36X-25234-69910

2 vaccinations 8 coded responses 19 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 450 / OH
Registered: 2020-12-24

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2020-12-24
Registered in v-safe
2020-12-24
Dose 1 — Moderna
2020-12-24
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2020-12-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2020-12-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Diarrhea

Adult check-in
2020-12-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2020-12-28
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion, Sneezing, Tonsillar hypertrophy — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Congestion, sore throat, dry cough, swollen right tinsel, sneezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-29
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea, Sneezing, Tonsillar hypertrophy — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Congestion, dry cough, sneezing, runny nose, swollen right tonsil

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Survey response — days 1–6 daily, dose 1
MedDRA: Parosmia, Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Congestion, runny nose, sneezing, I keep smelling a burning smell off & on

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-31
Survey response — day 7, dose 1
MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Dry cough, congestion, runny nose, sneezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-01-16
Survey response — day 21, dose 1
MedDRA: Abdominal pain, Arthralgia, Back pain, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Scattered abdominal lightning pain. Sharp pains in my hands, arms & lower legs. Throbbing in bilateral anterior elbows, mainly the right. Mid-back pain, like a large bruise type pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-21
Dose 2 — Moderna
2021-01-28
Survey response — day 7, dose 2
MedDRA: Skin sensitisation — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Free text: My skin has been really sensitive like one giant bruise

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-04
Survey response — day 42, dose 2
MedDRA: Abdominal pain — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Ive been having abdominal pain for several months now in my URQ & ULQ and I now have an appointment with a GI specialist.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
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)
2021-03-16
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-04-22
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-07-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-25
Call 1 — Left Voicemail
2022-01-21
Survey response — 12 months, dose 2
MedDRA: Cough, Migraine, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: Fair · Be unable to work or attend school

Free text: Cough, sneezing, runny nose, sore throat, migraines, congestion

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-24	Moderna
2	2021-01-21	Moderna

Call center

2 call center cases

1 successful · 1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-28

Systemic reaction (other): Congestion, sore throat, dry cough, swollen right tinsel, sneezing

2020-12-29

Systemic reaction (other): Congestion, dry cough, sneezing, runny nose, swollen right tonsil

2020-12-30

Systemic reaction (other): Congestion, runny nose, sneezing, I keep smelling a burning smell off & on

Release 1 — day 7, dose 1

2020-12-31

Systemic reaction (other): Dry cough, congestion, runny nose, sneezing

Release 2 — day 21, dose 1

2021-01-16

Symptoms: Scattered abdominal lightning pain. Sharp pains in my hands, arms & lower legs. Throbbing in bilateral anterior elbows, mainly the right. Mid-back pain, like a large bruise type pain.

Release 2 — day 7, dose 2

2021-01-28

Systemic reaction (other): My skin has been really sensitive like one giant bruise

Release 5 — day 42, dose 2

2021-03-04

Symptoms: Ive been having abdominal pain for several months now in my URQ & ULQ and I now have an appointment with a GI specialist.

Release 11 — 12 months, dose 2

2022-01-21

Symptoms: Cough, sneezing, runny nose, sore throat, migraines, congestion

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	Abdominal pain	✓	✓	✓
SD	Arthralgia	✓	·	✓
SD	Back pain	✓	✓	✓
SD	Cough	·	·	✓
SD	Migraine	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sneezing	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Parosmia	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Skin sensitisation	✓	✓	✓
SRO	Sneezing	✓	✓	✓
SRO	Tonsillar hypertrophy	✓	✓	✓

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