HAD-23187-03885

3 vaccinations 14 coded responses 37 check-ins 14 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 287 / NC
Registered: 2021-03-11

Relationship: Self
Race: Multiracial
Ethnicity: Hispanic or Latino

Timeline

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

2021-03-11
Registered in v-safe
2021-03-11
Dose 1 — Moderna
2021-03-11
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Thirst — Feeling: Good

Free text: I forgot to report. I felt really thirsty on the second day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-08
Dose 2 — Moderna
2021-04-08
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Joint pains

Adult check-in
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Thirst — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Free text: Thirsty

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Muscle or body aches

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-15
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Headache, Nausea, Vomiting · Be unable to do your normal daily activities

Adult check-in
2021-04-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-29
Survey response — day 21, dose 2
MedDRA: Cough — Feeling: Good

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — day 28, dose 2
MedDRA: Headache, Nausea — Feeling: Fair

Free text: Headaches and nausea.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-08
Survey response — 3 months, dose 2
MedDRA: Menstruation irregular — Feeling: Good

Free text: Irregular menstrual cycles

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-07
Survey response — 6 months, dose 2
MedDRA: Diarrhoea, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaches and diarrhea.

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Dose 3 — Moderna
2021-11-23
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness, Swelling face — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Dizziness, feel as is my face is swollen but it doesn't look swollen

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-11-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-11-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-28
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Good · Site: Redness, Swelling

Free text: Dizziness

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
Survey response — day 7, dose 3
MedDRA: Dizziness — Feeling: Good · Headache

Free text: Dizziness

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-13
Survey response — day 21, dose 3
MedDRA: Ear disorder, Ear pain, Hyperacusis — Feeling: Good · Be unable to do your normal daily activities

Free text: Ear problem. Hurts at night, sensitivity to noise.

MedDRA releases: 2024-11 · check-in free text available
2021-12-20
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-27
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-03
Survey response — day 42, dose 3
MedDRA: Headache, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities

Free text: Sore throat, headache, nasal mucus (negative COVID rapid test)

MedDRA releases: 2024-11 · check-in free text available
2022-02-21
Survey response — 3 months, dose 3
MedDRA: Office visit, Vitamin D decreased — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Lower vitD levels (even with vitD supplements) · Healthcare visit (other): Lab work at general doctor

MedDRA releases: 2024-11 · check-in free text available
2022-02-21
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-24
Call 1 — Left Voicemail
2022-05-23
Survey response — 6 months, dose 3
MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Covid-19

MedDRA releases: 2024-11 · check-in free text available
2022-11-22
Survey response — 12 months, dose 3
MedDRA: Back pain — Feeling: Fair · 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: Back pain

MedDRA releases: 2024-11 · check-in free text available
2022-11-22
Report sent to call center — 12 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-23
Call 2 — Left Voicemail
2022-11-23
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Moderna
2	2021-04-08	Moderna
3	2021-11-22	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-17

Systemic reaction (other): I forgot to report. I felt really thirsty on the second day.

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): Thirsty

Release 8 — day 21, dose 2

2021-04-29

Symptoms: Cough

Release 8 — day 28, dose 2

2021-05-06

Symptoms: Headaches and nausea.

Release 9 — 3 months, dose 2

2021-07-08

Symptoms: Irregular menstrual cycles

Release 10 — 6 months, dose 2

2021-10-07

Symptoms: Headaches and diarrhea.

Release 10 — days 1–6 daily, dose 3

2021-11-23

Systemic reaction (other): Dizziness, feel as is my face is swollen but it doesn't look swollen

2021-11-28

Systemic reaction (other): Dizziness

Release 10 — day 7, dose 3

2021-11-29

Systemic reaction (other): Dizziness

Release 10 — day 21, dose 3

2021-12-13

Symptoms: Ear problem. Hurts at night, sensitivity to noise.

Release 10 — day 42, dose 3

2022-01-03

Symptoms: Sore throat, headache, nasal mucus (negative COVID rapid test)

Release 11 — 3 months, dose 3

2022-02-21

Symptoms: Lower vitD levels (even with vitD supplements)

Healthcare visit (other): Lab work at general doctor

Release 11 — 6 months, dose 3

2022-05-23

Symptoms: Covid-19

Release 12 — 12 months, dose 3

2022-11-22

Symptoms: Back pain

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	Office visit	·	·	✓
SD	Back pain	·	·	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Ear disorder	·	·	✓
SD	Ear pain	·	·	✓
SD	Headache	✓	✓	✓
SD	Hyperacusis	·	·	✓
SD	Menstruation irregular	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Vitamin D decreased	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Swelling face	·	·	✓
SRO	Thirst	✓	✓	✓

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