2U5-25270-26322

2 vaccinations 6 coded responses 27 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 680 / NE
Registered: 2021-01-08

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

2021-01-08
Registered in v-safe
2021-01-08
Dose 1 — Moderna
2021-01-08
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-15
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-29
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-05
Survey response — day 28, dose 1
MedDRA: Inflammatory marker increased — Feeling: Fair

Free text: I have had increased inflammation and have been going to the chiropractor frequently since my first vaccination. The timeframe for this increase has been tracked to line up exactly with the timeframe I received my first shot. I have also been very

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-02-18
Dose 2 — Moderna
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: Dry eye — Feeling: Good

Free text: Dry eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Dry eye, Eye pain, Vision blurred — Feeling: Good · Muscle or body aches

Free text: Extremely dry and sore eyes causing slightly blurred vision

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 — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-04
Survey response — day 14, dose 2
MedDRA: Diarrhoea, Headache, Office visit, Pain in jaw, Sinusitis — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Headache, jaw pain, sinus infection, mild diahrrea · Healthcare visit (other): Seen at medical clinic during regular business hours

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Report sent to call center — day 14, 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)
2021-03-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-18
Survey response — day 28, dose 2
MedDRA: Inflammation — Feeling: Fair

Free text: Inflammation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-20
Survey response — 3 months, dose 2
MedDRA: Pre-existing disease, Sinusitis — Feeling: Good · Be unable to work, 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: Severe allergies and severe sinus infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Report sent to call center — 3 months, 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)
2021-08-19
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-01-22
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-18
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-08	Moderna
2	2021-02-18	Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 3 — day 28, dose 1

2021-02-05

Symptoms: I have had increased inflammation and have been going to the chiropractor frequently since my first vaccination. The timeframe for this increase has been tracked to line up exactly with the timeframe I received my first shot. I have also been very cut off by CDC

Release 4 — days 1–6 daily, dose 2

2021-02-22

Systemic reaction (other): Dry eyes

2021-02-23

Systemic reaction (other): Extremely dry and sore eyes causing slightly blurred vision

Release 5 — day 14, dose 2

2021-03-04

Symptoms: Headache, jaw pain, sinus infection, mild diahrrea

Healthcare visit (other): Seen at medical clinic during regular business hours

Release 5 — day 28, dose 2

2021-03-18

Symptoms: Inflammation

Release 8 — 3 months, dose 2

2021-05-20

Symptoms: Severe allergies and severe sinus 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	Headache	✓	✓	✓
SD	Inflammation	✓	✓	✓
SD	Inflammatory marker increased	✓	✓	✓
SD	Pain in jaw	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SRO	Dry eye	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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