2JY-75393-24300

3 vaccinations 7 coded responses 38 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 201 / VA
Registered: 2021-02-02

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Registered dependents

WC7-52533-04553 Child or adolescent in my care · Male · 2021-11-14

Timeline

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

2021-02-02
Registered in v-safe
2021-02-02
Dose 1 — Moderna
2021-02-02
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · Headache

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-02
Dose 2 — Moderna
2021-03-02
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Vision blurred — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Blurred vision

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Headache, Muscle or body aches

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — day 7, dose 2
Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-13
Survey response — day 42, dose 2
MedDRA: Back pain, Headache — Feeling: Fair

Free text: Headache and backache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-13
Dose 3 — Moderna
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache

Adult check-in
2021-11-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-11-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-11-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-20
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-27
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-04
Survey response — day 21, dose 3
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-12-11
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-20
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-25
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-12
Survey response — 3 months, dose 3
MedDRA: Chills, Oropharyngeal pain, Palpitations, Respiratory tract congestion, Rhinorrhoea, Sinus headache — Feeling: Poor · Be unable to work or attend school

Free text: Chills, sore throat. Sinus headache, heart palpitations, congestion, runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-05-15
Survey response — 6 months, dose 3
MedDRA: Hypoaesthesia, Paranasal sinus discomfort, Pre-existing disease, SARS-CoV-2 test negative, Sinus disorder, Tension headache — Feeling: Fair

Free text: Allergies and sinus symptoms (tension headache, numbness or sinus pressure on right side of face) - took a covid test and was negative.

MedDRA releases: 2024-11 · check-in free text available
2022-11-13
Survey response — 12 months, dose 3
MedDRA: COVID-19, Hypersensitivity, Nasopharyngitis, Pre-existing disease, Respiratory tract congestion — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: After having covid, I notice that any colds or allergies cause chest congestion and I have to use the inhaler. This was not the case before. I didn't even have an inhaler prior to Covid.

MedDRA releases: 2024-11 · check-in free text available
2022-11-13
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-14
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-02	Moderna
2	2021-03-02	Moderna
3	2021-11-13	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Blurred vision

Release 5 — days 1–6 daily, dose 2

2021-03-08

Systemic reaction (other): Sore throat

Release 7 — day 42, dose 2

2021-04-13

Symptoms: Headache and backache

Release 10 — day 21, dose 3

2021-12-04

Symptoms: Sore throat

Release 11 — 3 months, dose 3

2022-02-12

Symptoms: Chills, sore throat. Sinus headache, heart palpitations, congestion, runny nose

Release 11 — 6 months, dose 3

2022-05-15

Symptoms: Allergies and sinus symptoms (tension headache, numbness or sinus pressure on right side of face) - took a covid test and was negative.

Release 12 — 12 months, dose 3

2022-11-13

Symptoms: After having covid, I notice that any colds or allergies cause chest congestion and I have to use the inhaler. This was not the case before. I didn't even have an inhaler prior to Covid.

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	Back pain	✓	✓	✓
SD	Chills	·	·	✓
SD	COVID-19	·	·	✓
SD	Headache	✓	✓	✓
SD	Hypersensitivity	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Palpitations	·	·	✓
SD	Paranasal sinus discomfort	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinus disorder	·	·	✓
SD	Sinus headache	·	·	✓
SD	Tension headache	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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