2XF-21383-59567

2 vaccinations 19 coded responses 24 check-ins 19 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 967 / HI
Registered: 2021-03-03

Relationship: Self
Race: Native Hawaiian or other Pacific Islander
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-03
Registered in v-safe
2021-03-04
Dose 1 — Moderna
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion — Feeling: Fair · Site: Pain · Headache

Free text: Stuffy nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion — Feeling: Fair · Site: Pain · Headache

Free text: Stuffy nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion — Feeling: Good · Fatigue or tiredness

Free text: Stuffy Nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion — Feeling: Fair · Fever · Headache, Joint pains

Free text: Stuffy Nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Stuffy Nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — day 7, dose 1
MedDRA: Nasal congestion — Feeling: Good · Muscle or body aches

Free text: Stuffy nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — day 14, dose 1
MedDRA: Paranasal sinus discomfort — Feeling: Good

Free text: Sinus pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-01
Dose 2 — Moderna
2021-04-01
Health check-in — day 0, dose 2
Feeling: Fair · Nausea

Adult check-in
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Paranasal sinus discomfort, Rhinorrhoea — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Cough, running nose, sinus pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Dyspnoea, Nasal congestion, Sinus disorder — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Sinus, stuffy nose pain in the back by lungs or shoulder blade area, hard to breath with a stuffy nose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Nasal congestion, Sinus disorder — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Sinus, stuffy nose, back pain (shoulder blade area)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Axillary pain, Back pain, Nasal congestion, Sinus pain — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Sinus pain, stuffy nose and pain in the back by the shoulder blades, also my arm pit hurts.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Musculoskeletal pain, Nasal congestion, Paranasal sinus discomfort, Pulmonary pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Sinus pressure , stuffy nose, and slight pain in the back by shoulder blades feel like the back part of my lungs. Sometimes hard to breathe.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Nasal congestion, Paranasal sinus discomfort — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Sinus pressure, stuffy nose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — day 7, dose 2
MedDRA: Nasal congestion, Sinus disorder — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Sinus and stuffy nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — day 14, dose 2
MedDRA: Headache, Rhinorrhoea — Feeling: Fair

Free text: The headache and sinus running nose still haven't gone away.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 21, dose 2
MedDRA: Paranasal sinus inflammation, Rhinorrhoea — Feeling: Good

Free text: Sinus inflammation and runny nose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-06
Survey response — day 35, dose 2
MedDRA: Chills, Nasal congestion, Nasopharyngitis, Oropharyngeal pain, Pyrexia — Feeling: Fair

Free text: I have a cold, stuffy nose sore throat but tolerable slight fever and chills

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — day 42, dose 2
MedDRA: Headache, Nasal congestion, Sinus disorder — Feeling: Good

Free text: Still stuffy nose, my sinuses and headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-30
Survey response — 6 months, dose 2
MedDRA: Migraine, Paranasal sinus discomfort, Rhinorrhoea — Feeling: Fair

Free text: Constant sinus pressure, nose running, sometimes migraines

MedDRA releases: 2024-11 · check-in free text available
2022-04-01
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-04	Moderna
2	2021-04-01	Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-06

Systemic reaction (other): Stuffy nose

2021-03-07

Systemic reaction (other): Stuffy nose

2021-03-08

Systemic reaction (other): Stuffy Nose

2021-03-09

Systemic reaction (other): Stuffy Nose

2021-03-10

Systemic reaction (other): Stuffy Nose

Release 5 — day 7, dose 1

2021-03-11

Systemic reaction (other): Stuffy nose

Release 5 — day 14, dose 1

2021-03-18

Symptoms: Sinus pressure

Release 6 — days 1–6 daily, dose 2

2021-04-02

Systemic reaction (other): Cough, running nose, sinus pressure

2021-04-03

Systemic reaction (other): Sinus, stuffy nose pain in the back by lungs or shoulder blade area, hard to breath with a stuffy nose.

2021-04-04

Systemic reaction (other): Sinus, stuffy nose, back pain (shoulder blade area)

2021-04-05

Systemic reaction (other): Sinus pain, stuffy nose and pain in the back by the shoulder blades, also my arm pit hurts.

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Sinus pressure , stuffy nose, and slight pain in the back by shoulder blades feel like the back part of my lungs. Sometimes hard to breathe.

2021-04-07

Systemic reaction (other): Sinus pressure, stuffy nose.

Release 7 — day 7, dose 2

2021-04-08

Systemic reaction (other): Sinus and stuffy nose

Release 7 — day 14, dose 2

2021-04-15

Symptoms: The headache and sinus running nose still haven't gone away.

Release 7 — day 21, dose 2

2021-04-22

Symptoms: Sinus inflammation and runny nose.

Release 8 — day 35, dose 2

2021-05-06

Symptoms: I have a cold, stuffy nose sore throat but tolerable slight fever and chills

Release 8 — day 42, dose 2

2021-05-13

Symptoms: Still stuffy nose, my sinuses and headache

Release 9 — 6 months, dose 2

2021-09-30

Symptoms: Constant sinus pressure, nose running, sometimes migraines

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	Headache	✓	✓	✓
SD	Migraine	·	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Paranasal sinus discomfort	✓	✓	✓
SD	Paranasal sinus inflammation	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sinus disorder	✓	✓	✓
SRO	Arthralgia	✓	✓	○
SRO	Axillary pain	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Musculoskeletal pain	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Paranasal sinus discomfort	✓	✓	✓
SRO	Pulmonary pain	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sinus disorder	✓	✓	✓
SRO	Sinus pain	✓	✓	✓

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