4CZ-24103-08898

3 vaccinations 14 coded responses 29 check-ins 14 free-text entries 4 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 521 / IA
Registered: 2020-12-23

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

2020-12-23
Registered in v-safe
2020-12-23
Dose 1 — Moderna
2020-12-23
Survey response — day 0, dose 1
MedDRA: Feeling hot, Immediate post-injection reaction — Feeling: Good

Free text: Got hot all over but lasted less than 5 minutes and it was within the first 15 minutes of receiving

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-25
Survey response — days 1–6 daily, dose 1
MedDRA: Nasopharyngitis, Rhinorrhoea — Feeling: Good · Site: Pain, Itching · Fever · Chills, Fatigue or tiredness

Free text: I have some nasal drainage, cold like symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2020-12-29
Survey response — days 1–6 daily, dose 1
MedDRA: Ear discomfort, Sinus operation — Feeling: Fair · Fever · Chills, Diarrhea · Be unable to do your normal daily activities

Free text: Nasal drainage and ear pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-29
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-30
Survey response — day 7, dose 1
MedDRA: Nasal discomfort, Nasopharyngitis — Feeling: Fair · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Cold like symptoms, slight burning in my nares

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-06
Survey response — day 14, dose 1
MedDRA: Arthralgia — Feeling: Good

Free text: Joint pain, hands, wrist, knees

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-20
Dose 2 — Moderna
2021-01-27
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-03
Survey response — day 14, dose 2
MedDRA: Arthralgia, Headache — Feeling: Good

Free text: Headaches for no logical reason, and joint pain (hands, elbows, knees, feet), thought about going to my pcp

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-24
Survey response — day 35, dose 2
MedDRA: Cough, Nasal congestion, Pruritus — Feeling: Fair

Free text: Itchy dry cough and some sinus congestion no temp

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-21
Survey response — 3 months, dose 2
MedDRA: Chronic sinusitis — 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: Chronic sinusitis!! Worst ever!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-08
Call 1 — Left Voicemail
2021-07-21
Survey response — 6 months, dose 2
MedDRA: Headache, Oropharyngeal pain, Paranasal sinus discomfort, Sinus congestion, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Upper Respiratory, sinus congestion & pressure, sore throat, HA

MedDRA releases: 2024-11 · check-in free text available
2021-07-21
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-24
Call 2 — Left Voicemail
2021-12-17
Dose 3 — Moderna
2021-12-17
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-12-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Fatigue or tiredness

Adult check-in
2021-12-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · Joint pains, Fatigue or tiredness

Adult check-in
2021-12-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-12-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fever · Chills, Headache

Adult check-in
2021-12-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-24
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-03
Survey response — day 14, dose 3
MedDRA: Diarrhoea, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Watery stool....more than normal, slight sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-01-08
Survey response — day 21, dose 3
MedDRA: Nasal congestion, Rhinorrhoea — Feeling: Fair

Free text: Nasal drainage/congestion

MedDRA releases: 2024-11 · check-in free text available
2022-01-21
Survey response — day 35, dose 3
MedDRA: Chills, Cough, Ear pain, Fatigue, Lymphadenopathy, Nasal congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Swollen glands, ear pain, nasal congestion, chills, now a cough fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-01-22
Call 1 — Left Voicemail
2022-01-28
Survey response — day 42, dose 3
MedDRA: Ear pain, Headache, Neck pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Horrible headache that includes one ear and neck

MedDRA releases: 2024-11 · check-in free text available
2022-03-18
Survey response — 3 months, dose 3
MedDRA: Arthralgia, Fatigue — Feeling: Fair

Free text: Joint pain fatigue

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-23	Moderna
2	2021-01-20	Moderna
3	2021-12-17	Moderna	No

Call center

4 call center cases

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

See the call center timeline

Free text

Release 1 — day 0, dose 1

2020-12-23

Systemic reaction (other): Got hot all over but lasted less than 5 minutes and it was within the first 15 minutes of receiving

Release 1 — days 1–6 daily, dose 1

2020-12-25

Systemic reaction (other): I have some nasal drainage, cold like symptoms

2020-12-29

Systemic reaction (other): Nasal drainage and ear pressure

Release 1 — day 7, dose 1

2020-12-30

Systemic reaction (other): Cold like symptoms, slight burning in my nares

Release 1 — day 14, dose 1

2021-01-06

Symptoms: Joint pain, hands, wrist, knees

Release 3 — day 14, dose 2

2021-02-03

Symptoms: Headaches for no logical reason, and joint pain (hands, elbows, knees, feet), thought about going to my pcp

Release 4 — day 35, dose 2

2021-02-24

Symptoms: Itchy dry cough and some sinus congestion no temp

Release 7 — 3 months, dose 2

2021-04-21

Symptoms: Chronic sinusitis!! Worst ever!

Release 9 — 6 months, dose 2

2021-07-21

Symptoms: Upper Respiratory, sinus congestion & pressure, sore throat, HA

Release 10 — day 14, dose 3

2022-01-03

Symptoms: Watery stool....more than normal, slight sore throat

Release 10 — day 21, dose 3

2022-01-08

Symptoms: Nasal drainage/congestion

Release 11 — day 35, dose 3

2022-01-21

Symptoms: Swollen glands, ear pain, nasal congestion, chills, now a cough fatigue

Release 11 — day 42, dose 3

2022-01-28

Symptoms: Horrible headache that includes one ear and neck

Release 11 — 3 months, dose 3

2022-03-18

Symptoms: Joint pain fatigue

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	Arthralgia	✓	✓	✓
SD	Chills	·	·	✓
SD	Chronic sinusitis	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Diarrhoea	·	·	✓
SD	Ear pain	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Lymphadenopathy	·	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Neck pain	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Paranasal sinus discomfort	·	·	✓
SD	Pruritus	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Nasal discomfort	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sinus operation	✓	✓	✓

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