4ZR-28558-48928

2 vaccinations 5 coded responses 26 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 483 / MI
Registered: 2021-02-20

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

2021-02-20
Registered in v-safe
2021-02-20
Dose 1 — Moderna
2021-02-20
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-26
Survey response — days 1–6 daily, dose 1
MedDRA: Respiratory tract congestion — Feeling: Good

Free text: Congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-06
Survey response — day 14, dose 1
MedDRA: Dry eye, Dry skin, Eyelid rash, Ocular hyperaemia, Rash, Rash erythematous — Feeling: Good · Be unable to do your normal daily activities

Free text: I had a rash around the eyes (red, rough skin and dry eyes). It started at the tear duct then spread up and over the eyelid, and down from the tear duct to the under eye area. I had to treat the rash with a steroid (triderm) to make it go away.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — day 21, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · 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: My arrhythmias (Supra ventricular tachycardia) have started occurring more frequently. They used to happen occasionally but are now happening multiple times a week. My doctors put me on a low dose beta blocker.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-20
Dose 2 — Moderna
2021-03-20
Survey response — day 0, dose 2
MedDRA: Ear discomfort, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Site: Pain

Free text: Sore throat, congestion, ears feel plugged up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-19
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-18
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-03
Call 1 — Left Voicemail
2022-03-20
Survey response — 12 months, dose 2
MedDRA: Nasopharyngitis — Feeling: Good · Be unable to do your normal daily activities

Free text: I had a cold

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-20	Moderna
2	2021-03-20	Moderna

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 4 — days 1–6 daily, dose 1

2021-02-26

Systemic reaction (other): Congestion

Release 5 — day 14, dose 1

2021-03-06

Symptoms: I had a rash around the eyes (red, rough skin and dry eyes). It started at the tear duct then spread up and over the eyelid, and down from the tear duct to the under eye area. I had to treat the rash with a steroid (triderm) to make it go away.

Release 5 — day 21, dose 1

2021-03-13

Symptoms: My arrhythmias (Supra ventricular tachycardia) have started occurring more frequently. They used to happen occasionally but are now happening multiple times a week. My doctors put me on a low dose beta blocker.

Release 6 — day 0, dose 2

2021-03-20

Systemic reaction (other): Sore throat, congestion, ears feel plugged up

Release 11 — 12 months, dose 2

2022-03-20

Symptoms: I had a cold

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
SD	Condition aggravated	✓	✓	✓
SD	Dry eye	✓	✓	✓
SD	Dry skin	✓	✓	✓
SD	Eyelid rash	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Ocular hyperaemia	✓	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash erythematous	○	✓	○
SRO	Ear discomfort	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓

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