2QH-51339-30254

4 vaccinations 18 coded responses 45 check-ins 17 free-text entries 4 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 120 / NY
Registered: 2021-01-22

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

2021-01-22
Registered in v-safe
2021-01-22
Dose 1 — Moderna
2021-01-22
Survey response — day 0, dose 1
MedDRA: Fatigue, Hypoaesthesia — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: A little numbness in the arm where the vaccine was given. A bit tired but that could normal Friday night stuff!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Headache — Feeling: Fair · Chills, Headache · Be unable to do your normal daily activities

Free text: I believe the headache was related to my menstrual cycle which led to the chills which were brief.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Fair · Headache

Free text: Headache may not be related...

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — day 7, dose 1
MedDRA: Headache — Feeling: Good · Headache

Free text: Headache is lingering from yesterday. Still could be menstrual related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — day 14, dose 1
MedDRA: Diarrhoea — Feeling: Good · Be unable to work

Free text: I had a bad bout of diarrhea about 10 days after vaccination. Not sure if it had anything to do with it or if it was unrelated. It didnt persist.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — day 21, dose 1
MedDRA: Oropharyngeal pain, Throat irritation — Feeling: Fair

Free text: Little bit of a sore throat/scratchy throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Dose 2 — Moderna
2021-02-19
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Poor · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Also menstruating so very crampy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness

Adult check-in
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Vertigo — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Vertigo. Also, the headache today may be related to menses.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-26
Survey response — day 7, dose 2
MedDRA: Headache — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: The headache was last night after I had submitted yesterdays report.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Report sent to call center — day 7, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-05
Survey response — day 14, dose 2
MedDRA: Muscle tightness, Pain in extremity, Paraesthesia, Peripheral swelling — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: I had what appeared to be something going on with a blood vessel in my hand that resulted in a bump on my hand that was swollen and painful. I also had some tingling/swollen feeling/tightness/achiness in my lower arm afterwards.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-21
Survey response — 3 months, dose 2
MedDRA: Neck pain, Oropharyngeal pain — Feeling: Good

Free text: Sore neck.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-02
Dose 3 — Moderna
2021-11-02
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-11-05
Survey response — days 1–6 daily, dose 3
MedDRA: Epistaxis, Headache, Paranasal sinus discomfort — Feeling: Good · Site: Pain · Headache

Free text: Headache was only later in the day. Sinus pressure. Bloody nose at night.

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Survey response — days 1–6 daily, dose 3
MedDRA: Headache — Feeling: Good · Headache

Free text: Headache could be PMS related

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Fair · Headache · Be unable to do your normal daily activities

Free text: Likely PMS related

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Survey response — days 1–6 daily, dose 3
MedDRA: Nasal congestion, Sinus congestion — Feeling: Fair · Fatigue or tiredness · Be unable to work or attend school

Free text: Stuffy nose/sinuses

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Survey response — day 7, dose 3
MedDRA: Sinus congestion — Feeling: Good

Free text: Sinuses are stuffy

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-23
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-27
Call 2 — Left Voicemail
2021-11-30
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-07
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-01
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-03
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-25
Dose 4 — Pfizer-BioNTech
2022-12-17
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-12-26
Survey response — day 28, dose 4
MedDRA: Eye infection, Sinusitis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Sinus infection and eye infection

MedDRA releases: 2024-11 · check-in free text available
2022-12-26
Report sent to call center — day 28, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-12-28
Call 2 — Left Voicemail
2022-12-28
Call 3 — Left Voicemail
2022-12-28
Call 2 — Could Not Reach Participant
2022-12-30
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2023-01-07
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-05-28
Survey response — 6 months, dose 4
MedDRA: Hypertension, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-05-28
Call case (no matching report) — Unsuccessful
2023-05-30
Call 1 — Left Voicemail
2023-05-30
Call 1 — Left Voicemail
2023-05-30
Call 1 — Left Voicemail
2023-05-30
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna
2	2021-02-19	Moderna
3	2021-11-02	Moderna	No
4	2022-11-25	Pfizer-BioNTech	No

Call center

4 call center cases

4 unsuccessful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-22

Systemic reaction (other): A little numbness in the arm where the vaccine was given. A bit tired but that could normal Friday night stuff!

Release 2 — days 1–6 daily, dose 1

2021-01-26

Systemic reaction (other): I believe the headache was related to my menstrual cycle which led to the chills which were brief.

Release 3 — days 1–6 daily, dose 1

2021-01-28

Systemic reaction (other): Headache may not be related...

Release 3 — day 7, dose 1

2021-01-29

Systemic reaction (other): Headache is lingering from yesterday. Still could be menstrual related.

Release 3 — day 14, dose 1

2021-02-05

Symptoms: I had a bad bout of diarrhea about 10 days after vaccination. Not sure if it had anything to do with it or if it was unrelated. It didnt persist.

Release 4 — day 21, dose 1

2021-02-12

Symptoms: Little bit of a sore throat/scratchy throat

Release 4 — days 1–6 daily, dose 2

2021-02-20

Systemic reaction (other): Also menstruating so very crampy

2021-02-23

Systemic reaction (other): Vertigo. Also, the headache today may be related to menses.

Release 4 — day 7, dose 2

2021-02-26

Systemic reaction (other): The headache was last night after I had submitted yesterdays report.

Release 5 — day 14, dose 2

2021-03-05

Symptoms: I had what appeared to be something going on with a blood vessel in my hand that resulted in a bump on my hand that was swollen and painful. I also had some tingling/swollen feeling/tightness/achiness in my lower arm afterwards.

Release 8 — 3 months, dose 2

2021-05-21

Symptoms: Sore neck.

Release 10 — days 1–6 daily, dose 3

2021-11-05

Systemic reaction (other): Headache was only later in the day. Sinus pressure. Bloody nose at night.

2021-11-06

Systemic reaction (other): Headache could be PMS related

2021-11-07

Systemic reaction (other): Likely PMS related

2021-11-08

Systemic reaction (other): Stuffy nose/sinuses

Release 10 — day 7, dose 3

2021-11-11

Systemic reaction (other): Sinuses are stuffy

Release 12 — day 28, dose 4

2022-12-26

Symptoms: Sinus infection and eye infection

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	Office visit	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Eye infection	·	·	✓
SD	Hypertension	·	·	✓
SD	Muscle tightness	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Sinusitis	·	·	✓
SD	Throat irritation	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Epistaxis	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Nasal congestion	·	·	✓
SRO	Paranasal sinus discomfort	·	·	✓
SRO	Sinus congestion	·	·	✓
SRO	Unevaluable event	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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