45E-22058-59705

2 vaccinations 5 coded responses 19 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 152 / PA
Registered: 2021-02-09

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

2021-02-09
Registered in v-safe
2021-02-09
Dose 1 — Moderna
2021-02-09
Survey response — day 0, dose 1
MedDRA: Headache — Feeling: Fair · Chills, Headache, Fatigue or tiredness, Nausea

Free text: Front forehead headache - mild, no arm pain - took 2 ibprophen about 20 mins before the shot. Symptoms started at 6pmish shot was given 240pm roughly

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Lip dry, Nasal dryness, Oropharyngeal pain, Rhinorrhoea — Feeling: Poor · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: I feel super run down. Runny nose, dry lips and nose, semi sore throat about 6am. Everything hit about 8 last night off today. I slept a good bit of the day. Cold and slept under comforters. Still have a headache - most annoying part

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Pain in extremity, Self-medication — Feeling: Good · Headache

Free text: Arm was a bit sore this morning but that went away around lunch time. Headache - mild i took excedrin- that took it away. I'm prone to headaches/ migraines. I had a headache both days prior to my first dose/ vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-11
Dose 2 — Moderna
2021-03-11
Survey response — day 0, dose 2
MedDRA: Ear pain, Injection site pain — Feeling: Good · Muscle or body aches

Free text: Muscle - Soreness at the injection site. A half hour later I had an ear ache in my left ear- it lasted roughly 5 minutes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-24
Survey response — day 42, dose 2
MedDRA: Medical counselling, Sinusitis — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Sinus infection. Weather is awful and we had water issues at work... wet carpet ...On medication for it. · Healthcare visit (other): (b)(6) 24/7 nurse line

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Report sent to call center — day 42, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-04-04
Call 1 — Could Not Reach Participant
2022-04-07
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-09	Moderna
2	2021-03-11	Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — day 0, dose 1

2021-02-09

Systemic reaction (other): Front forehead headache - mild, no arm pain - took 2 ibprophen about 20 mins before the shot. Symptoms started at 6pmish shot was given 240pm roughly

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): I feel super run down. Runny nose, dry lips and nose, semi sore throat about 6am. Everything hit about 8 last night off today. I slept a good bit of the day. Cold and slept under comforters. Still have a headache - most annoying part

2021-02-11

Systemic reaction (other): Arm was a bit sore this morning but that went away around lunch time. Headache - mild i took excedrin- that took it away. I'm prone to headaches/ migraines. I had a headache both days prior to my first dose/ vaccine

Release 5 — day 0, dose 2

2021-03-11

Systemic reaction (other): Muscle - Soreness at the injection site. A half hour later I had an ear ache in my left ear- it lasted roughly 5 minutes

Release 7 — day 42, dose 2

2021-04-24

Symptoms: Sinus infection. Weather is awful and we had water issues at work... wet carpet ...On medication for it.

Healthcare visit (other): (b)(6) 24/7 nurse line

redacted (b)(6)

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
HCVO	Medical counselling	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Lip dry	✓	✓	✓
SRO	Nasal dryness	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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