2Y3-23856-65465

2 vaccinations 11 coded responses 24 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 984 / WA
Registered: 2021-01-31

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

2021-01-31
Registered in v-safe
2021-01-31
Dose 1 — Moderna
2021-01-31
Survey response — day 0, dose 1
MedDRA: Ear pain — Feeling: Good · Site: Pain

Free text: Shooting pain in ear on side I got the shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain — Feeling: Fair · Site: Pain, Swelling · Joint pains

Free text: Ear ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-16
Survey response — day 14, dose 1
MedDRA: Cough, Headache, Pain, Pruritus — Feeling: Fair

Free text: Headache and mild itchy cough with body aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-28
Dose 2 — Moderna
2021-02-28
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Vertigo — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Sensation of swirling and light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lymph node swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache

Free text: Swollen lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Oropharyngeal pain — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Sore throat and sore lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — day 7, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Lymph node swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-21
Health check-in — day 21, dose 2
Feeling: Good

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

Adult check-in
2021-04-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-30
Survey response — 3 months, dose 2
MedDRA: Headache, Myalgia, Pain, Pyrexia, Tachycardia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: I'm feeling the same body aches, muscle tenseness, off/on fever, tachycardia and head throbbing that I felt right after the second vaccination. I've only felt this strange illness since getting the vaccination.This is reoccurring 3 months afterward.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-29
Survey response — 6 months, dose 2
MedDRA: Vertigo positional — 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 · Outpatient clinic or urgent care clinic visit

Free text: Benign positional vertigo.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-29
Report sent to call center — 6 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)
2021-12-14
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-28
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-31	Moderna
2	2021-02-28	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 3 — day 0, dose 1

2021-01-31

Systemic reaction (other): Shooting pain in ear on side I got the shot.

Release 3 — days 1–6 daily, dose 1

2021-02-01

Systemic reaction (other): Ear ache

Release 4 — day 14, dose 1

2021-02-16

Symptoms: Headache and mild itchy cough with body aches

Release 4 — days 1–6 daily, dose 2

2021-03-01

Systemic reaction (other): Sensation of swirling and light headed

2021-03-02

Systemic reaction (other): Light headed

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): Lymph node swelling

2021-03-05

Systemic reaction (other): Swollen lymph nodes

2021-03-06

Systemic reaction (other): Sore throat and sore lymph nodes

Release 5 — day 7, dose 2

2021-03-07

Systemic reaction (other): Lymph node swelling

Release 8 — 3 months, dose 2

2021-05-30

Symptoms: I'm feeling the same body aches, muscle tenseness, off/on fever, tachycardia and head throbbing that I felt right after the second vaccination. I've only felt this strange illness since getting the vaccination.This is reoccurring 3 months afterward. cut off by CDC

Release 9 — 6 months, dose 2

2021-08-29

Symptoms: Benign positional vertigo.

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	Cough	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Tachycardia	✓	✓	✓
SD	Vertigo positional	✓	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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