MGC-11275-18823

2 vaccinations 7 coded responses 25 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 554 / MN
Registered: 2021-03-09

Relationship: Self
Race: N/A
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-09
Registered in v-safe
2021-03-09
Dose 1 — Moderna
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · Headache

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-16
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Survey response — day 14, dose 1
MedDRA: Abnormal sensation in eye, Discomfort, Emergency care, Migraine, Neck pain, Photophobia, Sinusitis — 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: Neck achy, pressure on left side of face (opposite side as arm), light and cold sensitive eyes, and possible migraine or sinus infection (both possible per doc at urgent care).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-30
Survey response — day 21, dose 1
MedDRA: Headache, Photophobia — 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: Light sensitivity and headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-06
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-08
Dose 2 — Moderna
2021-04-08
Health check-in — day 0, dose 2
Feeling: Good · None

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

Adult check-in
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Photophobia — Feeling: Fair · Site: Pain · Chills · Be unable to do your normal daily activities

Free text: Light sensitivity

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Photophobia — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness

Free text: Light sensitivity

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Photophobia — Feeling: Fair · Site: Pain · Chills · Be unable to work, Be unable to do your normal daily activities

Free text: Light sensitivity - moderate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills

Adult check-in
2021-04-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-22
Survey response — day 14, dose 2
MedDRA: Chills, Pain in extremity — Feeling: Fair

Free text: Chills, arm pain (in shot arm)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — day 21, dose 2
MedDRA: Abortion spontaneous — Feeling: Fair

Free text: Miscarriage

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

Adult check-in
2021-05-13
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
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-03-10
Call 1 — Left Voicemail
2022-04-08
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Moderna
2	2021-04-08	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-03-23	Unsuccessful
2021-03-30	Unsuccessful

Free text

Release 6 — day 14, dose 1

2021-03-23

Symptoms: Neck achy, pressure on left side of face (opposite side as arm), light and cold sensitive eyes, and possible migraine or sinus infection (both possible per doc at urgent care).

Release 6 — day 21, dose 1

2021-03-30

Symptoms: Light sensitivity and headaches

Release 7 — days 1–6 daily, dose 2

2021-04-10

Systemic reaction (other): Light sensitivity

2021-04-11

Systemic reaction (other): Light sensitivity

2021-04-12

Systemic reaction (other): Light sensitivity - moderate

Release 7 — day 14, dose 2

2021-04-22

Symptoms: Chills, arm pain (in shot arm)

Release 8 — day 21, dose 2

2021-04-29

Symptoms: Miscarriage

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	Abnormal sensation in eye	✓	✓	✓
SD	Abortion spontaneous	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Discomfort	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Photophobia	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SRO	Photophobia	✓	✓	✓

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