66C-13498-73801

3 vaccinations 14 coded responses 37 check-ins 14 free-text entries 3 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 457 / OH
Registered: 2021-01-14

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

Registered dependents

2Z5-87602-60413 Child or adolescent in my care · Female · 2022-02-04

8N9-19466-22252 Child or adolescent in my care · Male · 2022-02-05

Timeline

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

2021-01-14
Registered in v-safe
2021-01-14
Dose 1 — Moderna
2021-01-14
Survey response — day 0, dose 1
MedDRA: Feeling jittery — Feeling: Good · Site: Pain · Headache

Free text: Jittery

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain — Feeling: Good · Joint pains · Be unable to do your normal daily activities

Free text: Unsure if my low back pain (SI Joint) is related, as this is something I have intermittently.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-01-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-11
Dose 2 — Moderna
2021-02-11
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, 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 · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Self-medication, Urticaria — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

Free text: HIVES ON (R) side of FACE: At 10pm 2/13/21 I suddenly got hives on the right side of my face and neck. Same side as my injection. I took pictures also. Nothing new was used. Hives persisted until morning, a few hives are still on the right side of my cheek. 2/14/21 at 3:17pm. Last night I took 25mg of Benadryl and applied an ice pack to my face and neck. It did not relieve the hives.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Self-medication, Urticaria — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: 2/15/21 @10:32pm Mild hives on my forehead and right cheek of face. 25mg of Benadryl taken. They resolved again.

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 · None

Adult check-in
2021-02-18
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-04
Survey response — day 21, dose 2
MedDRA: Fatigue — Feeling: Good

Free text: Fatigue is very lingering, but is manageable. Just wanted to note that I still have fatigue. Definitely not a normal thing for me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-27
Survey response — day 42, dose 2
MedDRA: Arthralgia, Fatigue, Hypersensitivity, Oropharyngeal pain, Respiratory tract congestion, Sneezing — Feeling: Poor · Be unable to do your normal daily activities

Free text: Awful SI Joint PainAllergy symptoms- sneezing, congestion, sore throat and fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — 3 months, dose 2
MedDRA: Headache, Migraine — Feeling: Good · Be unable to do your normal daily activities

Free text: I have had pretty consistent headaches since being vaccinated. Headaches are not a typical thing for me, have had occasional migraines since being vaccinated, but mostly just mild-moderate all day headaches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-04
Dose 3 — Moderna
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-07
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy, Tenderness — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Free text: Left Deltoid Injection site: Swollen left clavicle lymph nodes. Very tender to the touch across my left arm, shoulder, clavicle area.

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Survey response — days 1–6 daily, dose 3
MedDRA: Hypoacusis, Lymphadenopathy, Tenderness — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Left ear feels muffled and tender. Still have swollen lymph nodes near left shoulder and clavicle.

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-11-11
Health check-in — day 7, dose 3
Feeling: Good · Headache

Adult check-in
2021-11-18
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-02
Survey response — day 28, dose 3
MedDRA: Arthralgia, Pelvic pain — Feeling: Good

Free text: Left hip and pelvic pain, ongoing but worsening.

MedDRA releases: 2024-11 · check-in free text available
2021-12-11
Survey response — day 35, dose 3
MedDRA: Arthralgia, Headache, Pain in extremity — Feeling: Fair

Free text: SI joint pain and headaches. Got my flu shot yesterday: headaches and left arm pain and left shoulder pain.

MedDRA releases: 2024-11 · check-in free text available
2022-02-03
Survey response — 3 months, dose 3
MedDRA: Bronchitis, Cough, Fatigue, Nasopharyngitis, Sinusitis — 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 · Outpatient clinic or urgent care clinic visit

Free text: Had a cold with bronchitis and sinusitis and extremely fatigued. Started 12/21 and last until about 1/25. Cough still lingering.

MedDRA releases: 2024-11 · check-in free text available
2022-02-03
Report sent to call center — 3 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-04
Call 1 — Could Not Reach Participant
2022-02-09
Call 2 — Could Not Reach Participant
2022-05-05
Survey response — 6 months, dose 3
MedDRA: Headache — Feeling: Fair

Free text: Headaches

MedDRA releases: 2024-11 · check-in free text available
2022-11-04
Survey response — 12 months, dose 3
MedDRA: Headache — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Headaches

MedDRA releases: 2024-11 · check-in free text available
2022-11-04
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)
2022-11-07
Call 3 — Left Voicemail
2022-11-07
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-11	Moderna
3	2021-11-04	Moderna	No

Call center

3 call center cases

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

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-14

Systemic reaction (other): Jittery

Release 2 — days 1–6 daily, dose 1

2021-01-18

Systemic reaction (other): Unsure if my low back pain (SI Joint) is related, as this is something I have intermittently.

Release 4 — days 1–6 daily, dose 2

2021-02-14

Systemic reaction (other): HIVES ON (R) side of FACE: At 10pm 2/13/21 I suddenly got hives on the right side of my face and neck. Same side as my injection. I took pictures also. Nothing new was used. Hives persisted until morning, a few hives are still on the right side of my cheek. 2/14/21 at 3:17pm. Last night I took 25mg of Benadryl and applied an ice pack to my face and neck. It did not relieve the hives.

2021-02-16

Systemic reaction (other): 2/15/21 @10:32pm Mild hives on my forehead and right cheek of face. 25mg of Benadryl taken. They resolved again.

Release 5 — day 21, dose 2

2021-03-04

Symptoms: Fatigue is very lingering, but is manageable. Just wanted to note that I still have fatigue. Definitely not a normal thing for me.

Release 6 — day 42, dose 2

2021-03-27

Symptoms: Awful SI Joint PainAllergy symptoms- sneezing, congestion, sore throat and fatigue.

Release 8 — 3 months, dose 2

2021-05-13

Symptoms: I have had pretty consistent headaches since being vaccinated. Headaches are not a typical thing for me, have had occasional migraines since being vaccinated, but mostly just mild-moderate all day headaches.

Release 10 — days 1–6 daily, dose 3

2021-11-07

Systemic reaction (other): Left Deltoid Injection site: Swollen left clavicle lymph nodes. Very tender to the touch across my left arm, shoulder, clavicle area.

2021-11-08

Systemic reaction (other): Left ear feels muffled and tender. Still have swollen lymph nodes near left shoulder and clavicle.

Release 10 — day 28, dose 3

2021-12-02

Symptoms: Left hip and pelvic pain, ongoing but worsening.

Release 10 — day 35, dose 3

2021-12-11

Symptoms: SI joint pain and headaches. Got my flu shot yesterday: headaches and left arm pain and left shoulder pain.

Release 11 — 3 months, dose 3

2022-02-03

Symptoms: Had a cold with bronchitis and sinusitis and extremely fatigued. Started 12/21 and last until about 1/25. Cough still lingering.

Release 11 — 6 months, dose 3

2022-05-05

Symptoms: Headaches

Release 12 — 12 months, dose 3

2022-11-04

Symptoms: Headaches

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	Arthralgia	✓	✓	✓
SD	Bronchitis	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Pelvic pain	·	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Sinusitis	·	·	✓
SD	Sneezing	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Feeling jittery	✓	✓	✓
SRO	Hypoacusis	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Self-medication	✓	✓	✓
SRO	Tenderness	·	·	✓
SRO	Urticaria	✓	✓	✓

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