32W-68303-47565

3 vaccinations 7 coded responses 28 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 891 / NV
Registered: 2021-02-12

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

2021-02-12
Registered in v-safe
2021-02-12
Dose 1 — Moderna
2021-02-12
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Fair · Headache, Muscle or body aches

Free text: Mainly a bad headache at the base of my neck. I took one 200 mg over the-counter Motrin an it eased it up, So I will rate it as mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Rash — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Just a little bit fatigued, and I developed a slight rash on my cheeks, which I never had before

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Rash — Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Just a little bit fatigued, and rash is disappearing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-19
Survey response — day 7, dose 1
MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: The rash on my face, which I thought was going away has gotten a little worse. Theres no pain or itching, its just there

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-12
Dose 2 — Moderna
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Back pain, Headache, Pain in extremity — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Headache is on the base of my neck, very bad, lots of joint pain in lower back hips knees hands and feet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-19
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-16
Pregnancy registry survey
Not pregnant at or since vaccination ·
2021-04-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-10
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-18
Dose 3 — Moderna
2022-03-12
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-19
Survey response — 3 months, dose 3
MedDRA: Epistaxis, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Nose bleeds · Healthcare visit (other): ENT

MedDRA releases: 2024-11 · check-in free text available
2022-04-19
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-21
Call 2 — Left Voicemail
2022-07-19
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2023-01-18
Survey response — 12 months, dose 3
MedDRA: Bronchitis, COVID-19, Cough, Medical counselling, Office visit — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-01-18
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

1 call case(s)
2023-01-19
Call 1 — Left Voicemail
2023-01-19
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-12	Moderna
2	2021-03-12	Moderna
3	2022-01-18	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-15

Systemic reaction (other): Mainly a bad headache at the base of my neck. I took one 200 mg over the-counter Motrin an it eased it up, So I will rate it as mild

2021-02-16

Systemic reaction (other): Just a little bit fatigued, and I developed a slight rash on my cheeks, which I never had before

2021-02-17

Systemic reaction (other): Just a little bit fatigued, and rash is disappearing

Release 4 — day 7, dose 1

2021-02-19

Systemic reaction (other): The rash on my face, which I thought was going away has gotten a little worse. Theres no pain or itching, its just there

Release 5 — days 1–6 daily, dose 2

2021-03-13

Systemic reaction (other): Headache is on the base of my neck, very bad, lots of joint pain in lower back hips knees hands and feet

Release 11 — 3 months, dose 3

2022-04-19

Symptoms: Nose bleeds

Healthcare visit (other): ENT

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	Medical counselling	·	·	✓
HCVO	Office visit	·	·	✓
SD	Bronchitis	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Epistaxis	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Rash	✓	✓	✓

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