273-12669-18660

2 vaccinations 7 coded responses 24 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 925 / CA
Registered: 2021-01-01

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

2021-01-01
Registered in v-safe
2021-01-01
Dose 1 — Moderna
2021-01-01
Survey response — day 0, dose 1
MedDRA: No adverse event — Feeling: Good · Nausea

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-07
Survey response — days 1–6 daily, dose 1
MedDRA: Palpitations — Feeling: Good

Free text: Racing heart rate for 15 min two occasions.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Survey response — day 7, dose 1
MedDRA: Night sweats — Feeling: Good

Free text: Night sweats woke me up Pj's damp. Not ordinary for me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-24
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-29
Dose 2 — Moderna
2021-01-29
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-26
Survey response — day 28, dose 2
MedDRA: Bone pain, Disturbance in attention, Self-medication — Feeling: Fair

Free text: Bone pain in my hip and leg. Took 400 mg of NSAID twice. Too painful to concentrate. Im at work all day. NSAID worked.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-14
Survey response — day 42, dose 2
MedDRA: Hypersensitivity, Office visit, Rash — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Rash and acute itching arms legs back hands and feet. Allergic reaction. Im treated with medro dose pack for 6 days · Healthcare visit (other): Office visit with Nurse practitioner

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-30
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-07-30
Survey response — 6 months, dose 2
MedDRA: Dermatitis, Eczema, Office visit, Pre-existing disease, Pruritus — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Acute allergy excema and dermatitis bilateral legs spreading to whole body. For 3 months of severe itching 8 weeks steroids. Worse experience ever. · Healthcare visit (other): One NP ov 4 specialist ov

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-30
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-10
Call 1 — Left Voicemail
2022-01-30
Survey response — 12 months, dose 2
MedDRA: Musculoskeletal stiffness, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Stiff neck for months · Healthcare visit (other): Not certain if it's associated

MedDRA releases: 2024-11 · check-in free text available
2022-01-30
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-31
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-01	Moderna
2	2021-01-29	Moderna

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-01

Systemic reaction (other): No

Release 1 — days 1–6 daily, dose 1

2021-01-07

Systemic reaction (other): Racing heart rate for 15 min two occasions.

Release 1 — day 7, dose 1

2021-01-08

Systemic reaction (other): Night sweats woke me up Pj's damp. Not ordinary for me.

Release 4 — day 28, dose 2

2021-02-26

Symptoms: Bone pain in my hip and leg. Took 400 mg of NSAID twice. Too painful to concentrate. Im at work all day. NSAID worked.

Release 5 — day 42, dose 2

2021-03-14

Symptoms: Rash and acute itching arms legs back hands and feet. Allergic reaction. Im treated with medro dose pack for 6 days

Healthcare visit (other): Office visit with Nurse practitioner

Release 9 — 6 months, dose 2

2021-07-30

Symptoms: Acute allergy excema and dermatitis bilateral legs spreading to whole body. For 3 months of severe itching 8 weeks steroids. Worse experience ever.

Healthcare visit (other): One NP ov 4 specialist ov

Release 11 — 12 months, dose 2

2022-01-30

Symptoms: Stiff neck for months

Healthcare visit (other): Not certain if it's associated

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	✓	✓	✓
HCVO	Unevaluable event	·	·	✓
SD	Bone pain	✓	✓	✓
SD	Dermatitis	✓	·	✓
SD	Disturbance in attention	✓	✓	✓
SD	Eczema	✓	·	✓
SD	Hypersensitivity	✓	✓	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Office visit	○	·	○
SD	Pre-existing disease	✓	·	✓
SD	Pruritus	✓	·	✓
SD	Rash	✓	✓	✓
SD	Self-medication	✓	✓	✓
SRO	Night sweats	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Unevaluable event	○	○	○

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