4Y3-37034-35207

4 vaccinations 17 coded responses 53 check-ins 16 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 980 / WA
Registered: 2021-03-06

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

2021-03-05
Dose 1 — Moderna
2021-03-06
Registered in v-safe
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Sensory disturbance — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: My arms felt disconnected from my body.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness

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

Adult check-in
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia — Feeling: Fair · Headache

Free text: Trouble sleeping

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Survey response — day 7, dose 1
MedDRA: Insomnia — Feeling: Fair · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-02
Dose 2 — Moderna
2021-04-02
Survey response — day 0, dose 2
MedDRA: Hypoaesthesia, Injection site paraesthesia — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: My arm where I had my injection is tingly and the left two fingers are numb.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-07
Survey response — day 35, dose 2
MedDRA: Chills, Vision blurred — Feeling: Fair

Free text: My vision has been blury and I have had chills.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — day 42, dose 2
MedDRA: Chills — Feeling: Fair

Free text: I get chills throughout the day. They come and go.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-01
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-05
Dose 3 — Moderna
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-11-09
Survey response — days 1–6 daily, dose 3
MedDRA: Insomnia — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Insomnia

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-12
Survey response — day 7, dose 3
MedDRA: Oropharyngeal pain — Feeling: Fair · Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Survey response — day 14, dose 3
MedDRA: Throat irritation, Upper-airway cough syndrome — Feeling: Fair

Free text: My throat has been on fire and I have a lot of post nasal drip.

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Survey response — day 21, dose 3
MedDRA: Oropharyngeal pain, Sensation of foreign body, Upper-airway cough syndrome — Feeling: Fair

Free text: My post nasal drip and sore throat have worsened significantly. It feels as if I have a lump in my throat.

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-17
Survey response — day 42, dose 3
MedDRA: Oropharyngeal pain, Upper-airway cough syndrome — Feeling: Good

Free text: I have a constant sore throat and post nasal drip.

MedDRA releases: 2024-11 · check-in free text available
2022-02-04
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-05-06
Survey response — 6 months, dose 3
MedDRA: Dyspnoea, Dyspnoea exertional, Gastrooesophageal reflux disease, Office visit, Sensation of foreign body — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: I have a lump in my throat that will not go away. Sometimes I have trouble breathing when speaking. They tried me on medication for gerd but that has not improved my symptoms. · Healthcare visit (other): Gastroenterolgist

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-05-09
Call 1 — Left Voicemail
2022-11-07
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2022-11-11
Dose 4 — Moderna
2022-11-11
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-11-12
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-11-13
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-11-14
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-11-15
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-11-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-11-18
Survey response — day 7, dose 4
MedDRA: Insomnia, Middle insomnia — Feeling: Fair · Fatigue or tiredness

Free text: Horrible insomnia. I kept waking up every hour.

MedDRA releases: 2024-11 · check-in free text available
2022-11-25
Survey response — day 14, dose 4
MedDRA: Red blood cell nucleated morphology present — Feeling: Fair

Free text: I had a blood draw taken one week after my shot. On the results, it showed I had elevated Nucleated rbc. Doing follow up blood work to see if it is related.

MedDRA releases: 2024-11 · check-in free text available
2022-12-02
Survey response — day 21, dose 4
MedDRA: Tinnitus — Feeling: Good

Free text: I continue to have occasional ringing in my ears.

MedDRA releases: 2024-11 · check-in free text available
2022-12-09
Survey response — day 28, dose 4
MedDRA: Exposure to SARS-CoV-2, Nasal congestion, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Fair

Free text: I have nasal congestion and a sore throat. I was exposed to Covid on Monday and Tuesday. I tested negative for covid on a rapid test. I'll be testing again.

MedDRA releases: 2024-11 · check-in free text available
2022-12-16
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-23
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-02-10
Survey response — 3 months, dose 4
MedDRA: Tinnitus — Feeling: Good

MedDRA releases: 2024-11
2023-05-12
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Moderna
2	2021-04-02	Moderna
3	2021-11-05	Moderna	No
4	2022-11-11	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-06

Systemic reaction (other): My arms felt disconnected from my body.

2021-03-09

Systemic reaction (other): Trouble sleeping

Release 5 — day 7, dose 1

2021-03-12

Systemic reaction (other): Insomnia

Release 6 — day 0, dose 2

2021-04-02

Systemic reaction (other): My arm where I had my injection is tingly and the left two fingers are numb.

Release 8 — day 35, dose 2

2021-05-07

Symptoms: My vision has been blury and I have had chills.

Release 8 — day 42, dose 2

2021-05-14

Symptoms: I get chills throughout the day. They come and go.

Release 10 — days 1–6 daily, dose 3

2021-11-09

Systemic reaction (other): Insomnia

Release 10 — day 7, dose 3

2021-11-12

Systemic reaction (other): Sore throat

Release 10 — day 14, dose 3

2021-11-19

Symptoms: My throat has been on fire and I have a lot of post nasal drip.

Release 10 — day 21, dose 3

2021-11-26

Symptoms: My post nasal drip and sore throat have worsened significantly. It feels as if I have a lump in my throat.

Release 10 — day 42, dose 3

2021-12-17

Symptoms: I have a constant sore throat and post nasal drip.

Release 11 — 6 months, dose 3

2022-05-06

Symptoms: I have a lump in my throat that will not go away. Sometimes I have trouble breathing when speaking. They tried me on medication for gerd but that has not improved my symptoms.

Healthcare visit (other): Gastroenterolgist

Release 12 — day 7, dose 4

2022-11-18

Systemic reaction (other): Horrible insomnia. I kept waking up every hour.

Release 12 — day 14, dose 4

2022-11-25

Symptoms: I had a blood draw taken one week after my shot. On the results, it showed I had elevated Nucleated rbc. Doing follow up blood work to see if it is related.

Release 12 — day 21, dose 4

2022-12-02

Symptoms: I continue to have occasional ringing in my ears.

Release 12 — day 28, dose 4

2022-12-09

Symptoms: I have nasal congestion and a sore throat. I was exposed to Covid on Monday and Tuesday. I tested negative for covid on a rapid test. I'll be testing again.

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	Office visit	·	·	✓
SD	Chills	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Dyspnoea exertional	·	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Gastrooesophageal reflux disease	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Red blood cell nucleated morphology present	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sensation of foreign body	·	·	✓
SD	Throat irritation	·	·	✓
SD	Tinnitus	·	·	✓
SD	Upper-airway cough syndrome	·	·	✓
SD	Vision blurred	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Injection site paraesthesia	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Middle insomnia	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Sensory disturbance	✓	✓	✓

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