46N-20199-42337

4 vaccinations 8 coded responses 44 check-ins 8 free-text entries 3 call cases

Sex: —
Age at first dose: 51-55
ZIP prefix: 333 / FL
Registered: 2021-02-03

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

2021-02-01
Dose 1 — Moderna
2021-02-03
Registered in v-safe
2021-02-03
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion, Sneezing — Feeling: Good · Site: Pain · Headache

Free text: Sneezing stuffy nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-02-07
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea paroxysmal nocturnal, Respiratory tract congestion — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Pnd and congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — day 7, dose 1
MedDRA: Paranasal sinus hypersecretion, Respiratory tract congestion — Feeling: Good

Free text: Sinus drainage and chest congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-01
Dose 2 — Moderna
2021-03-01
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Ear discomfort, Injection site warmth, Medical counselling — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to work, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Ears feel clogged, injection site warm · Healthcare visit (other): Phone to doctor about ears as I had an ear infection a month ago

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-08
Health check-in — day 7, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-30
Survey response — 6 months, dose 2
MedDRA: Pre-existing disease — Feeling: Fair

Free text: Weakness in limbs, memory issues, fatigue but Ive been feeling this way since I had Covid before vaccine

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-22
Dose 3 — Moderna
2021-12-04
Health check-in — day 7, dose 3
Feeling: Fair · Site: Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-12-06
Survey response — day 14, dose 3
MedDRA: Urticaria — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Hives all over my head and torso arms hands and feet

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Report sent to call center — day 14, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-07
Call 1 — Left Voicemail
2021-12-08
Call 2 — Left Voicemail
2021-12-13
Health check-in — day 21, dose 3
Feeling: Poor

Adult check-in
2021-12-20
Survey response — day 28, dose 3
MedDRA: Office visit, Urticaria — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Hives got worse when completed prednisone. Had to do another round · Healthcare visit (other): Family doctor

MedDRA releases: 2024-11 · check-in free text available
2021-12-20
Report sent to call center — day 28, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-23
Call 1 — Left Voicemail
2021-12-27
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-01-03
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-21
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-11-23
Dose 4 — Moderna
2022-11-24
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2022-11-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · Nausea

Adult check-in
2022-11-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · Nausea

Adult check-in
2022-11-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches, Nausea

Adult check-in
2022-11-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2022-11-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache, Fatigue or tiredness, Nausea

Adult check-in
2022-11-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache, Fatigue or tiredness, Nausea

Adult check-in
2022-11-30
Health check-in — day 7, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-12-07
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-12-14
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-12-24
Survey response — day 28, dose 4
MedDRA: Viral infection — Feeling: Fair · Be unable to work or attend school

Free text: Virus

MedDRA releases: 2024-11 · check-in free text available
2022-12-28
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2023-01-04
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2023-02-22
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-01	Moderna
2	2021-03-01	Moderna
3	2021-11-22	Moderna	No
4	2022-11-23	Moderna	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-03

Systemic reaction (other): Sneezing stuffy nose

2021-02-07

Systemic reaction (other): Pnd and congestion

Release 3 — day 7, dose 1

2021-02-08

Systemic reaction (other): Sinus drainage and chest congestion

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Ears feel clogged, injection site warm

Healthcare visit (other): Phone to doctor about ears as I had an ear infection a month ago

Release 9 — 6 months, dose 2

2021-08-30

Symptoms: Weakness in limbs, memory issues, fatigue but Ive been feeling this way since I had Covid before vaccine

Release 10 — day 14, dose 3

2021-12-06

Symptoms: Hives all over my head and torso arms hands and feet

Release 10 — day 28, dose 3

2021-12-20

Symptoms: Hives got worse when completed prednisone. Had to do another round

Healthcare visit (other): Family doctor

Release 12 — day 28, dose 4

2022-12-24

Symptoms: Virus

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	✓	✓	✓
HCVO	Office visit	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Urticaria	·	·	✓
SD	Viral infection	·	·	✓
SRO	Dyspnoea paroxysmal nocturnal	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Paranasal sinus hypersecretion	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Sneezing	✓	✓	✓

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