3T6-26220-41228

3 vaccinations 16 coded responses 36 check-ins 16 free-text entries 3 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 992 / WA
Registered: 2021-03-30

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

2021-03-30
Registered in v-safe
2021-03-30
Dose 1 — Moderna
2021-03-30
Survey response — day 0, dose 1
MedDRA: Dizziness, Pallor — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Dizzy, light headed, pale

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Migraine, Neck pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Neck pain, migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Migraine, Urticaria — Feeling: Good · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Hives, migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-06
Health check-in — day 7, dose 1
Feeling: Good · Site: Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-14
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-27
Dose 2 — Moderna
2021-04-27
Survey response — day 0, dose 2
MedDRA: Oropharyngeal pain — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

Free text: Minor sore throat (possibly unrelated)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Urticaria — Feeling: Poor · Site: Pain, Redness, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Hives

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Anaphylactic reaction, Lung disorder, Urticaria — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Moderate hives, rattle in lungs, mild anaphylaxis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Anaphylactic reaction, Urticaria — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Mild Hives, mild anaphylaxis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Urticaria — Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Mild Hives

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-05-04
Health check-in — day 7, dose 2
Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-01
Survey response — day 35, dose 2
MedDRA: Cough, Diarrhoea, Illness, Migraine, Nausea, Pain, Vomiting — Feeling: Fair · Be unable to do your normal daily activities

Free text: Got sick for 4-5 days: Nausea, vomiting, diarrhea, massive migraine, body aches, cough. Symptoms minimal now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-26
Survey response — 6 months, dose 2
MedDRA: Influenza — 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 · Telehealth, virtual health, or email health consultation

Free text: Flu

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-27
Call 1 — Left Voicemail
2021-11-11
Dose 3 — Moderna
2021-11-12
Survey response — days 1–6 daily, dose 3
MedDRA: Mood altered — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Mood changes

MedDRA releases: 2024-11 · check-in free text available
2021-11-13
Survey response — days 1–6 daily, dose 3
MedDRA: Cognitive disorder, Cough, Oropharyngeal pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sore Throat; Cough; Cognitive Impairment;

MedDRA releases: 2024-11 · check-in free text available
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-16
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-11-17
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-11-18
Health check-in — day 7, dose 3
Feeling: Fair · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-11-25
Survey response — day 14, dose 3
MedDRA: Eye infection, Sinusitis — 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

Free text: Massive sinus infection and eye infection. I have not taken a covid test

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Report sent to call center — day 14, 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-03
Survey response — day 21, dose 3
MedDRA: Dyspnoea, Eye infection, Impaired driving ability, Sinusitis — 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 · Telehealth, virtual health, or email health consultation

Free text: Extremely bad sinus and eye infection. Couldn't breath. Stayed away from family. Do not know if it was covid. Should have gotten tested, but was unable to drive.

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Report sent to call center — day 21, 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-07
Call 1 — Left Voicemail
2021-12-11
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-16
Survey response — day 35, dose 3
MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: Fair

Free text: Show throat, stuffed nose

MedDRA releases: 2024-11 · check-in free text available
2021-12-23
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-13
Call 1 — Left Voicemail
2022-02-10
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-14
Survey response — 6 months, dose 3
MedDRA: Respiratory tract congestion — Feeling: Fair

Free text: Severe congestion

MedDRA releases: 2024-11 · check-in free text available
2022-11-13
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-30	Moderna
2	2021-04-27	Moderna
3	2021-11-11	Moderna	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-30

Systemic reaction (other): Dizzy, light headed, pale

Release 6 — days 1–6 daily, dose 1

2021-04-01

Systemic reaction (other): Neck pain, migraine

2021-04-04

Systemic reaction (other): Hives, migraine

Release 8 — day 0, dose 2

2021-04-27

Systemic reaction (other): Minor sore throat (possibly unrelated)

Release 8 — days 1–6 daily, dose 2

2021-04-28

Systemic reaction (other): Hives

2021-04-29

Systemic reaction (other): Moderate hives, rattle in lungs, mild anaphylaxis

2021-04-30

Systemic reaction (other): Mild Hives, mild anaphylaxis

2021-05-01

Systemic reaction (other): Mild Hives

Release 8 — day 35, dose 2

2021-06-01

Symptoms: Got sick for 4-5 days: Nausea, vomiting, diarrhea, massive migraine, body aches, cough. Symptoms minimal now.

Release 10 — 6 months, dose 2

2021-10-26

Symptoms: Flu

Release 10 — days 1–6 daily, dose 3

2021-11-12

Systemic reaction (other): Mood changes

2021-11-13

Systemic reaction (other): Sore Throat; Cough; Cognitive Impairment;

Release 10 — day 14, dose 3

2021-11-25

Symptoms: Massive sinus infection and eye infection. I have not taken a covid test

Release 10 — day 21, dose 3

2021-12-03

Symptoms: Extremely bad sinus and eye infection. Couldn't breath. Stayed away from family. Do not know if it was covid. Should have gotten tested, but was unable to drive.

Release 10 — day 35, dose 3

2021-12-16

Symptoms: Show throat, stuffed nose

Release 11 — 6 months, dose 3

2022-05-14

Symptoms: Severe 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	Cough	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Eye infection	·	·	✓
SD	Illness	✓	✓	✓
SD	Impaired driving ability	·	·	✓
SD	Influenza	·	·	✓
SD	Migraine	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sinusitis	·	·	✓
SD	Vomiting	✓	✓	✓
SRO	Anaphylactic reaction	✓	✓	✓
SRO	Cognitive disorder	·	·	✓
SRO	Cough	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Lung disorder	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Mood altered	·	·	✓
SRO	Neck pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pallor	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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