2HB-10617-99401

2 vaccinations 9 coded responses 20 check-ins 9 free-text entries 6 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 840 / UT
Registered: 2020-12-29

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

2020-12-29
Registered in v-safe
2020-12-29
Dose 1 — Moderna
2020-12-29
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Pain, Sinusitis — Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Body aches/fatigue likely related to new-onset sinus infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Lymphadenopathy, Respiratory tract congestion, Rhinorrhoea, Sinusitis — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen axillary lymph node on same side as injection site; cough/rhinorrhea/congestion possibly r/t sinus infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-02
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Congestion, sore throat, mild cough (possibly related to a sinus infection)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Congestion, intermittent dry cough, runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-03
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-04
Survey response — days 1–6 daily, dose 1
MedDRA: Respiratory tract congestion — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-05
Survey response — day 7, dose 1
MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Cough, congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Report sent to call center — day 7, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-12
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling — Feeling: Good

Free text: Swollen/itchy at injection site Jan 6, redness to skin over entire deltoid muscle on side where shot was given, lasted 4 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-26
Dose 2 — Moderna
2021-01-26
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-02
Survey response — day 7, dose 2
MedDRA: Fatigue, Injection site bruising, Injection site erythema, Injection site inflammation, Pain — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Severe body aches 2nd day with redness inflamation on 1/3 of upper L arm (injection site), 3rd day redness became bruise-like discoloration which cleared up day 5, moderate fatigue day 5

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-27
Survey response — 6 months, dose 2
MedDRA: Asthma, Cough, Hypersensitivity, Lymphadenopathy, Nasopharyngitis, Oropharyngeal pain, Pre-existing disease, Pyrexia, Rhinorrhoea, SARS-CoV-2 test negative — 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, Outpatient clinic or urgent care clinic visit

Free text: Cold virus lasting 3x weeks, Covid negative, fever, cough, rhinorrhea, sore throat swollen lymph nodes; increased intensity of seasonal allergy et resulting ashyma reaction in spring now managed.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-27
Report sent to call center — 6 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

1 call case(s)
2021-07-28
Call 1 — Left Voicemail
2022-01-22
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-26
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Moderna
2	2021-01-26	Moderna

Call center

6 call center cases

1 successful · 5 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-31

Systemic reaction (other): Body aches/fatigue likely related to new-onset sinus infection

2021-01-01

Systemic reaction (other): Swollen axillary lymph node on same side as injection site; cough/rhinorrhea/congestion possibly r/t sinus infection

2021-01-02

Systemic reaction (other): Congestion, sore throat, mild cough (possibly related to a sinus infection)

2021-01-03

Systemic reaction (other): Congestion, intermittent dry cough, runny nose

2021-01-04

Systemic reaction (other): Congestion

Release 1 — day 7, dose 1

2021-01-05

Systemic reaction (other): Cough, congestion

Release 1 — day 14, dose 1

2021-01-12

Symptoms: Swollen/itchy at injection site Jan 6, redness to skin over entire deltoid muscle on side where shot was given, lasted 4 days.

Release 3 — day 7, dose 2

2021-02-02

Systemic reaction (other): Severe body aches 2nd day with redness inflamation on 1/3 of upper L arm (injection site), 3rd day redness became bruise-like discoloration which cleared up day 5, moderate fatigue day 5

Release 9 — 6 months, dose 2

2021-07-27

Symptoms: Cold virus lasting 3x weeks, Covid negative, fever, cough, rhinorrhea, sore throat swollen lymph nodes; increased intensity of seasonal allergy et resulting ashyma reaction in spring now managed.

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	Asthma	✓	·	✓
SD	Cough	✓	·	✓
SD	Hypersensitivity	✓	·	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Lymphadenopathy	✓	·	✓
SD	Nasopharyngitis	✓	·	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Pyrexia	✓	·	✓
SD	Rhinorrhoea	✓	·	✓
SD	SARS-CoV-2 test negative	✓	·	✓
SRO	Cough	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site inflammation	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sinusitis	✓	✓	✓

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