5RU-10448-22097

4 vaccinations 10 coded responses 28 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 945 / CA
Registered: 2021-01-17

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-01-16
Dose 1 — Moderna
2021-01-17
Registered in v-safe
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Migraine — Feeling: Good · Fever · Headache, Nausea

Free text: I had a migraine which sometimes I get as I suffer from them. It might not be related to the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Migraine — Feeling: Good · Headache

Free text: I suffer a little from migraines but I have been getting sometimes pulsing light pain at my temple. Last Wednesday I noticed it in the evening, upon waking in the middle of the night, I went to the toilet and my head pulsated and headache from ears up. I went back to bed and it was much better 15 minutes later. This little pulsing was at my right temple. This evening the light pulsing is on my left temple side. It was Thursday night when my head felt that pulsing in the middle of the night when I got up. Last night I had no problem. Ive had migraines in the past that move from one side of my head to the other. I think I am better now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Survey response — day 7, dose 1
MedDRA: Headache — Feeling: Good · Headache

Free text: The headache was right when I opened my eyes first thing in the morning. It went away upon getting up!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-06
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-13
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-15
Dose 2 — Moderna
2021-02-15
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Migraine — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: I suffer from migraines. I have a horrible migraine,feel terrible.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Nausea

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Fatigue or tiredness

Free text: Bad brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-17
Survey response — 3 months, dose 2
MedDRA: Cough, Nasopharyngitis, Oropharyngeal pain, Productive cough — Feeling: Fair · Be unable to do your normal daily activities

Free text: My husband came back from London May 7th. He picked up a cold from Grandson there. I had my husband take a Covid test..negative. I have the cold now. No headache, just sore throat which is gone now and a cough with phlegm. I am slowly getting over it

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-16
Survey response — 6 months, dose 2
MedDRA: Cough, Nasal congestion, Nasopharyngitis, Rhinorrhoea, Sensitive skin — Feeling: Good · Be unable to do your normal daily activities

Free text: Husband was in (b)(6) UK he got sick with cold, he had home Covid 19 test kit, was negative. I then got his cold. Nasal congestion&watering, cough for 6 weeks. Worst cold I ever had. Even skin on my thigh was sensitive. Now Im well.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-02
Dose 3 — Moderna
2022-02-15
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-06
Dose 4 — Moderna
2022-05-12
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-18
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-06
Survey response — 3 months, dose 4
MedDRA: Fear, Office visit, Vitreous floaters — Feeling: Good

Free text: 3 days after 2nd booster of Moderna. I had a big group of floaters, (black & grey) almost blocking right eye sight. It slowly went away. I had eyes checked 3 weeks later, nothing found. Very scary experience.

MedDRA releases: 2024-11 · check-in free text available
2022-10-05
Survey response — 6 months, dose 4
MedDRA: Cough, Nasal congestion, Nasopharyngitis, Productive cough — Feeling: Good · Be unable to do your normal daily activities

Free text: I picked up a bad cold virus, around Sept 21st, 2022. A bad stuffy nose that ended with a chesty phlegm cough, still coughing. But the booster vaccine I got on Sept. 17th, I had no reaction.

MedDRA releases: 2024-11 · check-in free text available
2023-04-08
Survey response — 12 months, dose 4
MedDRA: Asthenia, COVID-19, Chest discomfort, Chest pain, Cough, Fatigue, Mobility decreased, SARS-CoV-2 test positive, Swelling face — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-16	Moderna
2	2021-02-15	Moderna
3	2021-11-02	Moderna	No
4	2022-04-06	Moderna	No

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-18

Systemic reaction (other): I had a migraine which sometimes I get as I suffer from them. It might not be related to the vaccine

2021-01-22

Systemic reaction (other): I suffer a little from migraines but I have been getting sometimes pulsing light pain at my temple. Last Wednesday I noticed it in the evening, upon waking in the middle of the night, I went to the toilet and my head pulsated and headache from ears up. I went back to bed and it was much better 15 minutes later. This little pulsing was at my right temple. This evening the light pulsing is on my left temple side. It was Thursday night when my head felt that pulsing in the middle of the night when I got up. Last night I had no problem. Ive had migraines in the past that move from one side of my head to the other. I think I am better now.

Release 2 — day 7, dose 1

2021-01-23

Systemic reaction (other): The headache was right when I opened my eyes first thing in the morning. It went away upon getting up!

Release 4 — days 1–6 daily, dose 2

2021-02-16

Systemic reaction (other): I suffer from migraines. I have a horrible migraine,feel terrible.

2021-02-21

Systemic reaction (other): Bad brain fog

Release 8 — 3 months, dose 2

2021-05-17

Symptoms: My husband came back from London May 7th. He picked up a cold from Grandson there. I had my husband take a Covid test..negative. I have the cold now. No headache, just sore throat which is gone now and a cough with phlegm. I am slowly getting over it cut off by CDC

Release 9 — 6 months, dose 2

2021-08-16

Symptoms: Husband was in (b)(6) UK he got sick with cold, he had home Covid 19 test kit, was negative. I then got his cold. Nasal congestion&watering, cough for 6 weeks. Worst cold I ever had. Even skin on my thigh was sensitive. Now Im well.

redacted (b)(6)

Release 12 — 3 months, dose 4

2022-07-06

Symptoms: 3 days after 2nd booster of Moderna. I had a big group of floaters, (black & grey) almost blocking right eye sight. It slowly went away. I had eyes checked 3 weeks later, nothing found. Very scary experience.

Release 12 — 6 months, dose 4

2022-10-05

Symptoms: I picked up a bad cold virus, around Sept 21st, 2022. A bad stuffy nose that ended with a chesty phlegm cough, still coughing. But the booster vaccine I got on Sept. 17th, I had no reaction.

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	Chest discomfort	·	·	✓
SD	Chest pain	·	·	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	Fear	·	·	✓
SD	Mobility decreased	·	·	✓
SD	Nasal congestion	✓	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Office visit	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Productive cough	✓	✓	✓
SD	Rhinorrhoea	✓	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sensitive skin	✓	·	✓
SD	Swelling face	·	·	✓
SD	Vitreous floaters	·	·	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Migraine	✓	✓	✓

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