3WF-58000-10223

3 vaccinations 13 coded responses 27 check-ins 13 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 000
Registered: 2021-02-11

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

2021-02-10
Dose 1 — Moderna
2021-02-11
Registered in v-safe
2021-02-11
Survey response — days 1–6 daily, dose 1
MedDRA: Body temperature increased, Fatigue, Medical counselling, Sinusitis — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Fair and some fatigue maybe because I have ongoing sinusitis that is no worse. My NP who is workin to help proactive reduction of issue told me my symptoms werent an issue for vaccine and I feel no worse today then yesterday. I sometimes run a slightly elevated temp. It is barely elevated today ~ .3 above normal which is less than highest point yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-14
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Fever · Fatigue or tiredness

Free text: My normal daytime temp is always right around 97.4, so this is a degree of fever for me. But I have chronic sinus infections and think this is unrelated to the vaccination.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease, Sinusitis — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I have a bit of sinusitis which is chronic, but am doing OK from vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — days 1–6 daily, dose 1
MedDRA: Sinusitis — Feeling: Fair · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Ongoing sinusitis likely causing my symptoms. Normal temp is 97.4.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — day 7, dose 1
MedDRA: Body temperature increased, Sinusitis — Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Very slight temp elevation from normal of 97.4. Ongoing sinusitis is not improving.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-03
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-10
Dose 2 — Moderna
2021-03-10
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Fair · Fatigue or tiredness

Free text: Light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Headache, Pre-existing disease — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: My normal temp is 97.4-6. I have chronic sinusitis and feel that my temperature and headache is more is due to that. I felt a bit dizzy and light headed a few hours after the shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Sinusitis — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Normal temp 97.4. Still have sinusitis that is likely reason for elevated temp. Also have still felt light headed but not as much as yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Anxiety, Insomnia — Feeling: Fair

Free text: Insomnia and anxiety. I have had trouble the last few nights but didnt report it before because I was able to take naps. Last night was worse but I couldnt calm down. Probably need to take an anti anxiety med.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain, Malaise, Sinus disorder — Feeling: Good · Fatigue or tiredness

Free text: Still feeling a bit under the weather from my sinus problems but much better today. I have some very slight tenderness still at the injection site but not enough to really notice.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-31
Survey response — day 21, dose 2
MedDRA: Nasopharyngitis, Pyrexia, Sinusitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have a cold or something similar along with my typical sinusitis and have been running a little over 1 degree of fever. I dont think this is at all related to my vaccination as my husband seems to also have some slight cold symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-08
Survey response — 6 months, dose 2
MedDRA: Allergic respiratory symptom, Pyrexia, SARS-CoV-2 test negative, Sinusitis — Feeling: Good · 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: I had some type of possible respiratory virus - cold + allergy + sinus infection type symptoms with intermittent low grade fever. This has been ongoing since June. I did go get a COVID test our of an abundance of caution and it was negative.

MedDRA releases: 2024-11 · check-in free text available
2021-09-08
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-11
Dose 3 — Moderna
Co-administered: yes
2021-09-15
Call 1 — Left Voicemail
2021-12-11
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-03-14
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-09-11
Survey response — 12 months, dose 3
MedDRA: Ovarian cyst, Surgery — Feeling: Fair · 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: I had surgery in May 2022 for a large ovarian cyst that was non cancerous and am still recovering.

MedDRA releases: 2024-11 · check-in free text available
2022-09-11
Report sent to call center — 12 months, 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-12
Call successful
Not applicable - Accidental Reporting
2022-09-12
Call successful
Not applicable - Accidental Reporting

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-10	Moderna
2	2021-03-10	Moderna
3	2021-09-11	Moderna	Yes

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-11

Systemic reaction (other): Fair and some fatigue maybe because I have ongoing sinusitis that is no worse. My NP who is workin to help proactive reduction of issue told me my symptoms werent an issue for vaccine and I feel no worse today then yesterday. I sometimes run a slightly elevated temp. It is barely elevated today ~ .3 above normal which is less than highest point yesterday.

2021-02-14

Systemic reaction (other): My normal daytime temp is always right around 97.4, so this is a degree of fever for me. But I have chronic sinus infections and think this is unrelated to the vaccination.

2021-02-15

Systemic reaction (other): I have a bit of sinusitis which is chronic, but am doing OK from vaccine.

2021-02-16

Systemic reaction (other): Ongoing sinusitis likely causing my symptoms. Normal temp is 97.4.

Release 4 — day 7, dose 1

2021-02-20

Systemic reaction (other): Very slight temp elevation from normal of 97.4. Ongoing sinusitis is not improving.

Release 5 — day 0, dose 2

2021-03-10

Systemic reaction (other): Light headed

Release 5 — days 1–6 daily, dose 2

2021-03-11

Systemic reaction (other): My normal temp is 97.4-6. I have chronic sinusitis and feel that my temperature and headache is more is due to that. I felt a bit dizzy and light headed a few hours after the shot.

2021-03-12

Systemic reaction (other): Normal temp 97.4. Still have sinusitis that is likely reason for elevated temp. Also have still felt light headed but not as much as yesterday.

2021-03-13

Systemic reaction (other): Insomnia and anxiety. I have had trouble the last few nights but didnt report it before because I was able to take naps. Last night was worse but I couldnt calm down. Probably need to take an anti anxiety med.

2021-03-14

Systemic reaction (other): Still feeling a bit under the weather from my sinus problems but much better today. I have some very slight tenderness still at the injection site but not enough to really notice.

Release 6 — day 21, dose 2

2021-03-31

Symptoms: I have a cold or something similar along with my typical sinusitis and have been running a little over 1 degree of fever. I dont think this is at all related to my vaccination as my husband seems to also have some slight cold symptoms.

Release 9 — 6 months, dose 2

2021-09-08

Symptoms: I had some type of possible respiratory virus - cold + allergy + sinus infection type symptoms with intermittent low grade fever. This has been ongoing since June. I did go get a COVID test our of an abundance of caution and it was negative.

Release 12 — 12 months, dose 3

2022-09-11

Symptoms: I had surgery in May 2022 for a large ovarian cyst that was non cancerous and am still recovering.

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	Allergic respiratory symptom	·	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Ovarian cyst	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinusitis	✓	✓	✓
SD	Surgery	·	·	✓
SRO	Anxiety	✓	✓	✓
SRO	Body temperature increased	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Medical counselling	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Sinus disorder	✓	✓	✓
SRO	Sinusitis	✓	✓	✓

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