4AR-24534-08700

4 vaccinations 9 coded responses 29 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 852 / AZ
Registered: 2021-01-31

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

2021-01-30
Dose 1 — Moderna
2021-01-31
Registered in v-safe
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, 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 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — day 7, dose 1
Feeling: Fair · Headache

Adult check-in
2021-02-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-27
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-03-06
Dose 2 — Moderna
2021-03-13
Survey response — day 7, dose 2
MedDRA: Headache, Injection site pain, Injection site rash, Injection site swelling, Injection site warmth — Feeling: Good

Free text: For dose 2, day1&2: moderate pain/swelling at shot site, mild headache both days; day 3-4-5 oval rash below shot site, hot to touch, swollen, & mildly painful. (today is day 8)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-05
Survey response — 3 months, dose 2
MedDRA: Cough, Headache, Myalgia, Parosmia, Pre-existing disease, Rhinorrhoea, Sinus disorder, Taste disorder — Feeling: Good

Free text: Slight headache, runny nose, & slight cough for a day or two - could be been due to missing my allergy meds + weather changes causing sinus issues. No fever, muscle aches, or change in taste/smell.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-19
Dose 3 — Moderna
2022-03-06
Survey response — 12 months, dose 2
MedDRA: Ageusia, Anosmia, Cough, Exposure to SARS-CoV-2, Fatigue, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cough, congestion, runny nose, tiredness, loss of taste & smell. (Note: Our family went on a road trip and all got sick; right afterwards my spouse tested positive for covid.)

MedDRA releases: 2024-11 · check-in free text available
2022-07-29
Dose 4 — Moderna
2022-08-01
Survey response — days 1–6 daily, dose 4
MedDRA: Injection site warmth — Feeling: Good · Site: Pain

Free text: skin around injection site is warmer to the touch than usual (about 2-3 inch diameter area)

MedDRA releases: 2024-11 · check-in free text available
2022-08-03
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-08-04
Survey response — days 1–6 daily, dose 4
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: sore throat in morning

MedDRA releases: 2024-11 · check-in free text available
2022-08-05
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-08-12
Survey response — day 14, dose 4
MedDRA: Ear congestion, Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea, Sinus congestion, Upper-airway cough syndrome — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Started this morning, getting worse, feels like a cold: Sore throat, runny nose, postnasal drip, sinus congestion, stuffy ears

MedDRA releases: 2024-11 · check-in free text available
2022-08-20
Survey response — day 21, dose 4
MedDRA: Cough, Fatigue, Office visit, Rales, SARS-CoV-2 test negative, Sinus congestion, Wheezing — 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: Symptoms: Cough, crackling wheeze, exhaustion, sinus congestion · Healthcare visit (other): doctor administered 2nd (negative) rapid test and (negative) PCR test for covid

MedDRA releases: 2024-11 · check-in free text available
2022-08-20
Report sent to call center — day 21, dose 4
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)
2022-08-22
Call 1 — Could Not Reach Participant
2022-08-28
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-08-31
Call 2 — Could Not Reach Participant
2022-09-02
Survey response — day 35, dose 4
MedDRA: Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: My feet have been killing me ;) but I'm pretty sure it's because of work and has nothing to do with covid or the vaccine =D

MedDRA releases: 2024-11 · check-in free text available
2022-09-11
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-10-29
Survey response — 3 months, dose 4
MedDRA: Oropharyngeal pain, Pre-existing disease, Sinus congestion — Feeling: Good

Free text: Probably just allergies: increased sinus congestion over the past week or so, and sore throat one morning a couple days ago that has cleared up now.

MedDRA releases: 2024-11 · check-in free text available
2023-01-28
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-30	Moderna
2	2021-03-06	Moderna
3	2021-11-19	Moderna	No
4	2022-07-29	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — day 7, dose 2

2021-03-13

Systemic reaction (other): For dose 2, day1&2: moderate pain/swelling at shot site, mild headache both days; day 3-4-5 oval rash below shot site, hot to touch, swollen, & mildly painful. (today is day 8)

Release 8 — 3 months, dose 2

2021-06-05

Symptoms: Slight headache, runny nose, & slight cough for a day or two - could be been due to missing my allergy meds + weather changes causing sinus issues. No fever, muscle aches, or change in taste/smell.

Release 11 — 12 months, dose 2

2022-03-06

Symptoms: Cough, congestion, runny nose, tiredness, loss of taste & smell. (Note: Our family went on a road trip and all got sick; right afterwards my spouse tested positive for covid.)

Release 12 — days 1–6 daily, dose 4

2022-08-01

Systemic reaction (other): skin around injection site is warmer to the touch than usual (about 2-3 inch diameter area)

2022-08-04

Systemic reaction (other): sore throat in morning

Release 12 — day 14, dose 4

2022-08-12

Symptoms: Started this morning, getting worse, feels like a cold: Sore throat, runny nose, postnasal drip, sinus congestion, stuffy ears

Release 12 — day 21, dose 4

2022-08-20

Symptoms: Cough, crackling wheeze, exhaustion, sinus congestion

Healthcare visit (other): doctor administered 2nd (negative) rapid test and (negative) PCR test for covid

Release 12 — day 35, dose 4

2022-09-02

Symptoms: My feet have been killing me ;) but I'm pretty sure it's because of work and has nothing to do with covid or the vaccine =D

Release 12 — 3 months, dose 4

2022-10-29

Symptoms: Probably just allergies: increased sinus congestion over the past week or so, and sore throat one morning a couple days ago that has cleared up now.

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	·	·	✓
HCVO	SARS-CoV-2 test negative	·	·	✓
SD	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	Cough	✓	✓	✓
SD	Ear congestion	·	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Parosmia	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rales	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sinus congestion	·	·	✓
SD	Sinus disorder	✓	✓	✓
SD	Taste disorder	✓	✓	✓
SD	Upper-airway cough syndrome	·	·	✓
SD	Wheezing	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site rash	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓

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