5NA-12676-82734

3 vaccinations 11 coded responses 30 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 774 / TX
Registered: 2020-12-24

Relationship: Self
Race: White
Ethnicity: N/A

Timeline

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

2020-12-24
Registered in v-safe
2020-12-24
Dose 1 — Moderna
2020-12-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2020-12-31
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-01-07
Survey response — day 14, dose 1
MedDRA: Headache, Nausea, Sensitive skin, Sinus congestion — Feeling: Fair

Free text: Headaches, sinus congestion, nausea, and skin sensitivities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-21
Dose 2 — Moderna
2021-01-21
Health check-in — day 0, dose 2
Feeling: Good · Headache

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-01-23
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activities

Free text: Lower back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-01-28
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-02-06
Survey response — day 14, dose 2
MedDRA: Chest discomfort, Dizziness, Fatigue, Headache — Feeling: Poor · Be unable to do your normal daily activities

Free text: Severe headache, dizziness, fatigue, chest pressure, and severe nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — day 21, dose 2
MedDRA: Asthenia, Back pain, Diarrhoea, Fatigue, Nausea, Vomiting — Feeling: Poor · Be unable to work

Free text: Severe weakness, fatigue, back pain, diarrhea, nauses, vomitting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — day 28, dose 2
MedDRA: Asthenia, Chest discomfort, Fatigue — Feeling: Poor

Free text: Chest tightness, fatigue, weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-04
Survey response — day 42, dose 2
MedDRA: Ear infection, Fatigue, Headache — Feeling: Good

Free text: Severe fatigue, headaches, and my first ear infection ever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — 3 months, dose 2
MedDRA: Asthma, Hypersensitivity, Pre-existing disease — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Asthma & Allergies severe

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-22
Survey response — 6 months, dose 2
MedDRA: Dizziness, Fatigue, Headache, Nausea, Oropharyngeal pain, Unevaluable event — Feeling: Fair

Free text: HA, BA, sore throat, PND, nausea, fatigue, dizzy

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Dose 3 — Moderna
2021-10-23
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-24
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-31
Survey response — day 28, dose 3
MedDRA: Cough, Dyspnoea, Fatigue, Flushing, Headache, Pain — Feeling: Fair

Free text: Headaches, bodyaches, fatigue, coughing, winded, and flushed

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
Survey response — day 35, dose 3
MedDRA: Asthenia, Cough, Dysphonia, Fatigue, Headache, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Fatigue, headaches, weakness, cough, sore throat, hoarseness

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Health check-in — day 42, dose 3
Feeling: Poor

Adult check-in
2022-01-02
Survey response — 3 months, dose 3
MedDRA: Dyspnoea, Fatigue, Headache, Pain, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fever, dyspnea, headaches, fatigue, bodyaches

MedDRA releases: 2024-11 · check-in free text available
2022-03-02
Call 1 — Left Voicemail
2022-04-03
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-03
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-24	Moderna
2	2021-01-21	Moderna
3	2021-10-03	Moderna	No

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 1 — day 14, dose 1

2021-01-07

Symptoms: Headaches, sinus congestion, nausea, and skin sensitivities

Release 2 — days 1–6 daily, dose 2

2021-01-23

Systemic reaction (other): Lower back pain

Release 3 — day 14, dose 2

2021-02-06

Symptoms: Severe headache, dizziness, fatigue, chest pressure, and severe nausea

Release 4 — day 21, dose 2

2021-02-11

Symptoms: Severe weakness, fatigue, back pain, diarrhea, nauses, vomitting

Release 4 — day 28, dose 2

2021-02-18

Symptoms: Chest tightness, fatigue, weakness

Release 5 — day 42, dose 2

2021-03-04

Symptoms: Severe fatigue, headaches, and my first ear infection ever

Release 7 — 3 months, dose 2

2021-04-22

Symptoms: Asthma & Allergies severe

Release 9 — 6 months, dose 2

2021-07-22

Symptoms: HA, BA, sore throat, PND, nausea, fatigue, dizzy

Release 10 — day 28, dose 3

2021-10-31

Symptoms: Headaches, bodyaches, fatigue, coughing, winded, and flushed

Release 10 — day 35, dose 3

2021-11-07

Symptoms: Fatigue, headaches, weakness, cough, sore throat, hoarseness

Release 10 — 3 months, dose 3

2022-01-02

Symptoms: Fever, dyspnea, headaches, fatigue, bodyaches

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	Asthenia	✓	✓	✓
SD	Asthma	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Cough	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dysphonia	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Ear infection	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Flushing	·	·	✓
SD	Headache	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Sensitive skin	✓	✓	✓
SD	Sinus congestion	✓	✓	✓
SD	Unevaluable event	·	·	✓
SD	Vomiting	✓	✓	✓
SRO	Back pain	✓	✓	✓

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