RQC-19217-85905

4 vaccinations 5 coded responses 53 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 26-30
ZIP prefix: 100 / NY
Registered: 2021-01-06

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

2021-01-06
Registered in v-safe
2021-01-06
Dose 1 — Moderna
2021-01-06
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-07
Survey response — days 1–6 daily, dose 1
MedDRA: Nausea — Feeling: Fair · Site: Pain

Free text: Slight nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-08
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-03
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-04
Dose 2 — Moderna
2021-02-04
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Syncope — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Free text: Fainting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-27
Dose 3 — Moderna
Co-administered: Flu
2021-11-27
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-11-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-12-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-12-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-06
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-11
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-01
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-01-08
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-26
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-28
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-29
Dose 4 — Pfizer-BioNTech
2022-09-30
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches

Adult check-in
2022-10-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-03
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-06
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-13
Survey response — day 14, dose 4
MedDRA: Oropharyngeal pain — Feeling: Fair · Be unable to work or attend school

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-10-20
Survey response — day 21, dose 4
MedDRA: Nasopharyngitis — Feeling: Fair

Free text: I have a cold

MedDRA releases: 2024-11 · check-in free text available
2022-10-27
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-03
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-10
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-29
Survey response — 3 months, dose 4
MedDRA: Pregnancy — Feeling: Good

Free text: Pregnancy

MedDRA releases: 2024-11 · check-in free text available
2023-03-30
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Moderna
2	2021-02-04	Moderna
3	2021-11-27	Moderna	Flu
4	2022-09-29	Pfizer-BioNTech	No

Call center

1 call center case

1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-07

Systemic reaction (other): Slight nausea

Release 3 — days 1–6 daily, dose 2

2021-02-07

Systemic reaction (other): Fainting

Release 12 — day 14, dose 4

2022-10-13

Symptoms: Sore throat

Release 12 — day 21, dose 4

2022-10-20

Symptoms: I have a cold

Release 12 — 3 months, dose 4

2022-12-29

Symptoms: Pregnancy

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	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pregnancy	·	·	✓
SRO	Nausea	✓	✓	✓
SRO	Syncope	✓	✓	✓

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