67B-73572-84802

2 vaccinations 7 coded responses 24 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 201 / VA
Registered: 2021-01-26

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-26
Registered in v-safe
2021-01-26
Dose 1 — Moderna
2021-01-26
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-02
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-16
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-23
Survey response — day 28, dose 1
MedDRA: Malaise, Ocular discomfort, Palpitations, Swelling — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Last week having heart palpitations and just not feeling well pressure headache in right eye areaNoticed also swelling up by my right clavicle area but it seems to be going down

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Report sent to call center — day 28, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-25
Dose 2 — Moderna
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Headache · Be unable to do your normal daily activities

Adult check-in
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Ocular discomfort — Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities

Free text: Right eye discomfort and headache on right side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Discomfort, Muscle strain, Musculoskeletal pain — Feeling: Fair · Site: Pain · Joint pains · Be unable to do your normal daily activities

Free text: Right buttock at the top discomfort pain like I pulled a muscle or something

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Head discomfort, Malaise — Feeling: Fair · Site: Pain · Headache

Free text: Head feels funny just dont feel like myself

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Headache

Free text: Not feeling like myself

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — day 7, dose 2
MedDRA: Feeling abnormal, Head discomfort, Ocular discomfort — Feeling: Fair · Chills, Headache

Free text: Feeling bad right side of head feeling funny and right eye discomfort again

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — day 14, dose 2
MedDRA: Dizziness, Emergency care, Headache, Ocular discomfort — Feeling: Fair · Be unable to work

Free text: Bad headache right eye discomfort and on Tuesday 3/9 felt like I was gonna pass out dizziness went to hospital

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-25
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-01
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-08
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-18
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-26	Moderna
2	2021-02-25	Moderna

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 4 — day 28, dose 1

2021-02-23

Symptoms: Last week having heart palpitations and just not feeling well pressure headache in right eye areaNoticed also swelling up by my right clavicle area but it seems to be going down

Release 4 — days 1–6 daily, dose 2

2021-02-28

Systemic reaction (other): Right eye discomfort and headache on right side

2021-03-01

Systemic reaction (other): Right buttock at the top discomfort pain like I pulled a muscle or something

2021-03-02

Systemic reaction (other): Head feels funny just dont feel like myself

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Not feeling like myself

Release 5 — day 7, dose 2

2021-03-04

Systemic reaction (other): Feeling bad right side of head feeling funny and right eye discomfort again

Release 5 — day 14, dose 2

2021-03-11

Symptoms: Bad headache right eye discomfort and on Tuesday 3/9 felt like I was gonna pass out dizziness went to hospital

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	Dizziness	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Ocular discomfort	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Swelling	✓	✓	✓
SRO	Discomfort	✓	·	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Head discomfort	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Muscle strain	✓	·	✓
SRO	Musculoskeletal pain	✓	✓	✓
SRO	Ocular discomfort	✓	✓	✓

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