2SD-23210-90899

2 vaccinations 10 coded responses 24 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 799 / TX
Registered: 2021-04-17

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-04-17
Registered in v-safe
2021-04-17
Dose 1 — Moderna
2021-04-17
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-19
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea, Sneezing — Feeling: Good · Fatigue or tiredness

Free text: Running nose, sneezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-26
Survey response — day 7, dose 1
MedDRA: Pain in extremity, Rhinorrhoea, Sneezing — Feeling: Fair · Be unable to do your normal daily activities

Free text: Running nose, sneezing, pain on my right foot under palm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-08
Survey response — day 21, dose 1
MedDRA: Dehydration, Fatigue, Headache, Migraine, Nausea, Oropharyngeal pain, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Strong Migraine Headaches for 3 days, nausea, tired, fever, sore throat and feel dehydrated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Dose 2 — Moderna
2021-05-15
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-16
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Feel so weak

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Feel weak

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-05-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-24
Survey response — day 7, dose 2
MedDRA: Fatigue — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: So tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Survey response — day 14, dose 2
MedDRA: Asthenia, Headache, Impaired work ability, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, Tachycardia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Tachycardia, sore throat, congestion, weakness, headache, lil fever was unable to report for work today 05-29-21

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Survey response — day 21, dose 2
MedDRA: Asthenia, Headache — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Severe headache, feel weak

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-13
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-28
Survey response — day 42, dose 2
MedDRA: Asthenia, Dizziness, Migraine, Nausea, Oropharyngeal pain, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Migraine attack, fever , felt weak , dizzy , nausea , sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-14
Survey response — 3 months, dose 2
MedDRA: Asthenia, Back pain, Headache, Hypotension, Pyrexia, Vision blurred — Feeling: Fair · 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: Fever, low blood pressure, severe headaches, felt very weak, blurred vision, back pain.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-14
Report sent to call center — 3 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

1 call case(s)
2021-08-22
Call 1 — Left Voicemail
2021-08-25
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-11-13
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-17	Moderna
2	2021-05-15	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-19

Systemic reaction (other): Running nose, sneezing

Release 8 — day 7, dose 1

2021-04-26

Systemic reaction (other): Running nose, sneezing, pain on my right foot under palm

Release 8 — day 21, dose 1

2021-05-08

Symptoms: Strong Migraine Headaches for 3 days, nausea, tired, fever, sore throat and feel dehydrated

Release 8 — days 1–6 daily, dose 2

2021-05-16

Systemic reaction (other): Feel so weak

2021-05-17

Systemic reaction (other): Feel weak

Release 8 — day 7, dose 2

2021-05-24

Systemic reaction (other): So tired

Release 8 — day 14, dose 2

2021-05-29

Symptoms: Tachycardia, sore throat, congestion, weakness, headache, lil fever was unable to report for work today 05-29-21

Release 8 — day 21, dose 2

2021-06-07

Symptoms: Severe headache, feel weak

Release 9 — day 42, dose 2

2021-06-28

Symptoms: Migraine attack, fever , felt weak , dizzy , nausea , sore throat

Release 9 — 3 months, dose 2

2021-08-14

Symptoms: Fever, low blood pressure, severe headaches, felt very weak, blurred vision, back pain.

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	Asthenia	✓	✓	✓
SD	Back pain	✓	·	✓
SD	Dehydration	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypotension	✓	·	✓
SD	Impaired work ability	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Tachycardia	✓	✓	✓
SD	Vision blurred	✓	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sneezing	✓	✓	✓

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