2PX-27169-80209

2 vaccinations 7 coded responses 24 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 950 / CA
Registered: 2021-02-21

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

2021-02-21
Registered in v-safe
2021-02-21
Dose 1 — Moderna
2021-02-21
Survey response — day 0, dose 1
MedDRA: Dizziness, Injection site pain, Wheezing — Feeling: Good

Free text: Mild dizziness a couple times, a little wheezy a couple times. Slight soreness at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-28
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-14
Survey response — day 21, dose 1
MedDRA: Chills, Fatigue — Feeling: Fair

Free text: Chills, tired. Might be time change, up late.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-25
Dose 2 — Moderna
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Fatigue, Pain in extremity — Feeling: Good · Fatigue or tiredness

Free text: Im not tired, but wanted to comment. The night of vaccine on 25th i had chills, very sore arm. Terrible sleep and woke with a crick in my neck. Low energy the next day. Took a nap in pm. Then felt great.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Headache — Feeling: Good · Headache

Free text: Headache last 2 nights

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-29
Survey response — day 35, dose 2
MedDRA: Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Good · Be unable to work

Free text: Mild sore throat. Not covid, tested. Was not able to work 1 day until test result. following protocals.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-23
Survey response — 6 months, dose 2
MedDRA: Cough, Nasal disorder, Oropharyngeal pain — Feeling: Good · Be unable to work or attend school

Free text: I had a minor sore throat and some nasal activity and a slight cough a few weeks ago. Tested negative.

MedDRA releases: 2024-11 · check-in free text available
2022-03-25
Survey response — 12 months, dose 2
MedDRA: COVID-19, Lyme disease — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Had covid in January, just got Tick borne Lyme disease.

MedDRA releases: 2024-11 · check-in free text available
2022-03-25
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-28
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-21	Moderna
2	2021-03-25	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-21

Systemic reaction (other): Mild dizziness a couple times, a little wheezy a couple times. Slight soreness at injection site

Release 5 — day 21, dose 1

2021-03-14

Symptoms: Chills, tired. Might be time change, up late.

Release 6 — days 1–6 daily, dose 2

2021-03-28

Systemic reaction (other): Im not tired, but wanted to comment. The night of vaccine on 25th i had chills, very sore arm. Terrible sleep and woke with a crick in my neck. Low energy the next day. Took a nap in pm. Then felt great.

2021-03-31

Systemic reaction (other): Headache last 2 nights

Release 8 — day 35, dose 2

2021-04-29

Symptoms: Mild sore throat. Not covid, tested. Was not able to work 1 day until test result. following protocals.

Release 9 — 6 months, dose 2

2021-09-23

Symptoms: I had a minor sore throat and some nasal activity and a slight cough a few weeks ago. Tested negative.

Release 11 — 12 months, dose 2

2022-03-25

Symptoms: Had covid in January, just got Tick borne Lyme disease.

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	COVID-19	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Lyme disease	·	·	✓
SD	Nasal disorder	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Wheezing	✓	✓	✓

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