48D-15948-18506

5 vaccinations 10 coded responses 60 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 221 / VA
Registered: 2021-01-06

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

2021-01-04
Dose 1 — Moderna
2021-01-06
Registered in v-safe
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Survey response — day 14, dose 1
MedDRA: Epistaxis, Sinus congestion — Feeling: Fair

Free text: Sinus congestion, nose bleed (dont think it has anything to do with the immunization)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-01
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-02
Dose 2 — Moderna
2021-02-02
Survey response — day 0, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Fogginess

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · 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, Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache

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

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-02-09
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-16
Survey response — day 14, dose 2
MedDRA: Rhinorrhoea, Throat irritation, Upper-airway cough syndrome — Feeling: Fair

Free text: Runny nose, scratchy throat, post nasal drip . I have allergies, so these could all be signs of my allergies as well.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-03
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-25
Dose 3 — Moderna
2021-10-25
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-11-01
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-08
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-15
Survey response — day 21, dose 3
MedDRA: Tooth infection — Feeling: Fair

Free text: I have developed an infected tooth. Has nothing to do with the Covid vaccine booster, just bad timing.

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Survey response — day 28, dose 3
MedDRA: Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I was diagnosed with a sinus infection on 11/16 after having sinus symptoms for a couple weeks. Put on augment with some improvement in symptoms.

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-29
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-29
Call 1 — Left Voicemail
2021-12-06
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-24
Survey response — 3 months, dose 3
MedDRA: Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I've had recurrent sinusitis (3times since November)

MedDRA releases: 2024-11 · check-in free text available
2022-01-24
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-26
Call 1 — Left Voicemail
2022-04-25
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-12
Dose 4 — Moderna
2022-05-12
Health check-in — day 0, dose 4
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-05-13
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-14
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2022-05-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling, Itching · None

Adult check-in
2022-05-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2022-05-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2022-05-19
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-26
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-02
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-09
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-06-16
Survey response — day 35, dose 4
MedDRA: Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Poor

Free text: Sore throat, runny nose, congestion

MedDRA releases: 2024-11 · check-in free text available
2022-06-23
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-11
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-20
Dose 5 — Moderna
Co-administered: Flu
2022-10-01
Health check-in — day 7, dose 5
Feeling: Good · Site: Pain, Swelling · Chills, Diarrhea

Adult check-in
2022-10-04
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-11
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-20
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-25
Survey response — day 35, dose 5
MedDRA: Hypersensitivity, Pre-existing disease, SARS-CoV-2 test negative — Feeling: Fair

Free text: I have terrible fall allergies that have flared up over the last couple of weeks. I took a Covid rapid test that was negative and the symptoms that I have are all seemingly related to allergies.

MedDRA releases: 2024-11 · check-in free text available
2022-11-01
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-20
Survey response — 3 months, dose 5
MedDRA: Foot fracture, Hypersensitivity, Immune tolerance induction — Feeling: Good · Be unable to do your normal daily activities

Free text: I broke my left foot, so now I'm in a tall walking boot. I also had a reaction to my allergy shots last week, so they had to reduce the dose this week.

MedDRA releases: 2024-11 · check-in free text available
2023-03-21
Survey response — 6 months, dose 5
MedDRA: Vertigo — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-04	Moderna
2	2021-02-02	Moderna
3	2021-10-25	Moderna	No
4	2022-05-12	Moderna	No
5	2022-09-20	Moderna	Flu

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-18

Symptoms: Sinus congestion, nose bleed (dont think it has anything to do with the immunization)

Release 3 — day 0, dose 2

2021-02-02

Systemic reaction (other): Fogginess

Release 4 — day 14, dose 2

2021-02-16

Symptoms: Runny nose, scratchy throat, post nasal drip . I have allergies, so these could all be signs of my allergies as well.

Release 10 — day 21, dose 3

2021-11-15

Symptoms: I have developed an infected tooth. Has nothing to do with the Covid vaccine booster, just bad timing.

Release 10 — day 28, dose 3

2021-11-22

Symptoms: I was diagnosed with a sinus infection on 11/16 after having sinus symptoms for a couple weeks. Put on augment with some improvement in symptoms.

Release 11 — 3 months, dose 3

2022-01-24

Symptoms: I've had recurrent sinusitis (3times since November)

Release 12 — day 35, dose 4

2022-06-16

Symptoms: Sore throat, runny nose, congestion

Release 12 — day 35, dose 5

2022-10-25

Symptoms: I have terrible fall allergies that have flared up over the last couple of weeks. I took a Covid rapid test that was negative and the symptoms that I have are all seemingly related to allergies.

Release 12 — 3 months, dose 5

2022-12-20

Symptoms: I broke my left foot, so now I'm in a tall walking boot. I also had a reaction to my allergy shots last week, so they had to reduce the dose this week.

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	Epistaxis	✓	✓	✓
SD	Foot fracture	·	·	✓
SD	Hypersensitivity	·	·	✓
SD	Immune tolerance induction	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinus congestion	✓	✓	✓
SD	Sinusitis	·	·	✓
SD	Throat irritation	✓	✓	✓
SD	Tooth infection	·	·	✓
SD	Upper-airway cough syndrome	✓	✓	✓
SD	Vertigo	·	·	✓
SRO	Feeling abnormal	✓	✓	✓

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