37U-15352-66188

3 vaccinations 6 coded responses 20 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 334 / FL
Registered: 2020-12-31

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

2020-12-31
Registered in v-safe
2020-12-31
Dose 1 — Moderna
2020-12-31
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

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

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-07
Survey response — day 7, dose 1
MedDRA: Migraine, Pre-existing disease — Feeling: Good · Headache

Free text: Migraine in morning - already have migraine condition

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

Adult check-in
2021-01-21
Survey response — day 21, dose 1
MedDRA: Migraine — Feeling: Fair

Free text: Migraine today. Already have a migraine condition.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Dose 2 — Moderna
2021-02-03
Survey response — days 1–6 daily, dose 2
MedDRA: Migraine, Vomiting — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Severe migraine and vomiting yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — day 7, dose 2
MedDRA: Chills, Pain, Pyrexia — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches

Free text: Had 2 days of symptoms (101.8 fever, chills, aches) post-vaccine that werent reported bc my 2nd dose wasnt registered.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-29
Survey response — 6 months, dose 2
MedDRA: Fatigue, Nasal congestion, Oropharyngeal pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Stuffy nose, sore throat, tired

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-29
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-10
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-10-29
Dose 3 — Moderna
2022-01-30
Survey response — 12 months, dose 2
MedDRA: Ageusia, Anosmia, Back pain, Cough, Headache, Oropharyngeal pain, Pain, Paranasal sinus discomfort, Pyrexia, Respiratory tract congestion, Sinus pain, Sneezing — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Symptoms since 1/25: Deep and reoccurring cough, Fever, Sore throat, Chest congestion, Upper back pain, Body aches, Headache, Sneezing, Sinus pain/pressure, Loss of smell, Loss of taste

MedDRA releases: 2024-11 · check-in free text available
2022-01-30
Report sent to call center — 12 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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-01
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-31	Moderna
2	2021-01-28	Moderna
3	2021-10-29	Moderna	No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 1 — day 7, dose 1

2021-01-07

Systemic reaction (other): Migraine in morning - already have migraine condition

Release 2 — day 21, dose 1

2021-01-21

Symptoms: Migraine today. Already have a migraine condition.

Release 3 — days 1–6 daily, dose 2

2021-02-03

Systemic reaction (other): Severe migraine and vomiting yesterday

Release 3 — day 7, dose 2

2021-02-04

Systemic reaction (other): Had 2 days of symptoms (101.8 fever, chills, aches) post-vaccine that werent reported bc my 2nd dose wasnt registered.

Release 9 — 6 months, dose 2

2021-07-29

Symptoms: Stuffy nose, sore throat, tired

Release 11 — 12 months, dose 2

2022-01-30

Symptoms: Symptoms since 1/25: Deep and reoccurring cough, Fever, Sore throat, Chest congestion, Upper back pain, Body aches, Headache, Sneezing, Sinus pain/pressure, Loss of smell, Loss of taste

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	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	Back pain	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	✓	·	✓
SD	Headache	·	·	✓
SD	Migraine	✓	✓	✓
SD	Nasal congestion	✓	·	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pain	·	·	✓
SD	Paranasal sinus discomfort	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sinus pain	·	·	✓
SD	Sneezing	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Vomiting	✓	✓	✓

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