2AN-20614-64074

4 vaccinations 6 coded responses 26 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 641 / MO
Registered: 2021-03-19

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

Registered dependents

T5C-16577-60446 Child or adolescent in my care · Female · 2022-06-27

Timeline

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

2021-03-19
Registered in v-safe
2021-03-19
Dose 1 — Moderna
2021-03-19
Survey response — day 0, dose 1
MedDRA: Rhinorrhoea — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Survey response — day 7, dose 1
MedDRA: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth — Feeling: Fair · Site: Redness, Swelling

Free text: The are just below the injection site is pretty hard, some swelling, red, and warm to the touch.About 2 inches x 2 inches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — day 14, dose 1
MedDRA: Erythema, Feeling hot, Induration, Injection site reaction, Peripheral swelling, Pruritus — Feeling: Good

Free text: Day 8 I had a reaction around the injection site. My arm was red, very swollen about 4 in x 6 in long, hard and very warm to touch & itched. Also sore swollen lymph nodes same arm armpit. But the next day was much better. All is better.

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

Adult check-in
2021-04-18
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-20
Dose 2 — Moderna
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-27
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-19
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-15
Dose 3 — Pfizer-BioNTech
2021-12-22
Call 2 — Left Voicemail
2022-04-20
Survey response — 12 months, dose 2
MedDRA: Cough, Malaise, Medical counselling, Pyrexia — 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 · Telehealth, virtual health, or email health consultation

Free text: Symptoms: I was sick for about 5 days, Feb. 26, 2022-March 3, 2022 with a bad cough and fever. I took steroids for about 10 days and that helped. · Healthcare visit (other): And pharmacist, I was in (b)(6)

MedDRA releases: 2024-11 · check-in free text available
2022-04-20
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-04-21
Call 1 — Could Not Reach Participant
2022-04-26
Call 2 — Left Voicemail
2022-11-09
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-12-18
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-18
Survey response — 12 months, dose 3
MedDRA: Arthritis, Influenza like illness, Soft tissue neoplasm — 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

Free text: Flu like symptoms. Joint inflammation. Soft tissue tumor in right buttock.

MedDRA releases: 2024-11 · check-in free text available
2022-12-18
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)
2022-12-19
Call 1 — Left Voicemail
2022-12-19
Call 3 — Left Voicemail
2022-12-19
Call 1 — Left Voicemail
2023-02-10
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-19	Moderna
2	2021-04-20	Moderna
3	2021-12-15	Pfizer-BioNTech	No
4	2022-11-09	Pfizer-BioNTech	Flu

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-19

Systemic reaction (other): Runny nose

Release 6 — day 7, dose 1

2021-03-26

Systemic reaction (other): The are just below the injection site is pretty hard, some swelling, red, and warm to the touch.About 2 inches x 2 inches

Release 6 — day 14, dose 1

2021-04-02

Symptoms: Day 8 I had a reaction around the injection site. My arm was red, very swollen about 4 in x 6 in long, hard and very warm to touch & itched. Also sore swollen lymph nodes same arm armpit. But the next day was much better. All is better.

Release 7 — days 1–6 daily, dose 2

2021-04-21

Systemic reaction (other): Sore throat

Release 11 — 12 months, dose 2

2022-04-20

Symptoms: I was sick for about 5 days, Feb. 26, 2022-March 3, 2022 with a bad cough and fever. I took steroids for about 10 days and that helped.

Healthcare visit (other): And pharmacist, I was in (b)(6)

redacted (b)(6)

Release 12 — 12 months, dose 3

2022-12-18

Symptoms: Flu like symptoms. Joint inflammation. Soft tissue tumor in right buttock.

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	Medical counselling	·	·	✓
SD	Arthritis	·	·	✓
SD	Cough	·	·	✓
SD	Erythema	✓	✓	✓
SD	Feeling hot	✓	✓	✓
SD	Induration	✓	✓	✓
SD	Influenza like illness	·	·	✓
SD	Injection site reaction	✓	✓	✓
SD	Malaise	·	·	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Soft tissue neoplasm	·	·	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site induration	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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