ZZW-14142-83277

3 vaccinations 10 coded responses 30 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 356 / AL
Registered: 2021-01-13

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

2021-01-13
Registered in v-safe
2021-01-13
Dose 1 — Moderna
2021-01-13
Health check-in — day 0, dose 1
Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-13
Report sent to call center — day 0, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

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

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Survey response — day 14, dose 1
MedDRA: Injection site rash — Feeling: Good

Free text: Mild rash at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-10
Dose 2 — Moderna
2021-02-17
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work

Adult check-in
2021-02-24
Survey response — day 14, dose 2
MedDRA: Migraine, Oropharyngeal pain, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activities

Free text: Migraine headaches everyday since my second vaccine. Ive also had congestion and a sore throat.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
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
2021-03-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-12
Survey response — 3 months, dose 2
MedDRA: Viral upper respiratory tract infection — Feeling: Good · Be unable to work

Free text: Upper respiratory virus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-20
Dose 3 — Moderna
2022-01-20
Survey response — day 0, dose 3
MedDRA: Injection site warmth — Feeling: Fair · Site: Pain, Swelling · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Injection site feels warm

MedDRA releases: 2024-11 · check-in free text available
2022-01-21
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-01-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2022-01-23
Survey response — days 1–6 daily, dose 3
MedDRA: Hot flush, Pain in extremity, Vaccine positive rechallenge — Feeling: Fair · Site: Pain, Swelling · Be unable to do your normal daily activities

Free text: I had a menopause type hot flash during the night last night. The same thing happened for several months after the second part of my first vaccine in March of last year. Today I started having calf pain. I haven't pulled a muscle or injured it

MedDRA releases: 2024-11 · check-in free text available
2022-01-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-28
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-02-03
Survey response — day 14, dose 3
MedDRA: Migraine — Feeling: Poor · Be unable to do your normal daily activities

Free text: Migraine headaches

MedDRA releases: 2024-11 · check-in free text available
2022-02-10
Survey response — day 21, dose 3
MedDRA: Migraine — Feeling: Fair · Be unable to do your normal daily activities

Free text: Migraine headaches

MedDRA releases: 2024-11 · check-in free text available
2022-02-24
Survey response — day 35, dose 3
MedDRA: Migraine — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Severe migraines

MedDRA releases: 2024-11 · check-in free text available
2022-03-04
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-21
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-07-21
Survey response — 6 months, dose 3
MedDRA: Chills, Cough, Ear pain, Fatigue, Headache, Nausea, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive, Sinus congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Tested positive for covid. Had high fever, chills, sore throat, severe headaches, sinus congestion, pain in ears, nausea, fatigue and cough

MedDRA releases: 2024-11 · check-in free text available
2023-01-22
Survey response — 12 months, dose 3
MedDRA: Bronchitis, COVID-19, Sinusitis, Upper respiratory tract infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-01-22
Report sent to call center — 12 months, 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-23
Call successful
Not applicable - Accidental Reporting

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Moderna
2	2021-02-10	Moderna
3	2022-01-20	Moderna	No

Call center

2 call center cases

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

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-27

Symptoms: Mild rash at injection site

Release 4 — day 14, dose 2

2021-02-24

Symptoms: Migraine headaches everyday since my second vaccine. Ive also had congestion and a sore throat.

Release 8 — 3 months, dose 2

2021-05-12

Symptoms: Upper respiratory virus

Release 10 — day 0, dose 3

2022-01-20

Systemic reaction (other): Injection site feels warm

Release 11 — days 1–6 daily, dose 3

2022-01-23

Systemic reaction (other): I had a menopause type hot flash during the night last night. The same thing happened for several months after the second part of my first vaccine in March of last year. Today I started having calf pain. I haven't pulled a muscle or injured it

Release 11 — day 14, dose 3

2022-02-03

Symptoms: Migraine headaches

Release 11 — day 21, dose 3

2022-02-10

Symptoms: Migraine headaches

Release 11 — day 35, dose 3

2022-02-24

Symptoms: Severe migraines

Release 12 — 6 months, dose 3

2022-07-21

Symptoms: Tested positive for covid. Had high fever, chills, sore throat, severe headaches, sinus congestion, pain in ears, nausea, fatigue and cough

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	Bronchitis	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Ear pain	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Injection site rash	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Sinusitis	·	·	✓
SD	Upper respiratory tract infection	·	·	✓
SD	Viral upper respiratory tract infection	✓	✓	✓
SRO	Hot flush	·	·	✓
SRO	Injection site warmth	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Vaccine positive rechallenge	·	·	✓

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