2HX-39079-41352

3 vaccinations 9 coded responses 39 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 238 / VA
Registered: 2021-03-07

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

2021-03-06
Dose 1 — Moderna
2021-03-07
Registered in v-safe
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Good · Site: Pain

Free text: Headache on day of shot but couldve been anxiety.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Migraine — Feeling: Fair · Headache

Free text: Not sure headache is related. I have periodic migraines.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Muscle or body aches, Nausea

Adult check-in
2021-03-20
Survey response — day 14, dose 1
MedDRA: Chills, Diarrhoea, Feeling hot, Headache, Migraine, Nausea — Feeling: Good · Be unable to do your normal daily activities

Free text: Fifth day after shot migraine. Sixth day started nausea loose bowels headache chills and feeling hot alternating. Do not know if shot relayed but reporting anyway.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-03
Dose 2 — Moderna
2021-04-03
Survey response — day 0, dose 2
MedDRA: Dizziness, Immediate post-injection reaction, Paraesthesia — Feeling: Good · Headache

Free text: Right after vaccine was dizzy and hand/fingers tingling in arm I received vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Pyrexia — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I have been very weak. All started ten hours after my injection and went through the night. 24 hrs later I still have fever 100.7

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness

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

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-10
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-17
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
2021-05-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-03
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-02
Survey response — 6 months, dose 2
MedDRA: Hot flush, Peripheral coldness, Pre-existing disease — Feeling: Fair

Free text: Hot flashes for the third time. Had complete hyst in 2005. My feet are Cold all the time.

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Dose 3 — Moderna
2021-11-17
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2021-11-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches

Adult check-in
2021-11-22
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches

Adult check-in
2021-11-23
Survey response — day 7, dose 3
MedDRA: Headache, Occipital neuralgia — Feeling: Good · Headache

Free text: Not sure if headache related now. I have occipital neuralgia.

MedDRA releases: 2024-11 · check-in free text available
2021-11-30
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-07
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-14
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-21
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-28
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-15
Survey response — 3 months, dose 3
MedDRA: Diarrhoea, Headache, Lethargy — Feeling: Fair

Free text: Headache diarrhea lethargic

MedDRA releases: 2024-11 · check-in free text available
2022-05-17
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-11-16
Survey response — 12 months, dose 3
MedDRA: Urticaria — Feeling: Good

Free text: I broke out in hives never had them before

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-06	Moderna
2	2021-04-03	Moderna
3	2021-11-16	Moderna	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-07

Systemic reaction (other): Headache on day of shot but couldve been anxiety.

2021-03-11

Systemic reaction (other): Not sure headache is related. I have periodic migraines.

Release 6 — day 14, dose 1

2021-03-20

Symptoms: Fifth day after shot migraine. Sixth day started nausea loose bowels headache chills and feeling hot alternating. Do not know if shot relayed but reporting anyway.

Release 6 — day 0, dose 2

2021-04-03

Systemic reaction (other): Right after vaccine was dizzy and hand/fingers tingling in arm I received vaccine.

Release 6 — days 1–6 daily, dose 2

2021-04-04

Systemic reaction (other): I have been very weak. All started ten hours after my injection and went through the night. 24 hrs later I still have fever 100.7

Release 9 — 6 months, dose 2

2021-10-02

Symptoms: Hot flashes for the third time. Had complete hyst in 2005. My feet are Cold all the time.

Release 10 — day 7, dose 3

2021-11-23

Systemic reaction (other): Not sure if headache related now. I have occipital neuralgia.

Release 11 — 3 months, dose 3

2022-02-15

Symptoms: Headache diarrhea lethargic

Release 12 — 12 months, dose 3

2022-11-16

Symptoms: I broke out in hives never had them before

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	Diarrhoea	✓	✓	✓
SD	Feeling hot	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hot flush	·	·	✓
SD	Lethargy	·	·	✓
SD	Migraine	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Peripheral coldness	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Urticaria	·	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Occipital neuralgia	·	·	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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