5BM-31478-32163

4 vaccinations 14 coded responses 36 check-ins 12 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 596 / MT
Registered: 2021-01-28

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

2021-01-28
Registered in v-safe
2021-01-28
Dose 1 — Moderna
2021-01-28
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Good

Free text: Light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — days 1–6 daily, dose 1
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

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-31
Survey response — days 1–6 daily, dose 1
MedDRA: Anxiety — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: anxiety

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
Survey response — days 1–6 daily, dose 1
MedDRA: Respiratory tract irritation — Feeling: Fair · Fatigue or tiredness

Free text: my lungs feel irritated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — day 7, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-02-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-18
Survey response — day 21, dose 1
MedDRA: Insomnia — Feeling: Fair

Free text: Insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Dose 2 — Moderna
2021-03-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-26
Survey response — day 28, dose 2
MedDRA: Thirst — Feeling: Good

Free text: excessive thirst in the middle of the night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — day 35, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair

Free text: Swollen gland

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-28
Survey response — 3 months, dose 2
MedDRA: Anxiety, Feeling hot, Neck pain — Feeling: Fair

Free text: Warm feeling in legs, feels like water. I did have COVID in between doses. I dont know if I was able to say that before. Also neck pain and anxiety.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-23
Dose 3 — Pfizer-BioNTech
2021-10-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-10-26
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Armpit on side of injection really sore, lymph nodes?

MedDRA releases: 2024-11 · check-in free text available
2021-10-27
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Memory impairment — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Forgetful, Lymph nodes in Armpit sore on side of injection

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Ear congestion, Ear discomfort, Hypoacusis — Feeling: Good

Free text: Ears are plugged and Feel full, I can't hear very well

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Survey response — day 7, dose 3
MedDRA: Anxiety, Tinnitus — Feeling: Good

Free text: Tinnitus, anxiety

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-13
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-22
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-27
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-05
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-24
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-25
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-15
Dose 4 — Moderna
Co-administered: Flu
2022-10-25
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2022-10-25
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-29
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-05
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-12
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-26
Survey response — day 42, dose 4
MedDRA: Sneezing — Feeling: Fair

Free text: Sneezing

MedDRA releases: 2024-11 · check-in free text available
2023-01-14
Survey response — 3 months, dose 4
MedDRA: Fatigue, Headache, Herpes zoster — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-01-14
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-16
Call 1 — Left Voicemail
2023-04-22
Survey response — 6 months, dose 4
MedDRA: Dyspnoea, Lower respiratory tract infection, Nasopharyngitis, Office visit, Ophthalmic herpes zoster, SARS-CoV-2 test negative — 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

MedDRA releases: 2024-11
2023-04-22
Report sent to call center — 6 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2023-04-24
Call 2 — Left Voicemail
2023-04-24
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-28	Moderna
2	2021-02-26	Moderna
3	2021-10-23	Pfizer-BioNTech	No
4	2022-10-15	Moderna	Flu

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 3 — day 0, dose 1

2021-01-28

Systemic reaction (other): Light headed

Release 3 — days 1–6 daily, dose 1

2021-01-31

Systemic reaction (other): anxiety

2021-02-02

Systemic reaction (other): my lungs feel irritated

Release 4 — day 21, dose 1

2021-02-18

Symptoms: Insomnia

Release 6 — day 28, dose 2

2021-03-26

Symptoms: excessive thirst in the middle of the night

Release 6 — day 35, dose 2

2021-04-02

Symptoms: Swollen gland

Release 8 — 3 months, dose 2

2021-05-28

Symptoms: Warm feeling in legs, feels like water. I did have COVID in between doses. I dont know if I was able to say that before. Also neck pain and anxiety.

Release 10 — days 1–6 daily, dose 3

2021-10-26

Systemic reaction (other): Armpit on side of injection really sore, lymph nodes?

2021-10-27

Systemic reaction (other): Forgetful, Lymph nodes in Armpit sore on side of injection

2021-10-29

Systemic reaction (other): Ears are plugged and Feel full, I can't hear very well

Release 10 — day 7, dose 3

2021-10-30

Systemic reaction (other): Tinnitus, anxiety

Release 12 — day 42, dose 4

2022-11-26

Symptoms: Sneezing

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	Anxiety	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Feeling hot	✓	✓	✓
SD	Headache	·	·	✓
SD	Herpes zoster	·	·	✓
SD	Insomnia	✓	✓	✓
SD	Lower respiratory tract infection	·	·	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Neck pain	✓	✓	✓
SD	Ophthalmic herpes zoster	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sneezing	·	·	✓
SD	Thirst	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Axillary pain	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Ear congestion	·	·	✓
SRO	Ear discomfort	·	·	✓
SRO	Hypoacusis	·	·	✓
SRO	Lymph node pain	·	·	✓
SRO	Memory impairment	·	·	✓
SRO	Respiratory tract irritation	✓	✓	✓
SRO	Tinnitus	·	·	✓

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