ZJY-29754-42525

2 vaccinations 9 coded responses 24 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 458 / OH
Registered: 2021-01-13

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

2021-01-13
Registered in v-safe
2021-01-13
Dose 1 — Moderna
2021-01-13
Health check-in — day 0, dose 1
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Survey response — day 7, dose 1
MedDRA: Blood pressure decreased, Dizziness, Hyperhidrosis, Mobility decreased, Nausea, Vertigo — Feeling: Good · Headache

Free text: On 1/20/21 about 1pm, I had a severe episode of spinning vertigo and almost passed out. Initially my BP was 124/83, and 15 minutes later, it was 86/62. Was diaphoretic and didnt fully recover until the next day. This is not normal for me. I was unable to get off of the couch for about 4 hours. Nauseated the rest of the day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-03
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-10
Dose 2 — Moderna
2021-02-10
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Impaired work ability — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Vomiting · Be unable to work, Be unable to do your normal daily activities

Free text: I had to call off of work

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Pain

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Pain

Free text: Dizziness-mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Good · Fatigue or tiredness

Free text: I have felt off.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — day 7, dose 2
MedDRA: Feeling abnormal — Feeling: Good

Free text: Felt off earlier, but nothing significant

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-05
Survey response — day 21, dose 2
MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Today I have a terrible headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-11
Survey response — 6 months, dose 2
MedDRA: Adverse reaction, Cough, Head discomfort, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: 2-3x since vaccination Ive had cold/allergy type symptoms on different occasions. Head pressure/congestion, sore throat, dry cough. Currently on the mend from being ill.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-11
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Moderna
2	2021-02-10	Moderna

Free text

Release 2 — day 7, dose 1

2021-01-22

Systemic reaction (other): On 1/20/21 about 1pm, I had a severe episode of spinning vertigo and almost passed out. Initially my BP was 124/83, and 15 minutes later, it was 86/62. Was diaphoretic and didnt fully recover until the next day. This is not normal for me. I was unable to get off of the couch for about 4 hours. Nauseated the rest of the day.

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): I had to call off of work

2021-02-12

Systemic reaction (other): Insomnia

2021-02-14

Systemic reaction (other): Dizziness

2021-02-15

Systemic reaction (other): Dizziness-mild

2021-02-16

Systemic reaction (other): I have felt off.

Release 4 — day 7, dose 2

2021-02-17

Systemic reaction (other): Felt off earlier, but nothing significant

Release 5 — day 21, dose 2

2021-03-05

Symptoms: Today I have a terrible headache

Release 9 — 6 months, dose 2

2021-08-11

Symptoms: 2-3x since vaccination Ive had cold/allergy type symptoms on different occasions. Head pressure/congestion, sore throat, dry cough. Currently on the mend from being ill.

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	Adverse reaction	✓	·	✓
SD	Cough	✓	·	✓
SD	Head discomfort	✓	·	✓
SD	Headache	✓	✓	✓
SD	Nasopharyngitis	✓	·	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Respiratory tract congestion	✓	·	✓
SRO	Blood pressure decreased	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Impaired work ability	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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