5HX-27974-49398

3 vaccinations 8 coded responses 16 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 799 / TX
Registered: 2021-03-22

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-17
Dose 1 — Moderna
2021-03-22
Registered in v-safe
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-24
Health check-in — day 7, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-31
Survey response — day 14, dose 1
MedDRA: Somnolence — Feeling: Fair · Be unable to do your normal daily activities

Free text: I've been sleeping a lot no matter how much I sleep I feel like I can't get enough sleep. I don't feel sick but all I want to do is sleep.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-14
Dose 2 — Moderna
2021-04-14
Health check-in — day 0, dose 2
Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Burning sensation, Nasal congestion — Feeling: Poor · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Nasal congestion and burning sensation on the bottom of the feet and in the palm of the left hand which is the arm I received the vaccine on.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Nasal congestion, Oropharyngeal pain, Paranasal sinus discomfort, Rhinorrhoea — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Nasal congestion/runny nose, sinus pressure, and sore throat.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Nasal congestion, Paranasal sinus discomfort, Rhinorrhoea — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Sinus pressure, stuffy and runny nose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 7, dose 2
MedDRA: Musculoskeletal stiffness, Nasal congestion, Oropharyngeal pain, Rhinorrhoea — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Sore throat, sinus pressure, stuffy and runny nose, and a stiff neck.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-05
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-14
Survey response — day 28, dose 2
MedDRA: Back pain, Eye pain, Headache, Pain, Pain in extremity, Paranasal sinus discomfort, Respiratory tract congestion — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Pain in my left eye, congestion, and sinus pressure. My headaches are worse and my body aches especially my arms and back.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-16
Survey response — 3 months, dose 2
MedDRA: Eye inflammation, Headache, Musculoskeletal stiffness, Office visit, Pain, Paranasal sinus discomfort — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Inflammation in the eyes, severe body aches with stiffness, daily headaches, and sinus pressure. · Healthcare visit (other): Office visit with primary care physician and optometrist.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-16
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-27
Call 1 — Left Voicemail
2021-07-28
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-10-29
Dose 3 — Moderna
Co-administered: Flu:Shingles
2022-04-16
Survey response — 12 months, dose 2
MedDRA: Fatigue, Headache, Iritis, Myalgia, Nasal congestion, Photophobia, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Runny/Stuffy nose, headache, photophobia, iritis, muscle pain, and fatigue.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Moderna
2	2021-04-14	Moderna
3	2021-10-29	Moderna	Flu:Shingles

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — day 14, dose 1

2021-03-31

Symptoms: I've been sleeping a lot no matter how much I sleep I feel like I can't get enough sleep. I don't feel sick but all I want to do is sleep.

Release 7 — days 1–6 daily, dose 2

2021-04-16

Systemic reaction (other): Nasal congestion and burning sensation on the bottom of the feet and in the palm of the left hand which is the arm I received the vaccine on.

2021-04-19

Systemic reaction (other): Nasal congestion/runny nose, sinus pressure, and sore throat.

2021-04-20

Systemic reaction (other): Sinus pressure, stuffy and runny nose.

Release 7 — day 7, dose 2

2021-04-21

Systemic reaction (other): Sore throat, sinus pressure, stuffy and runny nose, and a stiff neck.

Release 8 — day 28, dose 2

2021-05-14

Symptoms: Pain in my left eye, congestion, and sinus pressure. My headaches are worse and my body aches especially my arms and back.

Release 9 — 3 months, dose 2

2021-07-16

Symptoms: Inflammation in the eyes, severe body aches with stiffness, daily headaches, and sinus pressure.

Healthcare visit (other): Office visit with primary care physician and optometrist.

Release 11 — 12 months, dose 2

2022-04-16

Symptoms: Runny/Stuffy nose, headache, photophobia, iritis, muscle pain, and fatigue.

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	Back pain	✓	✓	✓
SD	Eye inflammation	✓	·	✓
SD	Eye pain	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Iritis	·	·	✓
SD	Musculoskeletal stiffness	✓	·	✓
SD	Myalgia	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Paranasal sinus discomfort	✓	✓	✓
SD	Photophobia	·	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Somnolence	✓	✓	✓
SRO	Burning sensation	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Paranasal sinus discomfort	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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