4ZY-28622-35927

2 vaccinations 11 coded responses 21 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 857 / AZ
Registered: 2021-03-03

Relationship: Self
Race: Black or African American
Ethnicity: Hispanic or Latino

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
Survey response — day 0, dose 1
MedDRA: Dry mouth, Rhinorrhoea, Throat tightness — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Tight throat, runny nose, dry mouth

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

Adult check-in
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 · None

Adult check-in
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia, Musculoskeletal stiffness — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Neck stiffness and 1/2 face numb

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Neck pain — Feeling: Fair · Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: Neck pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Musculoskeletal stiffness, Neck pain — Feeling: Fair · Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: Stiff neck and neck pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-31
Dose 2 — Moderna
2021-03-31
Survey response — day 0, dose 2
MedDRA: Dry mouth, Ocular discomfort, Palpitations, Vision blurred — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Dry mouth, racing heartbeat, eye fogging

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Decreased appetite, Heart rate increased, Lacrimation increased, Musculoskeletal chest pain, Vision blurred — Feeling: Poor · Site: Pain, Swelling · 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

Free text: Increased heart rate, blurred vision and watery eyes, pain in my ribs crushing and tightness, loss of appetite

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: Redness, Itching · Fever · Chills, Joint pains, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Oropharyngeal pain, Throat clearing — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Small tickling cough, sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — day 7, dose 2
MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Sore throat, slight cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — day 14, dose 2
MedDRA: Fatigue, Headache, Pruritus, Pyrexia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Headache, feverish, itchy, fatigue

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

Adult check-in
2021-05-01
Survey response — day 28, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-30
Survey response — 3 months, dose 2
MedDRA: Dizziness, Headache, Hypopnoea, Myalgia, Nausea, Oropharyngeal pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Dizzy, nausea, headache, muscle aches, sore throat, shallow breathing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-30
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-06
Call 1 — Left Voicemail
2022-03-31
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Moderna
2	2021-03-31	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-03-03

Systemic reaction (other): Tight throat, runny nose, dry mouth

Release 5 — days 1–6 daily, dose 1

2021-03-07

Systemic reaction (other): Neck stiffness and 1/2 face numb

2021-03-08

Systemic reaction (other): Neck pain

2021-03-09

Systemic reaction (other): Stiff neck and neck pain

Release 6 — day 0, dose 2

2021-03-31

Systemic reaction (other): Dry mouth, racing heartbeat, eye fogging

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): Increased heart rate, blurred vision and watery eyes, pain in my ribs crushing and tightness, loss of appetite

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Small tickling cough, sore throat

Release 7 — day 7, dose 2

2021-04-07

Systemic reaction (other): Sore throat, slight cough

Release 7 — day 14, dose 2

2021-04-14

Symptoms: Headache, feverish, itchy, fatigue

Release 8 — day 28, dose 2

2021-05-01

Symptoms: Fatigue

Release 9 — 3 months, dose 2

2021-06-30

Symptoms: Dizzy, nausea, headache, muscle aches, sore throat, shallow breathing

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	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypopnoea	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dry mouth	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Lacrimation increased	✓	✓	✓
SRO	Musculoskeletal chest pain	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Ocular discomfort	○	✓	○
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Throat clearing	✓	✓	✓
SRO	Throat tightness	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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