NXB-17825-34422

3 vaccinations 11 coded responses 27 check-ins 11 free-text entries 3 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 920 / CA
Registered: 2021-04-27

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-27
Dose 1 — Moderna
2021-04-27
Registered in v-safe
2021-04-27
Dose 2 — Moderna
2021-04-27
Survey response — day 0, dose 2
MedDRA: Rhinorrhoea — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Upper-airway cough syndrome — Feeling: Good · Site: Pain · Chills, Headache

Free text: Post nasal drip

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Good

Free text: Loss of appetite yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-04
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-11
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
2021-05-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-08
Survey response — day 42, dose 2
MedDRA: Nasal congestion, Pre-existing disease, Rhinorrhoea, Sinus headache — Feeling: Good

Free text: Allergies (runny nose, stuffy nose, sinus headache)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-27
Survey response — 3 months, dose 2
MedDRA: Cough, Throat irritation — Feeling: Good

Free text: Throat irritation or coughing in the evening

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-17
Dose 3 — Moderna
2021-10-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-24
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-31
Survey response — day 14, dose 3
MedDRA: Eye pruritus, Respiratory tract congestion, Rhinorrhoea — Feeling: Good

Free text: Congestion, runny nose, itchy eye.

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
Survey response — day 21, dose 3
MedDRA: Dry eye, Eye pruritus — Feeling: Good

Free text: Itchy and dry eyes

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-21
Survey response — day 35, dose 3
MedDRA: Chest discomfort, Chest pain, Muscle tightness — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Chest pain and tightness, heart area and middle - extending to upper back.

MedDRA releases: 2024-11 · check-in free text available
2021-11-21
Report sent to call center — day 35, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2021-11-22
Call 2 — Could Not Reach Participant
2021-11-28
Survey response — day 42, dose 3
MedDRA: Headache, Nasal congestion, Respiratory tract congestion — Feeling: Good

Free text: Continuing to have intermittent stuffy nose, congestion, headache

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
Call 3 — Could Not Reach Participant
2022-01-16
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-17
Survey response — 6 months, dose 3
MedDRA: Dizziness, Headache, Mouth ulceration, Throat lesion — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Mouth ulcers and throat lesions. Continued headaches, weekly. One bout of dizziness.

MedDRA releases: 2024-11 · check-in free text available
2022-04-17
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-19
Call 1 — Left Voicemail
2022-10-17
Survey response — 12 months, dose 3
MedDRA: Migraine — 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

Free text: Migraines

MedDRA releases: 2024-11 · check-in free text available
2022-10-17
Report sent to call center — 12 months, dose 3
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 · 1 call case(s)
2022-10-18
Call 1 — Left Voicemail
2022-10-18
Call 2 — Left Voicemail
2022-10-18
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-27	Moderna
2	2021-04-27	Moderna
3	2021-10-17	Moderna	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 8 — day 0, dose 2

2021-04-27

Systemic reaction (other): Runny nose

Release 8 — days 1–6 daily, dose 2

2021-04-28

Systemic reaction (other): Post nasal drip

2021-04-30

Systemic reaction (other): Loss of appetite yesterday

Release 8 — day 42, dose 2

2021-06-08

Symptoms: Allergies (runny nose, stuffy nose, sinus headache)

Release 9 — 3 months, dose 2

2021-07-27

Symptoms: Throat irritation or coughing in the evening

Release 10 — day 14, dose 3

2021-10-31

Symptoms: Congestion, runny nose, itchy eye.

Release 10 — day 21, dose 3

2021-11-07

Symptoms: Itchy and dry eyes

Release 10 — day 35, dose 3

2021-11-21

Symptoms: Chest pain and tightness, heart area and middle - extending to upper back.

Release 10 — day 42, dose 3

2021-11-28

Symptoms: Continuing to have intermittent stuffy nose, congestion, headache

Release 11 — 6 months, dose 3

2022-04-17

Symptoms: Mouth ulcers and throat lesions. Continued headaches, weekly. One bout of dizziness.

Release 12 — 12 months, dose 3

2022-10-17

Symptoms: 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	Chest discomfort	·	·	✓
SD	Chest pain	·	·	✓
SD	Cough	✓	·	✓
SD	Dizziness	·	·	✓
SD	Dry eye	·	·	✓
SD	Eye pruritus	·	·	✓
SD	Headache	·	·	✓
SD	Migraine	·	·	✓
SD	Mouth ulceration	·	·	✓
SD	Muscle tightness	·	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sinus headache	✓	✓	✓
SD	Throat irritation	✓	·	✓
SD	Throat lesion	·	·	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Upper-airway cough syndrome	✓	✓	✓

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