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4EE-58728-40662

2 vaccinations 6 coded responses 13 check-ins 6 free-text entries 2 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
117 / NY
Registered
2021-06-01
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-04
    Dose 1 — Moderna
  2. 2021-06-01
    Registered in v-safe
  3. 2021-06-01
    Dose 2 — Moderna
  4. 2021-06-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dehydration — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities
    Free text: Dehydration despite drinking excessive
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-06-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  6. 2021-06-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  7. 2021-06-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Adult check-in
  8. 2021-06-08
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Adult check-in
  9. 2021-06-15
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  10. 2021-06-22
    Survey response — day 21, dose 2
    MedDRA: Migraine — Feeling: Poor · Be unable to work or attend school
    Free text: Migraine headaches (never had before)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-06-29
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  12. 2021-07-06
    Survey response — day 35, dose 2
    MedDRA: Headache, Migraine — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: First migraine ever, woke up with throbbing headache that worsened with light and sound and somewhat better in dark and quiet. Never had a migraine before in my life.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-07-13
    Survey response — day 42, dose 2
    MedDRA: Headache, Photophobia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Severe headache, light and sound sensitivity, never had before vaccination my entire life
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-08-31
    Survey response — 3 months, dose 2
    MedDRA: Acute sinusitis, Headache, Migraine — 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: Frequent headaches, newly developed migraines, currently acute unilateral sinusitis
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  15. 2021-08-31
    Report sent to call center — 3 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  16. 2021-09-02
  17. 2021-11-30
    Survey response — 6 months, dose 2
    MedDRA: Sinusitis — 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: Unilateral sinusitis lasting more than 3 months
    MedDRA releases: 2024-11 · check-in free text available
  18. 2021-11-30
    Report sent to call center — 6 months, dose 2
    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)
  19. 2021-12-01
  20. 2022-06-01
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-05-04Moderna
22021-06-01Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-06-02

Systemic reaction (other): Dehydration despite drinking excessive

Release 9 — day 21, dose 2

2021-06-22

Symptoms: Migraine headaches (never had before)

Release 9 — day 35, dose 2

2021-07-06

Symptoms: First migraine ever, woke up with throbbing headache that worsened with light and sound and somewhat better in dark and quiet. Never had a migraine before in my life.

Release 9 — day 42, dose 2

2021-07-13

Symptoms: Severe headache, light and sound sensitivity, never had before vaccination my entire life

Release 9 — 3 months, dose 2

2021-08-31

Symptoms: Frequent headaches, newly developed migraines, currently acute unilateral sinusitis

Release 10 — 6 months, dose 2

2021-11-30

Symptoms: Unilateral sinusitis lasting more than 3 months

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

FieldPreferred term2021-092023-042024-11
SDAcute sinusitis ✓ · ✓
SDHeadache ✓ ✓ ✓
SDMigraine ✓ ✓ ✓
SDPhotophobia ✓ ✓ ✓
SDSinusitis · · ✓
SRODehydration ✓ ✓ ✓

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