5VL-20556-58015

2 vaccinations 5 coded responses 23 check-ins 5 free-text entries 3 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 193 / PA
Registered: 2021-01-05

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

2021-01-05
Registered in v-safe
2021-01-05
Dose 1 — Moderna
2021-01-06
Survey response — days 1–6 daily, dose 1
MedDRA: Dry throat — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities

Free text: Dry throat, craved hot tea to soothe my throat.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-07
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Self-medication — Feeling: Good · Site: Pain

Free text: I had a fever of 99.1Â°F temperature last night 1/6/2021 and chills. Took 2 Tylenol 500mg each and fever finally went away around 10pm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-26
Health check-in — day 21, dose 1
Feeling: Fair

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

Adult check-in
2021-02-09
Dose 2 — Moderna
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Parosmia, Photophobia — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Sensitivity to smells and eye sensitivity.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-18
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-10
Survey response — 6 months, dose 2
MedDRA: Decreased appetite, Ear pain, Fatigue, Medical counselling, Nasal congestion, Nasopharyngitis, Pain, SARS-CoV-2 test — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I feel like i have a cold. Sinuses are stuffed up, ears hurt, fatigued, body aches, loss of appetite. My coworker was sick all last week. Getting a Covid-19 test done tomorrow. · Healthcare visit (other): Called my family doctor to request a Z-Pack & advised i cant be seen until my Covid-19 test results come back.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-10
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-13
Call 1 — Left Voicemail
2022-02-10
Survey response — 12 months, dose 2
MedDRA: COVID-19, Dry eye, Dry skin, Dyspnoea, Feeling of body temperature change, Hyperhidrosis, Malaise, Migraine, Oropharyngeal pain, Pain, Respiratory tract congestion, Sinus congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Had Covid-19 1/4-24th. I woke up w/a migraine. Multiple migraine's while sick. Trouble breathing & needed an inhaler. Entire body ached all over. Head & sius congestion. Sore throat. Very dry eyes, and skin/scalp. Cold then hot/sweating. No fever.

MedDRA releases: 2024-11 · check-in free text available
2022-02-10
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-11
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-05	Moderna
2	2021-02-09	Moderna

Call center

3 call center cases

2 successful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-06

Systemic reaction (other): Dry throat, craved hot tea to soothe my throat.

2021-01-07

Systemic reaction (other): I had a fever of 99.1Â°F temperature last night 1/6/2021 and chills. Took 2 Tylenol 500mg each and fever finally went away around 10pm.

Release 3 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Sensitivity to smells and eye sensitivity.

Release 9 — 6 months, dose 2

2021-08-10

Symptoms: I feel like i have a cold. Sinuses are stuffed up, ears hurt, fatigued, body aches, loss of appetite. My coworker was sick all last week. Getting a Covid-19 test done tomorrow.

Healthcare visit (other): Called my family doctor to request a Z-Pack & advised i cant be seen until my Covid-19 test results come back.

Release 11 — 12 months, dose 2

2022-02-10

Symptoms: Had Covid-19 1/4-24th. I woke up w/a migraine. Multiple migraine's while sick. Trouble breathing & needed an inhaler. Entire body ached all over. Head & sius congestion. Sore throat. Very dry eyes, and skin/scalp. Cold then hot/sweating. No fever.

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	Medical counselling	✓	·	✓
HCVO	SARS-CoV-2 test	✓	·	✓
SD	COVID-19	·	·	✓
SD	Decreased appetite	✓	·	✓
SD	Dry eye	·	·	✓
SD	Dry skin	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Ear pain	✓	·	✓
SD	Fatigue	✓	·	✓
SD	Feeling of body temperature change	·	·	✓
SD	Hyperhidrosis	·	·	✓
SD	Malaise	·	·	✓
SD	Migraine	·	·	✓
SD	Nasal congestion	✓	·	✓
SD	Nasopharyngitis	✓	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sinus congestion	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Dry throat	✓	✓	✓
SRO	Parosmia	✓	✓	✓
SRO	Photophobia	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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