Y8U-33301-79061

4 vaccinations 17 coded responses 56 check-ins 17 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 787 / TX
Registered: 2021-02-04

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

2021-02-04
Registered in v-safe
2021-02-04
Dose 1 — Moderna
2021-02-04
Health check-in — day 0, dose 1
Feeling: Good · None

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

Adult check-in
2021-02-06
Survey response — days 1–6 daily, dose 1
MedDRA: Multiple allergies — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Allergies! (Likely cause of above symptoms)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Survey response — days 1–6 daily, dose 1
MedDRA: Sinusitis — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Feels like sinus infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — days 1–6 daily, dose 1
MedDRA: Hypersensitivity, Pre-existing disease, Sinus congestion, Unevaluable event — Feeling: Fair · Fatigue or tiredness

Free text: Sinus/allergy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-05
Dose 2 — Moderna
2021-03-05
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Sinusitis — Feeling: Poor · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Feels like I have a sinus infection separate from vaccine response

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 2
MedDRA: Swelling — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Swollen sinuses

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Sinusitis — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Still sinus infection symptoms, I believe.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-12
Survey response — day 7, dose 2
MedDRA: Allergic respiratory symptom — Feeling: Good · Headache

Free text: Mild sinus/allergy symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-16
Survey response — day 42, dose 2
MedDRA: Nephrolithiasis — 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: Most likely unrelated. Kidney stone.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-04
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-03
Survey response — 6 months, dose 2
MedDRA: Corneal dystrophy, Dry eye, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Map Dot Fingerprint Distrophy in both eyes and extreme dry eye. · Healthcare visit (other): In-person visits to eye doc

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-03
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-07
Call 1 — Left Voicemail
2021-11-26
Dose 3 — Moderna
2021-11-26
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-11-27
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

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

Free text: Seasonal allergies

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
Survey response — days 1–6 daily, dose 3
MedDRA: Sinusitis — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Free text: Feels like a sinus infection

MedDRA releases: 2024-11 · check-in free text available
2021-11-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-02
Survey response — days 1–6 daily, dose 3
MedDRA: Pre-existing disease, Sinus disorder — Feeling: Good

Free text: Just minor allergy/sinus issues

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Survey response — day 7, dose 3
MedDRA: Pre-existing disease, Sinus disorder — Feeling: Good

Free text: Allergy/sinus issues

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-17
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-24
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-31
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-01-08
Survey response — day 42, dose 3
MedDRA: Pre-existing disease, SARS-CoV-2 test negative — Feeling: Fair

Free text: Horrible cedar-related allergies (probably), but tested neg w/ at-home antigen tests.

MedDRA releases: 2024-11 · check-in free text available
2022-02-25
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-13
Dose 4 — Moderna
2022-05-13
Survey response — day 0, dose 4
MedDRA: Pre-existing disease, Unevaluable event — Feeling: Fair · Site: Pain · Headache

Free text: Allergy/sinus

MedDRA releases: 2024-11 · check-in free text available
2022-05-14
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-15
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness

Adult check-in
2022-05-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2022-05-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-20
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-27
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-03
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-10
Survey response — day 28, dose 4
MedDRA: Pre-existing disease, Sinus disorder — Feeling: Fair

Free text: Allergies and sinus problems

MedDRA releases: 2024-11 · check-in free text available
2022-06-17
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-26
Survey response — day 42, dose 4
MedDRA: Pre-existing disease, Unevaluable event — Feeling: Fair

Free text: Sinus/allergies

MedDRA releases: 2024-11 · check-in free text available
2022-08-12
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-13
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-05-13
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Moderna
2	2021-03-05	Moderna
3	2021-11-26	Moderna	No
4	2022-05-13	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-16	Unsuccessful
2021-09-03	Unsuccessful

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-06

Systemic reaction (other): Allergies! (Likely cause of above symptoms)

2021-02-09

Systemic reaction (other): Feels like sinus infection

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): Sinus/allergy

Release 5 — days 1–6 daily, dose 2

2021-03-08

Systemic reaction (other): Feels like I have a sinus infection separate from vaccine response

2021-03-09

Systemic reaction (other): Swollen sinuses

2021-03-10

Systemic reaction (other): Still sinus infection symptoms, I believe.

Release 5 — day 7, dose 2

2021-03-12

Systemic reaction (other): Mild sinus/allergy symptoms

Release 7 — day 42, dose 2

2021-04-16

Symptoms: Most likely unrelated. Kidney stone.

Release 9 — 6 months, dose 2

2021-09-03

Symptoms: Map Dot Fingerprint Distrophy in both eyes and extreme dry eye.

Healthcare visit (other): In-person visits to eye doc

Release 10 — days 1–6 daily, dose 3

2021-11-28

Systemic reaction (other): Seasonal allergies

2021-11-29

Systemic reaction (other): Feels like a sinus infection

2021-12-02

Systemic reaction (other): Just minor allergy/sinus issues

Release 10 — day 7, dose 3

2021-12-03

Systemic reaction (other): Allergy/sinus issues

Release 10 — day 42, dose 3

2022-01-08

Symptoms: Horrible cedar-related allergies (probably), but tested neg w/ at-home antigen tests.

Release 11 — day 0, dose 4

2022-05-13

Systemic reaction (other): Allergy/sinus

Release 12 — day 28, dose 4

2022-06-10

Symptoms: Allergies and sinus problems

Release 12 — day 42, dose 4

2022-06-26

Symptoms: Sinus/allergies

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	Corneal dystrophy	✓	·	✓
SD	Dry eye	✓	·	✓
SD	Nephrolithiasis	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinus disorder	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Allergic respiratory symptom	✓	✓	✓
SRO	Hypersensitivity	✓	✓	○
SRO	Multiple allergies	✓	✓	✓
SRO	Pre-existing disease	·	·	✓
SRO	Sinus congestion	✓	✓	○
SRO	Sinus disorder	·	·	✓
SRO	Sinusitis	✓	✓	✓
SRO	Swelling	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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