47J-26916-86333

3 vaccinations 11 coded responses 29 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 774 / TX
Registered: 2021-01-06

Relationship: Self
Race: Other
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-02
Dose 1 — Moderna
2021-01-06
Registered in v-safe
2021-01-06
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Throat is feeling a little sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-01-08
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-09
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-23
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-30
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-01
Dose 2 — Moderna
2021-02-01
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-02-11
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-23
Survey response — day 21, dose 2
MedDRA: Fatigue, Headache — Feeling: Good

Free text: Headaches on and offFatigue, tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-11-26
Dose 3 — Moderna
2021-11-27
Survey response — days 1–6 daily, dose 3
MedDRA: Pain of skin — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Even my scalp hurt so much and is sensitive

MedDRA releases: 2024-11 · check-in free text available
2021-11-28
Survey response — days 1–6 daily, dose 3
MedDRA: Sensitive skin — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Scalp is still sensitive

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
Survey response — days 1–6 daily, dose 3
MedDRA: Hyperaesthesia, Pain of skin — Feeling: Fair · Site: Pain · Chills, Headache

Free text: Scalp and skin(thigh and heel) sensitivity/pain

MedDRA releases: 2024-11 · check-in free text available
2021-11-30
Survey response — days 1–6 daily, dose 3
MedDRA: Pain in extremity, Self-medication, Sensitive skin — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Skin sensitivity/pain on thigh and heel on left side of body and using Ibuprofen for the pain.

MedDRA releases: 2024-11 · check-in free text available
2021-12-01
Survey response — days 1–6 daily, dose 3
MedDRA: Pain in extremity, Sensitive skin — Feeling: Good · Headache

Free text: Skin sensitivty/pain on left side of thigh and heel

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Survey response — day 7, dose 3
MedDRA: Pain in extremity, Tenderness — Feeling: Good · Headache

Free text: Still having the sensitivity/pain on my left thigh, like a neuralgia

MedDRA releases: 2024-11 · check-in free text available
2021-12-12
Survey response — day 14, dose 3
MedDRA: Chills, Cough, Fatigue, Headache, Oropharyngeal pain, Pyrexia — Feeling: Poor · Be unable to work or attend school

Free text: Headache, sore throat, chills, fever, slight cough and fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-12-18
Survey response — day 21, dose 3
MedDRA: Headache, Vision blurred, Visual impairment — Feeling: Fair

Free text: Still having Headaches, aldo not sure ehat is happening with my vision, like a focus issue.

MedDRA releases: 2024-11 · check-in free text available
2021-12-25
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-01-09
Survey response — day 42, dose 3
MedDRA: Chills, Cough, Decreased appetite, Dizziness, Dyspnoea, Fatigue, Headache, Oropharyngeal pain, Pyrexia, Respiratory tract congestion — Feeling: Poor · 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: Fever, chills, congestion, headaches, fatigue, sore throat, cough, dizziness, loss of appetite, easily winded

MedDRA releases: 2024-11 · check-in free text available
2022-01-09
Report sent to call center — day 42, dose 3
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)
2022-01-11
Call 1 — Left Voicemail
2022-02-26
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-02	Moderna
2	2021-02-01	Moderna
3	2021-11-26	Moderna	No

Call center

2 call center cases

1 unsuccessful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-06

Systemic reaction (other): Throat is feeling a little sore

Release 4 — day 21, dose 2

2021-02-23

Symptoms: Headaches on and offFatigue, tired

Release 10 — days 1–6 daily, dose 3

2021-11-27

Systemic reaction (other): Even my scalp hurt so much and is sensitive

2021-11-28

Systemic reaction (other): Scalp is still sensitive

2021-11-29

Systemic reaction (other): Scalp and skin(thigh and heel) sensitivity/pain

2021-11-30

Systemic reaction (other): Skin sensitivity/pain on thigh and heel on left side of body and using Ibuprofen for the pain.

2021-12-01

Systemic reaction (other): Skin sensitivty/pain on left side of thigh and heel

Release 10 — day 7, dose 3

2021-12-04

Systemic reaction (other): Still having the sensitivity/pain on my left thigh, like a neuralgia

Release 10 — day 14, dose 3

2021-12-12

Symptoms: Headache, sore throat, chills, fever, slight cough and fatigue

Release 10 — day 21, dose 3

2021-12-18

Symptoms: Still having Headaches, aldo not sure ehat is happening with my vision, like a focus issue.

Release 10 — day 42, dose 3

2022-01-09

Symptoms: Fever, chills, congestion, headaches, fatigue, sore throat, cough, dizziness, loss of appetite, easily winded

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	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Decreased appetite	·	·	✓
SD	Dizziness	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Vision blurred	·	·	✓
SD	Visual impairment	·	·	✓
SRO	Hyperaesthesia	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain in extremity	·	·	✓
SRO	Pain of skin	·	·	✓
SRO	Self-medication	·	·	✓
SRO	Sensitive skin	·	·	✓
SRO	Tenderness	·	·	✓

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