3NN-32827-21805

2 vaccinations 8 coded responses 22 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 791 / TX
Registered: 2021-02-01

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

2021-02-01
Registered in v-safe
2021-02-01
Dose 1 — Moderna
2021-02-01
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-03
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Stress — Feeling: Good · Headache

Free text: Note: stress at work and not drink enough water probably reason for headache.

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

Free text: Right side of my body aches. Hurt also on 2nd day, but not yesterday. Same side as the shot in my arm. Weird.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-08
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-01
Dose 2 — Moderna
2021-03-01
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

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

Free text: Neurological- has jacked w my brain! Weird dreams, woozy and disconnected feeling, lets not even discuss almost leaving the house with my 16-year old, uh Mom you might want to put on dome pants? Really??!! Wtf?

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: Autoscopy, Fatigue — Feeling: Fair · Site: Pain, Itching · Fever · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: The out of body feeling is gone. Worked 3 hours and came practically cross-eyed from fatigue.

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: Feeling abnormal — Feeling: Fair · Be unable to do your normal daily activities

Free text: Neurological- brain fog issues. This may make funny reading. Drove all the way to work today 46Â° felt like 32Â°...barefoot!! Didnt notice until I stepped onto the carpet at work. This is not normal.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-10
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-22
Survey response — day 21, dose 2
MedDRA: Nephrolithiasis, Renal pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Have a kidney stone on the move. It is very painful. Would describe this as unrelated to the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-31
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-30
Survey response — 6 months, dose 2
MedDRA: Bronchitis, Herpes zoster — 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 · Outpatient clinic or urgent care clinic visit

Free text: Bronchitis about 7/25Shingles started 8/10

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-30
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)
2021-09-02
Call 1 — Left Voicemail
2022-03-01
Survey response — 12 months, dose 2
MedDRA: Bronchitis, Office visit, SARS-CoV-2 test negative — 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

Free text: Symptoms: Bronchitis over and over. 9 Covid tests since 2020 all negative! Good news there. · Healthcare visit (other): Doctor's inpatient at office

MedDRA releases: 2024-11 · check-in free text available
2022-03-01
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

1 call case(s)
2022-03-02
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-01	Moderna
2	2021-03-01	Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-03

Systemic reaction (other): Note: stress at work and not drink enough water probably reason for headache.

2021-02-04

Systemic reaction (other): Right side of my body aches. Hurt also on 2nd day, but not yesterday. Same side as the shot in my arm. Weird.

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Neurological- has jacked w my brain! Weird dreams, woozy and disconnected feeling, lets not even discuss almost leaving the house with my 16-year old, uh Mom you might want to put on dome pants? Really??!! Wtf?

2021-03-04

Systemic reaction (other): The out of body feeling is gone. Worked 3 hours and came practically cross-eyed from fatigue.

2021-03-05

Systemic reaction (other): Neurological- brain fog issues. This may make funny reading. Drove all the way to work today 46Â° felt like 32Â°...barefoot!! Didnt notice until I stepped onto the carpet at work. This is not normal.

Release 6 — day 21, dose 2

2021-03-22

Symptoms: Have a kidney stone on the move. It is very painful. Would describe this as unrelated to the vaccine.

Release 9 — 6 months, dose 2

2021-08-30

Symptoms: Bronchitis about 7/25Shingles started 8/10

Release 11 — 12 months, dose 2

2022-03-01

Symptoms: Bronchitis over and over. 9 Covid tests since 2020 all negative! Good news there.

Healthcare visit (other): Doctor's inpatient at office

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	Office visit	·	·	✓
SD	Bronchitis	✓	·	✓
SD	Herpes zoster	✓	·	✓
SD	Nephrolithiasis	✓	✓	✓
SD	Renal pain	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Abnormal dreams	✓	✓	✓
SRO	Autoscopy	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Stress	✓	✓	✓

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