3TL-18087-20506

2 vaccinations 7 coded responses 26 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 780 / TX
Registered: 2021-03-13

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

2021-03-13
Registered in v-safe
2021-03-13
Dose 1 — Moderna
2021-03-13
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Pain

Free text: Sore muscle at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-20
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-03
Survey response — day 21, dose 1
MedDRA: Injection site pain, Injection site reaction, Musculoskeletal stiffness — Feeling: Good

Free text: My left arm, injection arm, sore and stiff (bicep/shoulder muscle) around injection area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Dose 2 — Moderna
2021-04-10
Survey response — day 0, dose 2
MedDRA: Decreased appetite — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: No appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-17
Health check-in — day 7, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-01
Survey response — day 21, dose 2
MedDRA: Allergic sinusitis — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sinus allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-08
Survey response — day 28, dose 2
MedDRA: Aphonia, Cough, Office visit, Sinus congestion, Sinus disorder — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Sinus congestion, cough, lost my voice ... 2nd trip to Doctor for sinus issues ... ZPak, anti-inflammatory, and cough suppressant meds .... feeling SO much better · Healthcare visit (other): Office Visit w/ PC Dr

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-09
Survey response — 6 months, dose 2
MedDRA: Dizziness, Fatigue, Headache, Medical counselling, Sinus congestion, Sneezing — 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: Symptoms: Sinus congestion, headache, sneezing, fatigue, dizziness · Healthcare visit (other): School nurse

MedDRA releases: 2024-11 · check-in free text available
2021-10-09
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)
2021-10-12
Call 1 — Left Voicemail
2022-04-10
Survey response — 12 months, dose 2
MedDRA: Pre-existing disease — Feeling: Good

Free text: Standard allergies (Cedar Fever)

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-13	Moderna
2	2021-04-10	Moderna

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-15

Systemic reaction (other): Sore muscle at injection site

Release 6 — day 21, dose 1

2021-04-03

Symptoms: My left arm, injection arm, sore and stiff (bicep/shoulder muscle) around injection area

Release 7 — day 0, dose 2

2021-04-10

Systemic reaction (other): No appetite

Release 8 — day 21, dose 2

2021-05-01

Symptoms: Sinus allergies

Release 8 — day 28, dose 2

2021-05-08

Symptoms: Sinus congestion, cough, lost my voice ... 2nd trip to Doctor for sinus issues ... ZPak, anti-inflammatory, and cough suppressant meds .... feeling SO much better

Healthcare visit (other): Office Visit w/ PC Dr

Release 10 — 6 months, dose 2

2021-10-09

Symptoms: Sinus congestion, headache, sneezing, fatigue, dizziness

Healthcare visit (other): School nurse

Release 11 — 12 months, dose 2

2022-04-10

Symptoms: Standard allergies (Cedar Fever)

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	Allergic sinusitis	✓	✓	✓
SD	Aphonia	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site reaction	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Sinus congestion	✓	✓	✓
SD	Sinus disorder	✓	✓	✓
SD	Sneezing	·	·	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Injection site pain	✓	✓	✓

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