529-23808-72942

3 vaccinations 9 coded responses 37 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 432 / OH
Registered: 2021-01-08

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

2021-01-08
Registered in v-safe
2021-01-08
Dose 1 — Moderna
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-15
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-29
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-05
Dose 2 — Moderna
2021-02-05
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-06
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Feeling abnormal — Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Free text: Dizziness/feeling faint. Intermittent

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · Fatigue or tiredness, Nausea

Adult check-in
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Swelling

Free text: Still some dizziness yesterday and today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-12
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-06
Survey response — 6 months, dose 2
MedDRA: Visual impairment — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: R eye vision issue-likely due to age/known condition

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-06
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-18
Dose 3 — Moderna
2021-08-18
Survey response — day 0, dose 3
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: A little dizzy/woozy feeling. I am about 4 hours status post my vaccination.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-20
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth — Feeling: Good · Site: Pain, Redness, Swelling · Headache

Free text: Skin around injection site is swollen, red, and now hard AND warm/hot to the touch

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-21
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness

Free text: Skin around injection site is less swollen and red today. Still tender and a little hard to the touch and still warmer than the surrounding skin.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-22
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site induration, Injection site warmth — Feeling: Good · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness

Free text: Still warmth and hardness at the injection site, but much decreased today.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling, Itching · Fever · Fatigue or tiredness

Adult check-in
2021-08-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-08-25
Health check-in — day 7, dose 3
Feeling: Good · Site: Itching · Headache, Fatigue or tiredness

Adult check-in
2021-09-02
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-09-10
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-09-15
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-09-22
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-09-29
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-11-17
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2021-11-21
Call 1 — Left Voicemail
2022-02-16
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-08-18
Survey response — 12 months, dose 3
MedDRA: Unevaluable event — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Covid. I finally (?) got Covid. Do not recommend.

MedDRA releases: 2024-11 · check-in free text available
2022-08-18
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-08-19
Call successful
Not applicable - Accidental Reporting
2022-08-19
Call successful
Not applicable - Accidental Reporting

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-08	Moderna
2	2021-02-05	Moderna
3	2021-08-18	Moderna	No

Call center

2 call center cases

2 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-06

Systemic reaction (other): Dizziness

2021-02-08

Systemic reaction (other): Dizziness/feeling faint. Intermittent

2021-02-10

Systemic reaction (other): Still some dizziness yesterday and today

Release 9 — 6 months, dose 2

2021-08-06

Symptoms: R eye vision issue-likely due to age/known condition

Release 9 — day 0, dose 3

2021-08-18

Systemic reaction (other): A little dizzy/woozy feeling. I am about 4 hours status post my vaccination.

Release 9 — days 1–6 daily, dose 3

2021-08-20

Systemic reaction (other): Skin around injection site is swollen, red, and now hard AND warm/hot to the touch

2021-08-21

Systemic reaction (other): Skin around injection site is less swollen and red today. Still tender and a little hard to the touch and still warmer than the surrounding skin.

2021-08-22

Systemic reaction (other): Still warmth and hardness at the injection site, but much decreased today.

Release 12 — 12 months, dose 3

2022-08-18

Symptoms: Covid. I finally (?) got Covid. Do not recommend.

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	Unevaluable event	·	·	✓
SD	Visual impairment	✓	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Injection site erythema	✓	·	✓
SRO	Injection site induration	✓	·	✓
SRO	Injection site pain	✓	·	✓
SRO	Injection site swelling	✓	·	✓
SRO	Injection site warmth	✓	·	✓

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