44N-18002-90362

4 vaccinations 5 coded responses 41 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 624 / IL
Registered: 2021-02-24

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

2021-02-24
Registered in v-safe
2021-02-24
Dose 1 — Moderna
2021-02-24
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

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

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

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-26
Dose 2 — Moderna
2021-03-26
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-23
Survey response — day 28, dose 2
MedDRA: Head discomfort, Headache — Feeling: Good

Free text: Reoccurring pressure headache, not daily but ever so often. I don't typically have headaches, but since my 2nd shot, I have a feeling of pressure on both sides of my head, near the temples.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-25
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-24
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-19
Dose 3 — Moderna
2022-03-26
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-09-16
Dose 4 — Moderna
2022-09-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2022-09-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2022-09-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2022-09-21
Survey response — days 1–6 daily, dose 4
MedDRA: Unevaluable event — Feeling: Fair · Fever · Chills, Fatigue or tiredness · Be unable to work or attend school

Free text: My toddler granddaughters were here over the weekend, they had runny noses, coughing. I think I may have caught a cold from them.

MedDRA releases: 2024-11 · check-in free text available
2022-09-22
Survey response — days 1–6 daily, dose 4
MedDRA: Cough — Feeling: Fair · Fatigue or tiredness · Be unable to work or attend school

Free text: Coughing, but not as much as yesterday

MedDRA releases: 2024-11 · check-in free text available
2022-09-23
Survey response — day 7, dose 4
MedDRA: Cough — Feeling: Good

Free text: Just an occasional cough

MedDRA releases: 2024-11 · check-in free text available
2022-09-30
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-10-07
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-14
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-21
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-28
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-16
Survey response — 3 months, dose 4
MedDRA: Cough, Nasopharyngitis, Rhinorrhoea, Sneezing — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Bad cold, coughing, sneezing, runny nose.

MedDRA releases: 2024-11 · check-in free text available
2022-12-16
Report sent to call center — 3 months, dose 4
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-12-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-17
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-24	Moderna
2	2021-03-26	Moderna
3	2021-11-19	Moderna	No
4	2022-09-16	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — day 28, dose 2

2021-04-23

Symptoms: Reoccurring pressure headache, not daily but ever so often. I don't typically have headaches, but since my 2nd shot, I have a feeling of pressure on both sides of my head, near the temples.

Release 12 — days 1–6 daily, dose 4

2022-09-21

Systemic reaction (other): My toddler granddaughters were here over the weekend, they had runny noses, coughing. I think I may have caught a cold from them.

2022-09-22

Systemic reaction (other): Coughing, but not as much as yesterday

Release 12 — day 7, dose 4

2022-09-23

Systemic reaction (other): Just an occasional cough

Release 12 — 3 months, dose 4

2022-12-16

Symptoms: Bad cold, coughing, sneezing, runny nose.

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	Cough	·	·	✓
SD	Head discomfort	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sneezing	·	·	✓
SRO	Cough	·	·	✓
SRO	Unevaluable event	·	·	✓

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