D3A-33383-43359

2 vaccinations 8 coded responses 20 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 16-20
ZIP prefix: 336 / FL
Registered: 2021-03-27

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

2021-03-26
Dose 1 — Moderna
2021-03-27
Registered in v-safe
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness

Free text: Vomitted directly after receiving the shot, though I have extreme medical anxiety with a physiological response, so it likely wasn't a result of the shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Breast tenderness — Feeling: Good

Free text: Tender breasts possibly not related to usual menstrual symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — day 7, dose 1
MedDRA: Depression — Feeling: Good · Be unable to do your normal daily activities

Free text: Depression

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-23
Dose 2 — Moderna
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle tightness, Nightmare — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Jaw tightness, nightmares

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Hypersensitivity, Injection site warmth, Respiratory tract congestion — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Congestion, but that's probably due to allergies. Also heat at the injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-30
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-28
Survey response — day 35, dose 2
MedDRA: Eye swelling, Hordeolum — Feeling: Good

Free text: Swollen eye/stye. These are typical for me

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-10-22
Survey response — 6 months, dose 2
MedDRA: Migraine — Feeling: Good

Free text: Migraines

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Survey response — 12 months, dose 2
MedDRA: COVID-19, Pre-existing disease — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: COVID, chronic migraines

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-27
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-26	Moderna
2	2021-04-23	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-27

Systemic reaction (other): Vomitted directly after receiving the shot, though I have extreme medical anxiety with a physiological response, so it likely wasn't a result of the shot

2021-04-01

Systemic reaction (other): Tender breasts possibly not related to usual menstrual symptoms

Release 6 — day 7, dose 1

2021-04-02

Systemic reaction (other): Depression

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): Jaw tightness, nightmares

2021-04-25

Systemic reaction (other): Congestion, but that's probably due to allergies. Also heat at the injection site

Release 8 — day 35, dose 2

2021-05-28

Symptoms: Swollen eye/stye. These are typical for me

Release 10 — 6 months, dose 2

2021-10-22

Symptoms: Migraines

Release 11 — 12 months, dose 2

2022-04-26

Symptoms: COVID, chronic migraines

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	COVID-19	·	·	✓
SD	Eye swelling	✓	✓	✓
SD	Hordeolum	✓	✓	✓
SD	Migraine	·	·	✓
SD	Pre-existing disease	·	·	✓
SRO	Breast tenderness	✓	✓	✓
SRO	Depression	✓	✓	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Muscle tightness	✓	✓	✓
SRO	Nightmare	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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