4TH-22256-72710

2 vaccinations 11 coded responses 25 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 761 / TX
Registered: 2020-12-29

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

2020-12-29
Registered in v-safe
2020-12-29
Dose 1 — Moderna
2020-12-29
Survey response — day 0, dose 1
MedDRA: Injection site discomfort — Feeling: Good · Muscle or body aches

Free text: Arm slightly sore at site if injection, but not painful

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good · Muscle or body aches

Free text: Mild muscle pain at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches

Adult check-in
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Discharge, Respiratory tract congestion — Feeling: Fair · Headache

Free text: Drainage and congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Survey response — days 1–6 daily, dose 1
MedDRA: Respiratory tract congestion — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: SARS-CoV-2 test positive — Feeling: Fair · Diarrhea

Free text: Tested positive 1/2/2021

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site inflammation — Feeling: Good · Site: Redness · Headache, Diarrhea

Free text: I noticed the injection site is inflamed when the bandaid came off today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Site: Redness, Itching · Diarrhea

Free text: Wondering if I had a false positive covid test on saturday?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-26
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-02
Dose 2 — Moderna
2021-02-03
Survey response — days 1–6 daily, dose 2
MedDRA: COVID-19, Headache, Respiratory tract congestion, SARS-CoV-2 test positive, Sinus disorder, Sleep disorder — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: Just that the headache feels like a sinus infection. Rolling onto the arm that was jnjected wakes me up at night. I also have congestion. I tested pos for covid after the first injection. I am thinking light-weights like myself need smaller doses.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — days 1–6 daily, dose 2
MedDRA: Upper-airway cough syndrome — Feeling: Fair · Site: Pain · Headache

Free text: Drainage issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-06
Survey response — days 1–6 daily, dose 2
MedDRA: Hypersensitivity — Feeling: Good

Free text: Allergy symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Seasonal allergy — Feeling: Good

Free text: Seasonal allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — day 7, dose 2
Feeling: Fair · Headache

Adult check-in
2021-02-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
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
2021-03-11
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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Moderna
2	2021-02-02	Moderna

Call center

1 call center case

1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — day 0, dose 1

2020-12-29

Systemic reaction (other): Arm slightly sore at site if injection, but not painful

Release 1 — days 1–6 daily, dose 1

2020-12-30

Systemic reaction (other): Mild muscle pain at injection site

2021-01-01

Systemic reaction (other): Drainage and congestion

2021-01-02

Systemic reaction (other): Congestion

2021-01-03

Systemic reaction (other): Tested positive 1/2/2021

2021-01-04

Systemic reaction (other): I noticed the injection site is inflamed when the bandaid came off today

Release 1 — day 7, dose 1

2021-01-05

Systemic reaction (other): Wondering if I had a false positive covid test on saturday?

Release 3 — days 1–6 daily, dose 2

2021-02-03

Systemic reaction (other): Just that the headache feels like a sinus infection. Rolling onto the arm that was jnjected wakes me up at night. I also have congestion. I tested pos for covid after the first injection. I am thinking light-weights like myself need smaller doses.

2021-02-04

Systemic reaction (other): Drainage issues

2021-02-06

Systemic reaction (other): Allergy symptoms

2021-02-07

Systemic reaction (other): Seasonal allergies

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
SRO	COVID-19	✓	✓	✓
SRO	Discharge	✓	✓	✓
SRO	Drainage	○	○	○
SRO	Headache	✓	✓	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Injection site discomfort	✓	✓	✓
SRO	Injection site inflammation	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	SARS-CoV-2 test positive	✓	✓	✓
SRO	Seasonal allergy	✓	✓	✓
SRO	Sinus disorder	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓
SRO	Upper-airway cough syndrome	✓	✓	✓

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