464-23861-97066

4 vaccinations 11 coded responses 30 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 26-30
ZIP prefix: 128 / NY
Registered: 2021-03-22

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

2021-03-22
Registered in v-safe
2021-03-22
Dose 1 — Moderna
2021-03-22
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Redness · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Nausea · 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 · Site: Pain · Nausea

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Mast cell activation syndrome — Feeling: Fair · Nausea · Be unable to do your normal daily activities

Free text: I have mast cell activation syndrome.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Headache, Nausea · Be unable to do your normal daily activities

Free text: Symptoms may be due to mast cell activation disorder.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-12
Survey response — day 21, dose 1
MedDRA: Dyspepsia, Fatigue, Night sweats — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increased night sweats, increased fatigue in morning, more heart burn experienced (then before vaccine).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Dose 2 — Moderna
2021-04-19
Survey response — day 0, dose 2
MedDRA: Dizziness, Oropharyngeal pain — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Sore throat, dizziness

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: Chest pain, Feeling abnormal — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Burning sensation internally in chest, out of it feeling

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: Arthralgia, Back pain, Burning sensation, Dehydration, Night sweats — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Dehydrated, back pain, hip pain, burning sensation in chest, night sweats last night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Neck pain — Feeling: Good · Site: Pain · Muscle or body aches, Diarrhea · Be unable to do your normal daily activities

Free text: Neck pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-28
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-20
Survey response — 3 months, dose 2
MedDRA: Hemiplegic migraine, Paraesthesia, Vestibular migraine, Vestibular neuronitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Vestibular neuritis and vestibular migraines, hemiplegic migraines, parathesia the comes and goes on right side of face (facial nerves)

MedDRA releases: 2024-11 · check-in free text available
2021-07-20
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-07-28
Call 1 — Could Not Reach Participant
2021-08-02
Call 2 — Could Not Reach Participant
2021-12-18
Dose 3 — Moderna
2022-04-19
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-10-28
Dose 4 — Moderna
Co-administered: Flu
2022-10-29
Survey response — days 1–6 daily, dose 4
MedDRA: Migraine — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Migraine

MedDRA releases: 2024-11 · check-in free text available
2022-10-30
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache

Adult check-in
2022-11-01
Survey response — days 1–6 daily, dose 4
MedDRA: Headache — Feeling: Good · Site: Itching

Free text: Stabbing head pain intermittent

MedDRA releases: 2024-11 · check-in free text available
2022-11-02
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Itching · Joint pains

Adult check-in
2022-11-06
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-11-13
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-12-09
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-22	Moderna
2	2021-04-19	Moderna
3	2021-12-18	Moderna	No
4	2022-10-28	Moderna	Flu

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-26

Systemic reaction (other): I have mast cell activation syndrome.

2021-03-28

Systemic reaction (other): Symptoms may be due to mast cell activation disorder.

Release 7 — day 21, dose 1

2021-04-12

Symptoms: Increased night sweats, increased fatigue in morning, more heart burn experienced (then before vaccine).

Release 7 — day 0, dose 2

2021-04-19

Systemic reaction (other): Sore throat, dizziness

Release 7 — days 1–6 daily, dose 2

2021-04-20

Systemic reaction (other): Burning sensation internally in chest, out of it feeling

2021-04-21

Systemic reaction (other): Dehydrated, back pain, hip pain, burning sensation in chest, night sweats last night

2021-04-22

Systemic reaction (other): Neck pain

2021-04-24

Systemic reaction (other): Dizziness

Release 9 — 3 months, dose 2

2021-07-20

Symptoms: Vestibular neuritis and vestibular migraines, hemiplegic migraines, parathesia the comes and goes on right side of face (facial nerves)

Release 12 — days 1–6 daily, dose 4

2022-10-29

Systemic reaction (other): Migraine

2022-11-01

Systemic reaction (other): Stabbing head pain intermittent

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	Dyspepsia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Hemiplegic migraine	·	·	✓
SD	Night sweats	✓	✓	✓
SD	Paraesthesia	·	·	✓
SD	Vestibular migraine	·	·	✓
SD	Vestibular neuronitis	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Burning sensation	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Dehydration	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Headache	·	·	✓
SRO	Mast cell activation syndrome	✓	✓	✓
SRO	Migraine	·	·	✓
SRO	Neck pain	✓	✓	✓
SRO	Night sweats	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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