6DQ-12257-14195

2 vaccinations 10 coded responses 20 check-ins 10 free-text entries 5 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 085 / NJ
Registered: 2021-01-17

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

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

2021-01-15
Dose 1 — Moderna
2021-01-17
Registered in v-safe
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-01-17
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
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 · Site: Redness, Swelling · Headache, Muscle or body aches

Adult check-in
2021-01-20
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion, Periorbital swelling, Sinus headache — Feeling: Fair · Headache, Fatigue or tiredness

Free text: woke with sinus headache, stuffy, puffy eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Survey response — day 14, dose 1
MedDRA: Diarrhoea, Fatigue, Headache, Injection site rash, Rash pruritic — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Itchy, re rash near injection in arm came back on Day 9 thru Day 13 after shot, morning after ate shellfish. Also loose yellow stools for 4 days at same time. Intermittent fatigue and headaches. Reported to my doctor. Not scheduled yet for 2nd shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-12
Dose 2 — Moderna
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Nausea — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: dizziness, strong urge to vomit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness, Nausea

Free text: dizzyness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — days 1–6 daily, dose 2
MedDRA: Faeces pale, Reaction to previous exposure to any vaccine — Feeling: Good · Site: Pain · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: narrow, light color stool like after 1st shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Asthenia — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: general weakness. Pain in tendons of non-shot wrist.

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 — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-02-20
Health check-in — day 7, dose 2
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-02-26
Survey response — day 14, dose 2
MedDRA: Fatigue — Feeling: Good

Free text: Continuing fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-19
Survey response — day 35, dose 2
MedDRA: Headache, Tinnitus — Feeling: Good

Free text: Not sure if it's related to the vaccination, but I have had ringing in my ears and worse than usual spring allergic type headaches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — day 42, dose 2
MedDRA: Arthralgia, Asthenia, Depressed mood, Sinus headache, Tinnitus — Feeling: Fair · 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: Sinus headaches, ears ringing constantly, (could be spring allergies starting early?), achy joints, feeling low, low energy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-16
Survey response — 3 months, dose 2
MedDRA: Headache, Tinnitus, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: I have actually had ringing in my ears since I got my shots. I did not report this earlier. After each shot I also had several bad headaches. · Healthcare visit (other): hearing testing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-18
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Moderna
2	2021-02-12	Moderna

Call center

5 call center cases

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

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-20

Systemic reaction (other): woke with sinus headache, stuffy, puffy eyes

Release 3 — day 14, dose 1

2021-01-29

Symptoms: Itchy, re rash near injection in arm came back on Day 9 thru Day 13 after shot, morning after ate shellfish. Also loose yellow stools for 4 days at same time. Intermittent fatigue and headaches. Reported to my doctor. Not scheduled yet for 2nd shot. cut off by CDC

Release 4 — days 1–6 daily, dose 2

2021-02-13

Systemic reaction (other): dizziness, strong urge to vomit

2021-02-14

Systemic reaction (other): dizzyness

2021-02-15

Systemic reaction (other): narrow, light color stool like after 1st shot

2021-02-16

Systemic reaction (other): general weakness. Pain in tendons of non-shot wrist.

Release 4 — day 14, dose 2

2021-02-26

Symptoms: Continuing fatigue.

Release 6 — day 35, dose 2

2021-03-19

Symptoms: Not sure if it's related to the vaccination, but I have had ringing in my ears and worse than usual spring allergic type headaches.

Release 6 — day 42, dose 2

2021-03-27

Symptoms: Sinus headaches, ears ringing constantly, (could be spring allergies starting early?), achy joints, feeling low, low energy

Release 8 — 3 months, dose 2

2021-05-16

Symptoms: I have actually had ringing in my ears since I got my shots. I did not report this earlier. After each shot I also had several bad headaches.

Healthcare visit (other): hearing testing

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	Arthralgia	✓	✓	✓
SD	Asthenia	✓	·	✓
SD	Depressed mood	✓	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SD	Sinus headache	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Faeces pale	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Periorbital swelling	✓	✓	✓
SRO	Reaction to previous exposure to any vaccine	✓	✓	✓
SRO	Sinus headache	✓	✓	✓

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