4XA-22830-43016

2 vaccinations 9 coded responses 25 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 981 / WA
Registered: 2021-01-30

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

2021-01-29
Dose 1 — Moderna
2021-01-30
Registered in v-safe
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-31
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: I took ibuprofen and feel fine now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

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

Adult check-in
2021-02-05
Survey response — day 7, dose 1
MedDRA: SARS-CoV-2 test — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, 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: Covid tested results in 24/48 hr

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Report sent to call center — day 7, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-24
Dose 2 — Moderna
2021-02-24
Survey response — day 0, dose 2
MedDRA: Feeling abnormal — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: I was fine for 11 hours, and now Im a wreck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Good · Headache

Free text: Ive been taking ibuprofen and drinking lots of water, keeping active, and am feeling fine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Headache, Pain, Pyrexia, Self-medication — Feeling: Good · Chills, Headache, Muscle or body aches

Free text: Im sore from working out yesterday, ibuprofen for fever/headache, heat wrap for chills

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Pain, Self-medication — Feeling: Good · Chills, Headache, Muscle or body aches

Free text: Im sore from working out, may have mild cold, ibuprofen managing symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event, Self-medication — Feeling: Good · Headache

Free text: Ibuprofen and I feel fine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — day 7, dose 2
MedDRA: Nasopharyngitis, Self-medication — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness

Free text: I think I have a cold, ibuprofen management

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — day 14, dose 2
MedDRA: Injection site pain, Pain, Sleep disorder — Feeling: Good

Free text: Injection site woke me up at 4AM with shooting pain when I was sleeping on it. It hasnt been sore since day 2/3 and is fine now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-02
Call 1 — Left Voicemail
2021-07-14
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-08-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-24
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-29	Moderna
2	2021-02-24	Moderna

Call center

1 call center case

1 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-31

Systemic reaction (other): I took ibuprofen and feel fine now.

Release 3 — day 7, dose 1

2021-02-05

Healthcare visit (other): Covid tested results in 24/48 hr

Release 4 — day 0, dose 2

2021-02-24

Systemic reaction (other): I was fine for 11 hours, and now Im a wreck

Release 4 — days 1–6 daily, dose 2

2021-02-26

Systemic reaction (other): Ive been taking ibuprofen and drinking lots of water, keeping active, and am feeling fine.

2021-02-27

Systemic reaction (other): Im sore from working out yesterday, ibuprofen for fever/headache, heat wrap for chills

2021-02-28

Systemic reaction (other): Im sore from working out, may have mild cold, ibuprofen managing symptoms.

2021-03-02

Systemic reaction (other): Ibuprofen and I feel fine.

Release 5 — day 7, dose 2

2021-03-03

Systemic reaction (other): I think I have a cold, ibuprofen management

Release 5 — day 14, dose 2

2021-03-10

Symptoms: Injection site woke me up at 4AM with shooting pain when I was sleeping on it. It hasnt been sore since day 2/3 and is fine 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	SARS-CoV-2 test	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Sleep disorder	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	No adverse event	✓	✓	○
SRO	Pain	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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