6C5-33502-58226

3 vaccinations 8 coded responses 22 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 110 / NY
Registered: 2021-02-24

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

2021-02-18
Dose 1 — Moderna
2021-02-24
Registered in v-safe
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-04
Survey response — day 14, dose 1
MedDRA: Injection site induration, Injection site mass, Injection site pain, Injection site warmth — Feeling: Good

Free text: LastFri & Sat. Site where injection was a felt like a hard lump and ached a bit. Messaged on and off. Sunday still a lump, messaged and eventually went down. Felt warm and ached. Monday everything was fine,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-18
Dose 2 — Moderna
2021-03-18
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: Nasal congestion — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Sinuses above eyes feel stuffy but might be outdoor pollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 2
MedDRA: Paranasal sinus discomfort — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Slight sinus heavy ness above eyes. Might just be from going outdoors. Not sure.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Discomfort, Sinus congestion — Feeling: Good · Site: Pain, Redness, Itching

Free text: Heaviness in sinuses above eyes. Might not be from vaccine but outdoors

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain, Paranasal sinus discomfort — Feeling: Good · Site: Pain, Itching

Free text: Only slight pain in upper stem where vaccine administered. Area of sinuses above eyes not feeling pressure as much. But again might be from outdoor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Sinus disorder — Feeling: Good

Free text: Sinuses above eyes heavy but could be from outdoors

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Paranasal sinus discomfort — Feeling: Good

Free text: Very slight pressure in sinuses above eyes. Might be because of outdoor conditions

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-08
Survey response — day 21, dose 2
MedDRA: Hordeolum, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Stye in lower lid of right eye · Healthcare visit (other): See Eye Doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-17
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-16
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-08
Dose 3 — Moderna
2022-02-13
Call 1 — Left Voicemail
2022-05-09
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-08
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-18	Moderna
2	2021-03-18	Moderna
3	2021-11-08	Moderna	No

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 5 — day 14, dose 1

2021-03-04

Symptoms: LastFri & Sat. Site where injection was a felt like a hard lump and ached a bit. Messaged on and off. Sunday still a lump, messaged and eventually went down. Felt warm and ached. Monday everything was fine,

Release 5 — days 1–6 daily, dose 2

2021-03-19

Systemic reaction (other): Sinuses above eyes feel stuffy but might be outdoor pollen

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): Slight sinus heavy ness above eyes. Might just be from going outdoors. Not sure.

2021-03-21

Systemic reaction (other): Heaviness in sinuses above eyes. Might not be from vaccine but outdoors

2021-03-22

Systemic reaction (other): Only slight pain in upper stem where vaccine administered. Area of sinuses above eyes not feeling pressure as much. But again might be from outdoor

2021-03-23

Systemic reaction (other): Sinuses above eyes heavy but could be from outdoors

2021-03-24

Systemic reaction (other): Very slight pressure in sinuses above eyes. Might be because of outdoor conditions

Release 7 — day 21, dose 2

2021-04-08

Symptoms: Stye in lower lid of right eye

Healthcare visit (other): See Eye Doctor

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	Unevaluable event	✓	✓	✓
SD	Hordeolum	✓	✓	✓
SD	Injection site induration	✓	✓	✓
SD	Injection site mass	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SRO	Discomfort	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Paranasal sinus discomfort	✓	✓	✓
SRO	Sinus congestion	✓	✓	○
SRO	Sinus disorder	✓	✓	✓

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