48Z-10681-73569

2 vaccinations 9 coded responses 16 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 087 / NJ
Registered: 2021-02-06

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

2021-01-23
Dose 1 — Moderna
2021-02-06
Registered in v-safe
2021-02-08
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-13
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-21
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-02-23
Dose 2 — Moderna
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: A little whoozy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Influenza like illness — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Flu like symptoms..severe headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Rash, Sinus congestion — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Slight rash on face...and total sinus congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Cerebral congestion — Feeling: Fair · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Head congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-11
Survey response — day 14, dose 2
MedDRA: Fatigue, Nausea — Feeling: Good

Free text: Just always tired. Nausea seems less finally, but it was everyday up until now

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-31
Survey response — day 35, dose 2
MedDRA: Eye infection, Sinusitis — Feeling: Fair

Free text: Eye and Sinus infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — day 42, dose 2
MedDRA: Dizziness, Fatigue, Respiratory tract congestion — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Dizziness and head congestion...i don't know if its from the shot or not...and still very tired...that is definitely since the shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-31
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-24
Survey response — 6 months, dose 2
MedDRA: Condition aggravated, Fatigue, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Very very tired....EB virus is eorse

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-04
Call 1 — Left Voicemail
2022-02-26
Survey response — 12 months, dose 2
MedDRA: Fatigue, Office visit, Pain, Somnolence — 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: Still vey tired! More body aches than before. I usually felt good before these vaccines, now it takes half a day to start waking up and feeling half way decent. It sll started with the vaccines. · Healthcare visit (other): Dr.s office

MedDRA releases: 2024-11 · check-in free text available
2022-02-26
Report sent to call center — 12 months, dose 2
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)
2022-03-02
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-23	Moderna
2	2021-02-23	Moderna

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-26

Systemic reaction (other): A little whoozy

2021-02-27

Systemic reaction (other): Flu like symptoms..severe headache

2021-02-28

Systemic reaction (other): Slight rash on face...and total sinus congestion

2021-03-01

Systemic reaction (other): Head congestion

Release 5 — day 14, dose 2

2021-03-11

Symptoms: Just always tired. Nausea seems less finally, but it was everyday up until now

Release 6 — day 35, dose 2

2021-03-31

Symptoms: Eye and Sinus infection

Release 7 — day 42, dose 2

2021-04-06

Symptoms: Dizziness and head congestion...i don't know if its from the shot or not...and still very tired...that is definitely since the shot.

Release 9 — 6 months, dose 2

2021-08-24

Symptoms: Very very tired....EB virus is eorse

Release 11 — 12 months, dose 2

2022-02-26

Symptoms: Still vey tired! More body aches than before. I usually felt good before these vaccines, now it takes half a day to start waking up and feeling half way decent. It sll started with the vaccines.

Healthcare visit (other): Dr.s office

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	Office visit	·	·	✓
SD	Condition aggravated	✓	·	✓
SD	Dizziness	✓	✓	✓
SD	Eye infection	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SD	Somnolence	·	·	✓
SRO	Cerebral congestion	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Influenza like illness	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Sinus congestion	✓	✓	✓

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