2BX-30703-56026

2 vaccinations 6 coded responses 14 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 808 / CO
Registered: 2021-03-08

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

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

2021-03-08
Registered in v-safe
2021-03-10
Dose 1 — Moderna
2021-03-10
Health check-in — day 0, dose 1
Feeling: Good · Site: Swelling · Headache, Muscle or body aches

Adult check-in
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Fair · Site: Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-24
Survey response — day 14, dose 1
MedDRA: Erythema, Headache, Injection site erythema, Injection site pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: I missed some check-ins. I noticed redness around, and sore still at injection area after two weeks. Headaches. I don't think other symptoms are related to vaccine?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-07
Dose 2 — Moderna
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills, Fatigue or tiredness

Adult check-in
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Bronchitis, Pyrexia — Feeling: Poor · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Fevers back. Secondary bronchitis.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-14
Survey response — day 7, dose 2
MedDRA: Costochondritis, Inflammation, Medical counselling — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): Inflammation on left ribcage · Healthcare visit (other): Appointment tomorrow as a precaution.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-21
Health check-in — day 14, dose 2
Feeling: Fair

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

Adult check-in
2021-05-12
Survey response — day 35, dose 2
MedDRA: Dyspnoea, Hypertension, Office visit — Feeling: Fair · 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: Symptoms: Hypertension, shortness of breath. Diagnosed myself with bronchitis end of April 2021. Two rounds antibiotics now taking Prednisone · Healthcare visit (other): 2 Primary Dr. follow ups

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-11
Call 1 — Left Voicemail
2022-04-07
Survey response — 12 months, dose 2
MedDRA: Bronchitis, Unevaluable event — Feeling: Fair · 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: Bronchitis · Healthcare visit (other): Dispatch Health chest xray

MedDRA releases: 2024-11 · check-in free text available
2022-04-07
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-04-12
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Moderna
2	2021-04-07	Moderna

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 — days 1–6 daily, dose 1

2021-03-12

Systemic reaction (other): None

Release 6 — day 14, dose 1

2021-03-24

Symptoms: I missed some check-ins. I noticed redness around, and sore still at injection area after two weeks. Headaches. I don't think other symptoms are related to vaccine?

Release 7 — days 1–6 daily, dose 2

2021-04-11

Systemic reaction (other): Fevers back. Secondary bronchitis.

Release 7 — day 7, dose 2

2021-04-14

Systemic reaction (other): Inflammation on left ribcage

Healthcare visit (other): Appointment tomorrow as a precaution.

Release 8 — day 35, dose 2

2021-05-12

Symptoms: Hypertension, shortness of breath. Diagnosed myself with bronchitis end of April 2021. Two rounds antibiotics now taking Prednisone

Healthcare visit (other): 2 Primary Dr. follow ups

Release 11 — 12 months, dose 2

2022-04-07

Symptoms: Bronchitis

Healthcare visit (other): Dispatch Health chest xray

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	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Unevaluable event	·	·	✓
SD	Bronchitis	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Erythema	✓	✓	○
SD	Headache	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Injection site erythema	·	·	✓
SD	Injection site pain	✓	✓	✓
SRO	Bronchitis	✓	✓	✓
SRO	Costochondritis	·	·	✓
SRO	Inflammation	✓	✓	○
SRO	No adverse event	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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