43R-33151-77403

2 vaccinations 7 coded responses 27 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 015 / MA
Registered: 2021-01-25

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-25
Registered in v-safe
2021-01-25
Dose 1 — Moderna
2021-01-25
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Ear discomfort — Feeling: Good · Site: Pain · Fever · Headache, Fatigue or tiredness

Free text: Slight pressure (like fullness and wanting to "pop" ears) in bilateral ears. Happened yesterday, after leaving vaccine site but lasted, roughly less than 15 minutes. Feel some slight pressure again now, but mild.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-15
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-22
Dose 2 — Moderna
2021-02-22
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Lymphadenopathy — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Decrease in appetite; unilateral posterior auricular lymphadenopathy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Taste disorder — Feeling: Good · Site: Pain

Free text: Altered sense of taste (occurred 2/24/21)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-01
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-18
Survey response — day 21, dose 2
MedDRA: Pyrexia, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair

Free text: I developed a low grade fever, some congestion and a bit of a runny nose on 3/15/21.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-29
Survey response — day 35, dose 2
MedDRA: Ear discomfort — Feeling: Good

Free text: Over the weekend, I had a sudden on and off feeling of my ears being blocked and needing to 'pop'. Came and went and has been okay today, so far.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-23
Survey response — 6 months, dose 2
MedDRA: Viral infection — Feeling: Good · Be unable to do your normal daily activities

Free text: Contracted a suspected viral infection from my child about 7 weeks ago.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-22
Survey response — 12 months, dose 2
MedDRA: Chills, Headache, Pyrexia, Respiratory tract congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Headaches, fever, chills, congestion

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-25	Moderna
2	2021-02-22	Moderna

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-26

Systemic reaction (other): Slight pressure (like fullness and wanting to "pop" ears) in bilateral ears. Happened yesterday, after leaving vaccine site but lasted, roughly less than 15 minutes. Feel some slight pressure again now, but mild.

Release 4 — days 1–6 daily, dose 2

2021-02-23

Systemic reaction (other): Decrease in appetite; unilateral posterior auricular lymphadenopathy

2021-02-25

Systemic reaction (other): Altered sense of taste (occurred 2/24/21)

Release 5 — day 21, dose 2

2021-03-18

Symptoms: I developed a low grade fever, some congestion and a bit of a runny nose on 3/15/21.

Release 6 — day 35, dose 2

2021-03-29

Symptoms: Over the weekend, I had a sudden on and off feeling of my ears being blocked and needing to 'pop'. Came and went and has been okay today, so far.

Release 9 — 6 months, dose 2

2021-08-23

Symptoms: Contracted a suspected viral infection from my child about 7 weeks ago.

Release 11 — 12 months, dose 2

2022-02-22

Symptoms: Headaches, fever, chills, 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	Chills	·	·	✓
SD	Ear discomfort	✓	✓	✓
SD	Headache	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Viral infection	✓	·	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Taste disorder	✓	✓	✓

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