2FC-33320-68522

3 vaccinations 12 coded responses 38 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 957 / CA
Registered: 2021-03-17

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Registered dependents

2P6-27214-83436 Child or adolescent in my care · Female · 2021-12-16

Timeline

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

2021-03-16
Dose 1 — Moderna
2021-03-17
Registered in v-safe
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site warmth — Feeling: Good · Site: Pain, Redness, Swelling

Free text: Heat at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity, Paraesthesia — Feeling: Fair · Site: Redness, Swelling · Nausea

Free text: Tingling and pain left hand fingers

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good

Free text: Pain in ring and pinky finger on injection arm

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

Free text: Slight pain in pinky and ring finger on injection arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good

Free text: Light pain in ring and pinky finger on injection arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Rash macular — Feeling: Good · Be unable to do your normal daily activities

Free text: On day 8 the injection site red blotch came back and on day 9 it tripled in size along with an all day headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — day 21, dose 1
MedDRA: Headache, Rash — Feeling: Good · Be unable to do your normal daily activities

Free text: Small colorless bumps all over my back since April 3rd and some on my chest area as of April 6th.Massive headache all day April 5th.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Dose 2 — Moderna
2021-04-13
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site erythema — Feeling: Fair · Site: Pain, Redness

Free text: The redness reported today along with yesterday is at the first injection site not the second. As if the second injection activated the redness in the first area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site erythema — Feeling: Fair · Site: Pain, Redness, Itching · Fatigue or tiredness

Free text: Redness at first injection site has quadrupled in size

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · Nausea

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-20
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-27
Survey response — day 14, dose 2
MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have a cold I caught from my daughter. Her covid test was negative

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

Adult check-in
2021-05-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-16
Dose 3 — Moderna
2021-12-16
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None · Be unable to do your normal daily activities

Adult check-in
2021-12-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None · Be unable to do your normal daily activities

Adult check-in
2021-12-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None · Be unable to do your normal daily activities

Adult check-in
2021-12-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-12-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-23
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-30
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-08
Survey response — day 21, dose 3
MedDRA: Abdominal pain upper, Headache, Vomiting — Feeling: Poor · Be unable to do your normal daily activities

Free text: Headache and strong stomach ache today until she threw up.

MedDRA releases: 2024-11 · check-in free text available
2022-01-13
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-20
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-27
Health check-in — day 42, dose 3
Feeling: Good

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

Adult check-in
2022-06-16
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-16
Survey response — 12 months, dose 3
MedDRA: Ageusia, Anosmia, COVID-19, Diarrhoea, Fatigue, Headache, Respiratory tract congestion — 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: Covid- Intense headache for 3 days, congestion, tired, diarrhea, loss of taste and smell

MedDRA releases: 2024-11 · check-in free text available
2022-12-16
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-19
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Moderna
2	2021-04-13	Moderna
3	2021-12-16	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-17

Systemic reaction (other): Heat at injection site

2021-03-18

Systemic reaction (other): Tingling and pain left hand fingers

2021-03-19

Systemic reaction (other): Pain in ring and pinky finger on injection arm

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Slight pain in pinky and ring finger on injection arm

2021-03-21

Systemic reaction (other): Light pain in ring and pinky finger on injection arm

Release 6 — day 14, dose 1

2021-03-30

Symptoms: On day 8 the injection site red blotch came back and on day 9 it tripled in size along with an all day headache

Release 7 — day 21, dose 1

2021-04-06

Symptoms: Small colorless bumps all over my back since April 3rd and some on my chest area as of April 6th.Massive headache all day April 5th.

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): The redness reported today along with yesterday is at the first injection site not the second. As if the second injection activated the redness in the first area

2021-04-16

Systemic reaction (other): Redness at first injection site has quadrupled in size

Release 8 — day 14, dose 2

2021-04-27

Symptoms: I have a cold I caught from my daughter. Her covid test was negative

Release 10 — day 21, dose 3

2022-01-08

Symptoms: Headache and strong stomach ache today until she threw up.

Release 12 — 12 months, dose 3

2022-12-16

Symptoms: Covid- Intense headache for 3 days, congestion, tired, diarrhea, loss of taste and smell

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	Abdominal pain upper	·	·	✓
SD	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash macular	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Vomiting	·	·	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓

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