44Z-12609-78929

4 vaccinations 23 coded responses 45 check-ins 22 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 038 / NH
Registered: 2021-03-20

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

2021-03-19
Dose 1 — Moderna
2021-03-20
Registered in v-safe
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Headache, Joint pains, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-02
Survey response — day 14, dose 1
MedDRA: Headache, Injection site pruritus — Feeling: Fair

Free text: Have had headaches and for 1 days my arm at the vaccine site itches like mad!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — day 21, dose 1
MedDRA: Fatigue, Headache — Feeling: Fair

Free text: Very tired and the headache is back.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Dose 2 — Moderna
2021-04-16
Survey response — day 0, dose 2
MedDRA: Chest discomfort — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea

Free text: Chest feels a bit tight

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Feeling pronounced joint pain in my fingers

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Headache — Feeling: Poor · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The headache is stabbing in the side of my head.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Have had a mild cough for pat 2 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-23
Health check-in — day 7, dose 2
Feeling: Poor · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-30
Survey response — day 14, dose 2
MedDRA: Cough, Wheezing — Feeling: Fair

Free text: Hav had a wheezy cough for the past 7 days. Have not had that ever before the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-21
Survey response — day 35, dose 2
MedDRA: Abdominal discomfort, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache and upset stomach.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Survey response — day 42, dose 2
MedDRA: Arthralgia, Pain in extremity — Feeling: Fair · Be unable to work

Free text: Severe joint pain in back and legs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-16
Survey response — 3 months, dose 2
MedDRA: Migraine — Feeling: Fair

Free text: Migraines

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-15
Survey response — 6 months, dose 2
MedDRA: Nasal congestion, Productive cough, Pyrexia, SARS-CoV-2 test negative, Secretion discharge — Feeling: Fair · Be unable to work or attend school

Free text: Respiratory virus? Light fever, mucus cough, nasal congestion for over 2 weeks. Negative Covid test.

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Dose 3 — Moderna
2021-11-02
Health check-in — day 0, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Headache, Nausea

Adult check-in
2021-11-06
Survey response — days 1–6 daily, dose 3
MedDRA: Headache, Self-medication — Feeling: Fair · Site: Pain, Itching · Headache

Free text: Headache not helped by Tylenol or ibuprofen

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Nausea

Adult check-in
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Nausea, Diarrhea

Adult check-in
2021-11-09
Health check-in — day 7, dose 3
Feeling: Fair · Headache

Adult check-in
2021-11-16
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-23
Survey response — day 21, dose 3
MedDRA: Migraine — Feeling: Fair

Free text: Migraine headaches daily

MedDRA releases: 2024-11 · check-in free text available
2021-11-30
Survey response — day 28, dose 3
MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Constant headaches

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Survey response — day 35, dose 3
MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe headaches daily

MedDRA releases: 2024-11 · check-in free text available
2021-12-14
Survey response — day 42, dose 3
MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaches daily!!!!

MedDRA releases: 2024-11 · check-in free text available
2022-02-01
Survey response — 3 months, dose 3
MedDRA: Migraine — Feeling: Fair · Be unable to do your normal daily activities

Free text: Frequent Migraine headaches

MedDRA releases: 2024-11 · check-in free text available
2022-03-23
Dose 4 — Moderna
2022-04-19
Survey response — day 21, dose 4
MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Daily headaches

MedDRA releases: 2024-11 · check-in free text available
2022-04-20
Survey response — day 28, dose 4
MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Daily headaches

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Survey response — day 35, dose 4
MedDRA: Migraine — Feeling: Fair · Be unable to do your normal daily activities

Free text: Continued migraines daily since booster

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-06-22
Survey response — 3 months, dose 4
MedDRA: Visual impairment — Feeling: Fair · Be unable to do your normal daily activities

Free text: Eye sight is much worse since last booster

MedDRA releases: 2024-11 · check-in free text available
2022-09-21
Survey response — 6 months, dose 4
MedDRA: Headache — Feeling: Fair

Free text: Severe headaches

MedDRA releases: 2024-11 · check-in free text available
2023-03-23
Survey response — 12 months, dose 4
MedDRA: COVID-19, Cough, Upper-airway cough syndrome — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-03-23
Report sent to call center — 12 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-03-24
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-19	Moderna
2	2021-04-16	Moderna
3	2021-11-02	Moderna	No
4	2022-03-23	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — day 14, dose 1

2021-04-02

Symptoms: Have had headaches and for 1 days my arm at the vaccine site itches like mad!

Release 7 — day 21, dose 1

2021-04-10

Symptoms: Very tired and the headache is back.

Release 7 — day 0, dose 2

2021-04-16

Systemic reaction (other): Chest feels a bit tight

Release 7 — days 1–6 daily, dose 2

2021-04-19

Systemic reaction (other): Feeling pronounced joint pain in my fingers

2021-04-20

Systemic reaction (other): The headache is stabbing in the side of my head.

2021-04-21

Systemic reaction (other): Have had a mild cough for pat 2 days

Release 8 — day 14, dose 2

2021-04-30

Symptoms: Hav had a wheezy cough for the past 7 days. Have not had that ever before the vaccine.

Release 8 — day 35, dose 2

2021-05-21

Symptoms: Headache and upset stomach.

Release 8 — day 42, dose 2

2021-05-28

Symptoms: Severe joint pain in back and legs.

Release 9 — 3 months, dose 2

2021-07-16

Symptoms: Migraines

Release 10 — 6 months, dose 2

2021-10-15

Symptoms: Respiratory virus? Light fever, mucus cough, nasal congestion for over 2 weeks. Negative Covid test.

Release 10 — days 1–6 daily, dose 3

2021-11-06

Systemic reaction (other): Headache not helped by Tylenol or ibuprofen

Release 10 — day 21, dose 3

2021-11-23

Symptoms: Migraine headaches daily

Release 10 — day 28, dose 3

2021-11-30

Symptoms: Constant headaches

Release 10 — day 35, dose 3

2021-12-07

Symptoms: Severe headaches daily

Release 10 — day 42, dose 3

2021-12-14

Symptoms: Headaches daily!!!!

Release 11 — 3 months, dose 3

2022-02-01

Symptoms: Frequent Migraine headaches

Release 11 — day 21, dose 4

2022-04-19

Symptoms: Daily headaches

Release 11 — day 28, dose 4

2022-04-20

Symptoms: Daily headaches

Release 11 — day 35, dose 4

2022-04-27

Symptoms: Continued migraines daily since booster

Release 12 — 3 months, dose 4

2022-06-22

Symptoms: Eye sight is much worse since last booster

Release 12 — 6 months, dose 4

2022-09-21

Symptoms: Severe headaches

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	Abdominal discomfort	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Migraine	✓	·	✓
SD	Nasal congestion	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Productive cough	·	·	✓
SD	Pyrexia	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Secretion discharge	·	·	✓
SD	Upper-airway cough syndrome	·	·	✓
SD	Visual impairment	·	·	✓
SD	Wheezing	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Self-medication	·	·	✓

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