42N-47784-89475

3 vaccinations 9 coded responses 26 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 803 / CO
Registered: 2020-12-30

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

2020-12-30
Registered in v-safe
2020-12-30
Dose 1 — Moderna
2020-12-30
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: These symptoms occurred late yesterday about 6 hrs after injection. I was fine as of this morning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-31
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Atrial fibrillation — Feeling: Poor · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Probable new onset atrial fibrillation at ~2 AM. Resolved 10 hrs later.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-03
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-07
Survey response — day 7, dose 1
MedDRA: Headache, Pre-existing disease — Feeling: Fair · Headache

Free text: Headache likely a typical migraine for me

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-21
Survey response — day 21, dose 1
MedDRA: Migraine, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: Flare of migraines. Probably unrelated to vaccine but had been stable for a number of months.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — day 28, dose 1
MedDRA: Migraine — Feeling: Fair · Be unable to do your normal daily activities

Free text: Ongoing migraines.Getting second dose vaccine tomorrow 1/28/21

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Dose 2 — Moderna
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-01
Survey response — days 1–6 daily, dose 2
MedDRA: Headache — Feeling: Good · Headache

Free text: Headache seems to be migraine at this point & not headache I got imediately after vaccine that continued off & on for 2 days. Not certain though.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Migraine — Feeling: Good · Headache · Be unable to do your normal daily activities

Free text: Woke up w/ migraine. Much better now

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — days 1–6 daily, dose 2
MedDRA: Migraine — Feeling: Fair · Headache

Free text: Presumed ongoing migraine cycle

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-18
Survey response — day 21, dose 2
MedDRA: Headache, Migraine, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: Migraines worsened-better today. ?vaccine contributed to migraine flare since mid- Jan, 2 wks p first dose. Only had handful of migraines in 2020. Migraine was different than frontal headache that occurred right after each dose, persisting after 2nd.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-08
Dose 3 — Pfizer-BioNTech
2021-10-23
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-08
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-09-08
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-01-28	Moderna
3	2021-09-08	Pfizer-BioNTech	No

Call center

2 call center cases

2 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-31

Systemic reaction (other): These symptoms occurred late yesterday about 6 hrs after injection. I was fine as of this morning.

2021-01-03

Systemic reaction (other): Probable new onset atrial fibrillation at ~2 AM. Resolved 10 hrs later.

Release 1 — day 7, dose 1

2021-01-07

Systemic reaction (other): Headache likely a typical migraine for me

Release 2 — day 21, dose 1

2021-01-21

Symptoms: Flare of migraines. Probably unrelated to vaccine but had been stable for a number of months.

Release 2 — day 28, dose 1

2021-01-27

Symptoms: Ongoing migraines.Getting second dose vaccine tomorrow 1/28/21

Release 3 — days 1–6 daily, dose 2

2021-02-01

Systemic reaction (other): Headache seems to be migraine at this point & not headache I got imediately after vaccine that continued off & on for 2 days. Not certain though.

2021-02-02

Systemic reaction (other): Woke up w/ migraine. Much better now

2021-02-03

Systemic reaction (other): Presumed ongoing migraine cycle

Release 4 — day 21, dose 2

2021-02-18

Symptoms: Migraines worsened-better today. ?vaccine contributed to migraine flare since mid- Jan, 2 wks p first dose. Only had handful of migraines in 2020. Migraine was different than frontal headache that occurred right after each dose, persisting after 2nd. cut off by CDC

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	Headache	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Atrial fibrillation	✓	✓	✓
SRO	General symptom	○	○	○
SRO	Headache	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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