2

2021-04-04

Systemic reaction (other): I suffer from migraines and have one today. It probably is unrelated to the vaccine

2021-04-05

Systemic reaction (other): Started the day with the migraine i reported uesterday, but it cleared by noon with Advil. I get migraines frequently, and this was not likely related to the vaccine.

Release 7 — day 21, dose 2

2021-04-22

Symptoms: I had a sore neck and headaches last week. Again, I get regular headaches, so that has never been a good indicator of illness for me.

Release 12 — days 1–6 daily, dose 4

2022-06-16

Systemic reaction (other): Tremors , excessive belching/acid reflux

Release 12 — day 35, dose 4

2022-07-20

Symptoms: I got covid

Release 12 — days 1–6 daily, dose 5

2022-10-28

Systemic reaction (other): Tremors, cough

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	Headache	✓	✓	✓
SD	Neck pain	✓	✓	✓
SRO	Cough	·	·	✓
SRO	Eructation	·	·	✓
SRO	Gastrooesophageal reflux disease	·	·	✓
SRO	Migraine	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Tremor	·	·	✓

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