2XR-48085-99251

3 vaccinations 8 coded responses 27 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 497 / MI
Registered: 2021-03-17

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

F3D-33075-87038 Child or adolescent in my care · Male · 2021-11-10

Timeline

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

2021-03-16
Dose 1 — Moderna
2021-03-17
Registered in v-safe
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Migraine — Feeling: Good · Site: Pain · Headache · Be unable to do your normal daily activities

Free text: I have chronic migraines, so the migraine could be unrelated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-13
Dose 2 — Moderna
2021-04-13
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Migraine, Pre-existing disease — Feeling: Good · Site: Pain · Headache

Free text: I had a migraine over night, but that is also extremely normal for me. I am on my period and I get migraines at that time. My migraine rescue med worked.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Fair · Site: Pain, Redness, Swelling · Rash, not including the immediate area around the injection site

Free text: I have been getting a similar rash when I exercise, bit it is worse than it normally is.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Good · Site: Pain, Redness, Swelling · Rash, not including the immediate area around the injection site

Free text: Same rash as yesterday, but it isn't as severe.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-09
Dose 3 — Moderna
Co-administered: Flu
2021-11-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-12-03
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-07
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-16
Survey response — day 35, dose 3
MedDRA: Pain in extremity, Parosmia, Sinusitis, Taste disorder — Feeling: Good

Free text: Sinus infection, and my arms had been better, but both have been sore similar to how they were sore after my covid and flu injections, except it doesn't last long. Also, I have noticed an increase on my sense of taste and smell.

MedDRA releases: 2024-11 · check-in free text available
2021-12-21
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-08
Survey response — 3 months, dose 3
MedDRA: Nasopharyngitis, SARS-CoV-2 test negative, Self-medication, Sinusitis — Feeling: Good · Be unable to do your normal daily activities

Free text: I had cold and sinus infection symptoms a little over a month ago and a few weeks before that. I had a negative home covid test and 2 negative PCR tests (one PCR test each time I felt sick). Symptoms resolved on their own with OTC cold meds

MedDRA releases: 2024-11 · check-in free text available
2022-05-13
Survey response — 6 months, dose 3
MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Head cold.

MedDRA releases: 2024-11 · check-in free text available
2022-11-12
Survey response — 12 months, dose 3
MedDRA: COVID-19 — 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 · Telehealth, virtual health, or email health consultation

Free text: I had covid

MedDRA releases: 2024-11 · check-in free text available
2022-11-12
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-11-14
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Moderna
2	2021-04-13	Moderna
3	2021-11-09	Moderna	Flu

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-18

Systemic reaction (other): I have chronic migraines, so the migraine could be unrelated

Release 7 — days 1–6 daily, dose 2

2021-04-14

Systemic reaction (other): I had a migraine over night, but that is also extremely normal for me. I am on my period and I get migraines at that time. My migraine rescue med worked.

2021-04-15

Systemic reaction (other): I have been getting a similar rash when I exercise, bit it is worse than it normally is.

2021-04-16

Systemic reaction (other): Same rash as yesterday, but it isn't as severe.

Release 10 — day 35, dose 3

2021-12-16

Symptoms: Sinus infection, and my arms had been better, but both have been sore similar to how they were sore after my covid and flu injections, except it doesn't last long. Also, I have noticed an increase on my sense of taste and smell.

Release 11 — 3 months, dose 3

2022-02-08

Symptoms: I had cold and sinus infection symptoms a little over a month ago and a few weeks before that. I had a negative home covid test and 2 negative PCR tests (one PCR test each time I felt sick). Symptoms resolved on their own with OTC cold meds

Release 11 — 6 months, dose 3

2022-05-13

Symptoms: Head cold.

Release 12 — 12 months, dose 3

2022-11-12

Symptoms: I had covid

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	COVID-19	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Parosmia	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Self-medication	·	·	✓
SD	Sinusitis	·	·	✓
SD	Taste disorder	·	·	✓
SRO	Migraine	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rash	✓	✓	✓

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