669-10124-91943

3 vaccinations 7 coded responses 20 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 331 / FL
Registered: 2021-03-05

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

2021-02-05
Dose 1 — Moderna
2021-03-05
Registered in v-safe
2021-03-05
Dose 2 — Moderna
2021-03-05
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Nausea

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-13
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-26
Survey response — day 21, dose 2
MedDRA: Gaze palsy, Oropharyngeal pain, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache, slight sore throat, aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — day 28, dose 2
MedDRA: Decreased appetite, Dry mouth, Headache, Nasopharyngitis, Pain, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Think I have a a cold. Runny nose, headaches, body aches, extremely dry mouth more than usual, loss of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — day 35, dose 2
MedDRA: Eye irritation, Fatigue, Headache, Pain, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Headaches, runny nose, body aches, burning eyes,fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-05
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-03
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-15
Dose 3 — Moderna
2021-12-02
Survey response — day 14, dose 3
MedDRA: Headache, Nasal congestion, Nasopharyngitis, Pain — Feeling: Fair

Free text: Feel some slight cold symptoms-stuffy nose, bodily aches and pains, headache a couple of times.

MedDRA releases: 2024-11 · check-in free text available
2021-12-13
Survey response — day 28, dose 3
MedDRA: Cough, Fatigue, Productive cough, Sleep disorder — Feeling: Poor · Be unable to do your normal daily activities

Free text: Coughing quite a bit. Waking up at night from coughing. Today I feel tired. But no fever. Husband had pneumonia last week but tested negative for COvid. So I believe I had the virus or cold he had. I was coughing up mucus but not as much now.

MedDRA releases: 2024-11 · check-in free text available
2021-12-20
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-27
Survey response — day 42, dose 3
MedDRA: Cough, Fatigue, Nasopharyngitis, Sneezing — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cold symptoms, sneezing and coughing, tired

MedDRA releases: 2024-11 · check-in free text available
2022-02-14
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-16
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-15
Survey response — 12 months, dose 3
MedDRA: Benign tumour excision, Scar excision — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Had to have scar tissue removed and a growth. It was benign.

MedDRA releases: 2024-11 · check-in free text available
2022-11-15
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-16
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-05	Moderna
2	2021-03-05	Moderna
3	2021-11-15	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — day 21, dose 2

2021-03-26

Symptoms: Headache, slight sore throat, aches

Release 6 — day 28, dose 2

2021-04-05

Symptoms: Think I have a a cold. Runny nose, headaches, body aches, extremely dry mouth more than usual, loss of appetite

Release 7 — day 35, dose 2

2021-04-09

Symptoms: Headaches, runny nose, body aches, burning eyes,fatigue

Release 10 — day 14, dose 3

2021-12-02

Symptoms: Feel some slight cold symptoms-stuffy nose, bodily aches and pains, headache a couple of times.

Release 10 — day 28, dose 3

2021-12-13

Symptoms: Coughing quite a bit. Waking up at night from coughing. Today I feel tired. But no fever. Husband had pneumonia last week but tested negative for COvid. So I believe I had the virus or cold he had. I was coughing up mucus but not as much now.

Release 10 — day 42, dose 3

2021-12-27

Symptoms: Cold symptoms, sneezing and coughing, tired

Release 12 — 12 months, dose 3

2022-11-15

Symptoms: Had to have scar tissue removed and a growth. It was benign.

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	Benign tumour excision	·	·	✓
SD	Cough	·	·	✓
SD	Decreased appetite	✓	✓	✓
SD	Dry mouth	✓	✓	✓
SD	Eye irritation	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gaze palsy	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Productive cough	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Scar excision	·	·	✓
SD	Sleep disorder	·	·	✓
SD	Sneezing	·	·	✓

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