42D-16557-84270

3 vaccinations 10 coded responses 33 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 26-30
ZIP prefix: 787 / TX
Registered: 2021-02-05

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

2021-02-05
Registered in v-safe
2021-02-05
Dose 1 — Moderna
2021-02-05
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Fever · Fatigue or tiredness

Adult check-in
2021-02-08
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Good · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness

Free text: Coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-10
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — day 7, dose 1
MedDRA: Cough, Oropharyngeal pain — Feeling: Good · Headache, Muscle or body aches

Free text: Cough, sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-28
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-05
Dose 2 — Moderna
2021-03-05
Survey response — day 0, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Aggravated postural orthostatic tachycardia syndrome (POTS) - heart rate went up to 149 with a few basic squats when usually I do not experience anything like this with my medication

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: High heart rate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Pain of skin — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Skin sensitive to touch, dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-12
Health check-in — day 7, dose 2
Feeling: Fair · Site: Redness · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 42, dose 2
Feeling: Fair

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

Adult check-in
2021-08-21
Dose 3 — Moderna
2021-08-22
Survey response — days 1–6 daily, dose 3
MedDRA: Pain of skin — Feeling: Poor · Site: Pain, Redness, Swelling · 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: Skin very sensitive to touch

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-08-24
Survey response — days 1–6 daily, dose 3
MedDRA: Pain of skin, Paraesthesia, Sensitive skin — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Unpleasant tingling feeling in my head, skin pain/sensitivity

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-25
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Dyspnoea, Heart rate increased, Migraine — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · 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: Migraine, high heart rate, out of breath easily, coughing

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-08-28
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-09-04
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-09-11
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-09-19
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-09-25
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-04
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-11-20
Survey response — 3 months, dose 3
MedDRA: Upper respiratory tract infection — 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: Upper respiratory infection

MedDRA releases: 2024-11 · check-in free text available
2021-11-20
Report sent to call center — 3 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)
2021-11-29
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-05	Moderna
2	2021-03-05	Moderna
3	2021-08-21	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-08

Systemic reaction (other): Coughing

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): Sore throat

Release 4 — day 7, dose 1

2021-02-12

Systemic reaction (other): Cough, sore throat

Release 5 — day 0, dose 2

2021-03-05

Systemic reaction (other): Aggravated postural orthostatic tachycardia syndrome (POTS) - heart rate went up to 149 with a few basic squats when usually I do not experience anything like this with my medication

Release 5 — days 1–6 daily, dose 2

2021-03-06

Systemic reaction (other): High heart rate

2021-03-07

Systemic reaction (other): Skin sensitive to touch, dizziness

Release 9 — days 1–6 daily, dose 3

2021-08-22

Systemic reaction (other): Skin very sensitive to touch

2021-08-24

Systemic reaction (other): Unpleasant tingling feeling in my head, skin pain/sensitivity

2021-08-25

Systemic reaction (other): Migraine, high heart rate, out of breath easily, coughing

Release 10 — 3 months, dose 3

2021-11-20

Symptoms: Upper respiratory infection

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	Upper respiratory tract infection	·	·	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	·	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Migraine	✓	·	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain of skin	✓	✓	✓
SRO	Paraesthesia	✓	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Sensitive skin	✓	·	✓

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