Z3P-32348-33193

3 vaccinations 8 coded responses 32 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 224 / VA
Registered: 2021-02-23

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

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-02-23
Registered in v-safe
2021-02-23
Dose 1 — Moderna
2021-02-23
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-23
Dose 2 — Moderna
2021-03-23
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Insomnia, Poor quality sleep — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Insomnia and poor sleep, ear ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Mild ear ringing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Joint pains, Muscle or body aches

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Free text: Ears ringing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain, Tinnitus — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Ears still ringing, sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-16
Survey response — day 21, dose 2
MedDRA: Myalgia — Feeling: Fair

Free text: Muscle aches returned, probably unrelated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-24
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-21
Survey response — 6 months, dose 2
MedDRA: Impaired work ability, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school

Free text: Cold symptoms after confirmed exposure but 2 negative tests. One day off work (quarantine didnt impact due to telework)

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Dose 3 — Moderna
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-12-08
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Joint pains, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Swelling · Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-12-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-12-11
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-20
Survey response — day 14, dose 3
MedDRA: Nasopharyngitis, Respiratory tract congestion, Rhinorrhoea — Feeling: Good

Free text: Mild cold symptoms (runny nose and congestion)

MedDRA releases: 2024-11 · check-in free text available
2021-12-25
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-03
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-08
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-15
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-05
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-04
Survey response — 6 months, dose 3
MedDRA: Pregnancy — Feeling: Fair

Free text: Pregnancy

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-23	Moderna
2	2021-03-23	Moderna
3	2021-12-04	Moderna	No

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-24

Systemic reaction (other): Insomnia and poor sleep, ear ache

2021-03-25

Systemic reaction (other): Mild ear ringing

2021-03-27

Systemic reaction (other): Ears ringing

2021-03-29

Systemic reaction (other): Ears still ringing, sore throat

Release 7 — day 21, dose 2

2021-04-16

Symptoms: Muscle aches returned, probably unrelated

Release 9 — 6 months, dose 2

2021-09-21

Symptoms: Cold symptoms after confirmed exposure but 2 negative tests. One day off work (quarantine didnt impact due to telework)

Release 10 — day 14, dose 3

2021-12-20

Symptoms: Mild cold symptoms (runny nose and congestion)

Release 11 — 6 months, dose 3

2022-06-04

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	Impaired work ability	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Pregnancy	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Ear pain	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Poor quality sleep	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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