U93-51654-84915

4 vaccinations 9 coded responses 29 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 107 / NY
Registered: 2021-05-06

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

Registered dependents

SNF-88018-07863 Child or adolescent in my care · Male · 2022-06-22

Timeline

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

2021-03-31
Dose 1 — Moderna
2021-04-29
Dose 2 — Moderna
2021-05-06
Registered in v-safe
2021-05-06
Survey response — day 7, dose 2
MedDRA: Abdominal pain, Dizziness, Fatigue, Nausea, Pyrexia — Feeling: Good

Free text: I didn't know about vsafe when I first got the vaccine, but the day after I had a fever, abdominal pain, nausea, and fatigued. I had nausea for a second day, and had varying levels of fatigue and lightheadedness for four days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — day 14, dose 2
MedDRA: Abdominal pain, Dizziness, Nausea, Pyrexia — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: I felt queasy and had acute abdominal pain. I also had a mild fever and some dizziness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-28
Survey response — 6 months, dose 2
MedDRA: Cough, Nasopharyngitis, Oropharyngeal pain, Pyrexia, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I got a couple of colds, passed on from my toddler. Two were just mild congestion and a sore throat, but one was also had a fever and cough.

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Dose 3 — Moderna
2021-11-19
Survey response — days 1–6 daily, dose 3
MedDRA: Insomnia — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal pain

Free text: Trouble sleeping

MedDRA releases: 2024-11 · check-in free text available
2021-11-21
Survey response — days 1–6 daily, dose 3
MedDRA: Insomnia — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Trouble sleeping

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-25
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-02
Survey response — day 14, dose 3
MedDRA: Fatigue, Oropharyngeal pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Fatigue, mild sore throat,

MedDRA releases: 2024-11 · check-in free text available
2021-12-09
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-16
Survey response — day 28, dose 3
MedDRA: Fatigue, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sore throat, fatigue, mild congestion

MedDRA releases: 2024-11 · check-in free text available
2021-12-25
Survey response — day 35, dose 3
MedDRA: Asthenia, Chills, Cough, Fatigue, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, Sinus congestion — Feeling: Poor · 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: 103Â° fever, chills, cough, sinus chest congestion, chest congestion, weakness, fatigue, sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-12-25
Report sent to call center — day 35, 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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-28
Call 1 — Left Voicemail
2021-12-30
Health check-in — day 42, dose 3
Feeling: Poor

Adult check-in
2022-02-18
Survey response — 3 months, dose 3
MedDRA: Headache, Oropharyngeal pain, Pyrexia, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: congestion, headache, fever, sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-05-21
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-10
Dose 4 — Moderna
2022-09-12
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-09-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2022-09-18
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-09-26
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-01
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-09
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-15
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-22
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-12
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-11
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Moderna
2	2021-04-29	Moderna
3	2021-11-18	Moderna	No
4	2022-09-10	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 8 — day 7, dose 2

2021-05-06

Systemic reaction (other): I didn't know about vsafe when I first got the vaccine, but the day after I had a fever, abdominal pain, nausea, and fatigued. I had nausea for a second day, and had varying levels of fatigue and lightheadedness for four days.

Release 8 — day 14, dose 2

2021-05-13

Symptoms: I felt queasy and had acute abdominal pain. I also had a mild fever and some dizziness.

Release 10 — 6 months, dose 2

2021-10-28

Symptoms: I got a couple of colds, passed on from my toddler. Two were just mild congestion and a sore throat, but one was also had a fever and cough.

Release 10 — days 1–6 daily, dose 3

2021-11-19

Systemic reaction (other): Trouble sleeping

2021-11-21

Systemic reaction (other): Trouble sleeping

Release 10 — day 14, dose 3

2021-12-02

Symptoms: Fatigue, mild sore throat,

Release 10 — day 28, dose 3

2021-12-16

Symptoms: Sore throat, fatigue, mild congestion

Release 10 — day 35, dose 3

2021-12-25

Symptoms: 103Â° fever, chills, cough, sinus chest congestion, chest congestion, weakness, fatigue, sore throat

Release 11 — 3 months, dose 3

2022-02-18

Symptoms: congestion, headache, fever, sore throat

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	Abdominal pain	✓	✓	✓
SD	Asthenia	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sinus congestion	·	·	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Insomnia	·	·	✓
SRO	Nausea	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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