32G-21397-96169

2 vaccinations 7 coded responses 22 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 686 / NE
Registered: 2021-01-05

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

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

2021-01-05
Registered in v-safe
2021-01-05
Dose 1 — Moderna
2021-01-05
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-10
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-11
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea — Feeling: Good

Free text: Runny nose like allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Survey response — day 7, dose 1
MedDRA: Eye pruritus, Rhinorrhoea — Feeling: Good

Free text: Allergies slight runny nose, itchy eyes in morning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-26
Survey response — day 21, dose 1
MedDRA: Fatigue — Feeling: Poor

Free text: I am good this wk but just wanted to say last week I was just really tired and drained And I didn't put that in my comments

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Dose 2 — Moderna
2021-02-02
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-03
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Felt like i was shaking but i wasn't and I wasn't cold

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-23
Survey response — day 21, dose 2
MedDRA: Nausea — Feeling: Good · Be unable to do your normal daily activities

Free text: Nauseous one night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-13
Survey response — day 35, dose 2
MedDRA: Unevaluable event, Visual acuity reduced — Feeling: Fair · 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: Symptoms: Since my shot it seems like my eyesight has been getting worse I used to be able to do monovision and now I have a hard time reading with either eye I need my reading glasses which I didn't need for a few years and I had just got my eyes checked in J · Healthcare visit (other): I haven't gone to the eye doctor again but I'm thinking I need to get it checked out

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-16
Survey response — day 42, dose 2
MedDRA: Fatigue, Unevaluable event, Visual impairment — Feeling: Poor · 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: Symptoms: Seems like with 8 hours of sleep I'm still tired I don't know if that's from covet and just always tired and my eyesight has gotten worse I can't see as well as I could before and I had a checkup right in January I I think it's getting worse · Healthcare visit (other): I made an appointment to go to the eye doctor but it's in April

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-29
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-05	Moderna
2	2021-02-02	Moderna

Call center

3 call center cases

2 unsuccessful · 1 priority 2/3 (triaged and no follow up)

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-11

Systemic reaction (other): Runny nose like allergies

Release 1 — day 7, dose 1

2021-01-12

Systemic reaction (other): Allergies slight runny nose, itchy eyes in morning

Release 2 — day 21, dose 1

2021-01-26

Symptoms: I am good this wk but just wanted to say last week I was just really tired and drained And I didn't put that in my comments

Release 3 — days 1–6 daily, dose 2

2021-02-03

Systemic reaction (other): Felt like i was shaking but i wasn't and I wasn't cold

Release 4 — day 21, dose 2

2021-02-23

Symptoms: Nauseous one night

Release 5 — day 35, dose 2

2021-03-13

Symptoms: Since my shot it seems like my eyesight has been getting worse I used to be able to do monovision and now I have a hard time reading with either eye I need my reading glasses which I didn't need for a few years and I had just got my eyes checked in J cut off by CDC

Healthcare visit (other): I haven't gone to the eye doctor again but I'm thinking I need to get it checked out

Release 5 — day 42, dose 2

2021-03-16

Symptoms: Seems like with 8 hours of sleep I'm still tired I don't know if that's from covet and just always tired and my eyesight has gotten worse I can't see as well as I could before and I had a checkup right in January I I think it's getting worse

Healthcare visit (other): I made an appointment to go to the eye doctor but it's in April

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	Unevaluable event	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Visual acuity reduced	✓	✓	✓
SD	Visual impairment	✓	✓	✓
SRO	Eye pruritus	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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