4W8-16374-54223

3 vaccinations 6 coded responses 27 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 210 / MD
Registered: 2021-03-03

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

4NH-17479-06570 Child or adolescent in my care · Male · 2021-07-23

6ZF-82599-44688 Child or adolescent in my care · Female · 2021-07-23

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-03
Registered in v-safe
2021-03-03
Dose 1 — Moderna
2021-03-03
Health check-in — day 0, dose 1
Feeling: Good · Nausea

Adult check-in
2021-03-04
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Musculoskeletal stiffness, Pain in extremity, Rhinorrhoea — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness

Free text: Pain in the arm the most prominent. Some feeling of stiffness in the neck and shoulder area and feeling a little sniffly and tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Abdominal pain

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-10
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-24
Survey response — day 21, dose 1
MedDRA: Insomnia, Medical counselling, Pre-existing disease, Tinnitus — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: I have had a mild tinnitus for many years. For about a week now, it has been very strong all day long. It feels like its going constantly, making it hard to fall asleep too. · Healthcare visit (other): Called my primary care physician today. He recommended an ENT. Called there, left a message, still waiting for an appointment

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-31
Dose 2 — Moderna
2021-03-31
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Some dizziness, which subsided

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Nasopharyngitis, Rhinorrhoea — Feeling: Good · Site: Pain, Redness, Itching · Fatigue or tiredness

Free text: Feel a little sniffly, like having a light cold. Not sure of that has anything to do with the vaccine

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

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-04-07
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-28
Survey response — day 28, dose 2
MedDRA: Dry skin, Pruritus, Rash, Rash pruritic — Feeling: Good

Free text: I had an itchy rash after my second dose on my arm. It went away after a few days, but on some days, a dry patch thats itchy will turn back up on that same arm and area. Not sure if certain things such as water, heat, shower gel make it reappear

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-30
Survey response — 3 months, dose 2
MedDRA: Medical counselling, Tinnitus — Feeling: Good

Free text: It doesnt necessarily qualify as a new symptom, but I reported increased ear ringing a few months back. I have had mild tinnitus before the vaccine. The second dose seemed to make it stronger. The ENT confirmed some patients reporting the same

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-12
Call 1 — Left Voicemail
2022-02-19
Dose 3 — Pfizer-BioNTech
2022-05-21
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-08-20
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Moderna
2	2021-03-31	Moderna
3	2022-02-19	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-04

Systemic reaction (other): Pain in the arm the most prominent. Some feeling of stiffness in the neck and shoulder area and feeling a little sniffly and tired.

Release 6 — day 21, dose 1

2021-03-24

Symptoms: I have had a mild tinnitus for many years. For about a week now, it has been very strong all day long. It feels like its going constantly, making it hard to fall asleep too.

Healthcare visit (other): Called my primary care physician today. He recommended an ENT. Called there, left a message, still waiting for an appointment

Release 6 — day 0, dose 2

2021-03-31

Systemic reaction (other): Some dizziness, which subsided

Release 6 — days 1–6 daily, dose 2

2021-04-03

Systemic reaction (other): Feel a little sniffly, like having a light cold. Not sure of that has anything to do with the vaccine

Release 8 — day 28, dose 2

2021-04-28

Symptoms: I had an itchy rash after my second dose on my arm. It went away after a few days, but on some days, a dry patch thats itchy will turn back up on that same arm and area. Not sure if certain things such as water, heat, shower gel make it reappear

Release 9 — 3 months, dose 2

2021-06-30

Symptoms: It doesnt necessarily qualify as a new symptom, but I reported increased ear ringing a few months back. I have had mild tinnitus before the vaccine. The second dose seemed to make it stronger. The ENT confirmed some patients reporting the same

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	Medical counselling	✓	✓	✓
SD	Dry skin	·	·	✓
SD	Insomnia	✓	✓	✓
SD	Medical counselling	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	✓	✓	○
SD	Rash	✓	✓	✓
SD	Rash pruritic	·	·	✓
SD	Tinnitus	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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