2CN-33836-36736

3 vaccinations 6 coded responses 29 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 156 / PA
Registered: 2021-03-05

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

2021-03-05
Registered in v-safe
2021-03-06
Dose 1 — Moderna
2021-03-06
Survey response — day 0, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Vasodilatation — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The vein in my arm near the injection site also swelled a bit, protruded. Only a little.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Epilepsy, Pre-existing disease, Seizure — Feeling: Fair · Be unable to do your normal daily activities

Free text: I had a seizure. HIGHLY unlikely is connected (I have epilepsy) because I think stress triggered it but I have no way to know for sure.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-20
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-03
Dose 2 — Moderna
2021-04-03
Health check-in — day 0, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: 99.7 is a full blown fever for me, I run at 97.8 normally

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Muscle or body aches · Be unable to work

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Fungal infection — Feeling: Good

Free text: Yeast infection but assume is unlikely to be related

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-16
Dose 3 — Moderna
Co-administered: Flu
2021-10-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-16
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-17
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-09-16
Survey response — 12 months, dose 3
MedDRA: COVID-19, Dyspnoea — 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 · Emergency room or emergency department visit

Free text: I had Covid in April, I had shortness of breath and needed monoclonal antibodies.

MedDRA releases: 2024-11 · check-in free text available
2022-09-16
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

Emergency room or emergency department visit · 1 call case(s)
2022-09-19
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-06	Moderna
2	2021-04-03	Moderna
3	2021-09-16	Moderna	Flu

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-06

Systemic reaction (other): No

Release 5 — days 1–6 daily, dose 1

2021-03-07

Systemic reaction (other): The vein in my arm near the injection site also swelled a bit, protruded. Only a little.

2021-03-10

Systemic reaction (other): I had a seizure. HIGHLY unlikely is connected (I have epilepsy) because I think stress triggered it but I have no way to know for sure.

Release 6 — days 1–6 daily, dose 2

2021-04-04

Systemic reaction (other): 99.7 is a full blown fever for me, I run at 97.8 normally

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): Yeast infection but assume is unlikely to be related

Release 12 — 12 months, dose 3

2022-09-16

Symptoms: I had Covid in April, I had shortness of breath and needed monoclonal antibodies.

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	COVID-19	·	·	✓
SD	Dyspnoea	·	·	✓
SRO	Epilepsy	✓	✓	✓
SRO	Fungal infection	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Seizure	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓
SRO	Vasodilatation	✓	✓	✓

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