2HL-17103-53198

6 vaccinations 12 coded responses 57 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 971 / OR
Registered: 2021-04-05

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

2021-04-01
Dose 1 — Moderna
2021-04-05
Registered in v-safe
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-09
Health check-in — day 7, dose 1
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-04-15
Survey response — day 14, dose 1
MedDRA: Erythema, Injection site pruritus, Peripheral swelling — Feeling: Good

Free text: The top part of my arm turned red and swelled up for about four days. It was itchy too. It was especially bad around the injection site. Its back to normal now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-29
Dose 2 — Moderna
2021-04-29
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Feeling abnormal, Renal pain — Feeling: Poor · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Kidney back pain, double gravity feeling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Renal pain — Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Kidney/back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Musculoskeletal chest pain, Renal pain — Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Pain in kidney lower back area and under rib cage on left side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal chest pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Left side pain under rib

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-06
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 21, dose 2
Feeling: Good

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

Adult check-in
2021-06-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-28
Dose 3 — Moderna
Co-administered: Flu
2021-10-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-28
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Dyspnoea, Malaise — Feeling: Fair · Site: Pain, Redness · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Felt awful last night - better this morning. Shortness of breath for the last 24 hours

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Dyspnoea — Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still can't take a deep breath. Even after hitting my inhaler.

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Survey response — days 1–6 daily, dose 3
MedDRA: Dyspnoea — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-04
Health check-in — day 7, dose 3
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-11
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-02
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-11
Health check-in — day 42, dose 3
Feeling: Good

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

Adult check-in
2022-04-06
Dose 4 — Moderna
2022-04-14
Health check-in — day 7, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-04-20
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-27
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-04
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-11
Survey response — day 35, dose 4
MedDRA: Chest pain, Dizziness — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Chest pains and lightheaded occasionally

MedDRA releases: 2024-11 · check-in free text available
2022-05-11
Report sent to call center — day 35, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-12
Call 1 — Left Voicemail
2022-05-18
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-06
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-12
Dose 5 — Moderna
2022-09-13
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-14
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-16
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-18
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-09-19
Survey response — day 7, dose 5
MedDRA: Unevaluable event — Feeling: Good · Headache, Fatigue or tiredness

Free text: I think it's just being tired.

MedDRA releases: 2024-11 · check-in free text available
2022-09-26
Survey response — day 14, dose 5
MedDRA: Cough, Headache, Nasal congestion, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Stuffy, runny nose, light cough, headache starting this morning.

MedDRA releases: 2024-11 · check-in free text available
2022-10-03
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-19
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-26
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-12
Survey response — 3 months, dose 5
MedDRA: Anti-thyroid antibody positive, Autoimmune thyroid disorder, Familial risk factor — Feeling: Fair

Free text: I was diagnosed with an autoimmune thyroid disorder where I have thyroid antibodies in my blood. Family history of thyroid issues - and years of symptoms- so not related to Covid vaccine.

MedDRA releases: 2024-11 · check-in free text available
2023-04-24
Dose 6 — Moderna
2023-05-08
Health check-in — day 14, dose 6
Feeling: Good

Adult check-in
2023-05-15
Health check-in — day 21, dose 6
Feeling: Fair

Adult check-in
2023-05-22
Health check-in — day 28, dose 6
Feeling: Good

Adult check-in
2023-05-29
Health check-in — day 35, dose 6
Feeling: Good

Adult check-in
2023-06-07
Health check-in — day 42, dose 6
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Moderna
2	2021-04-29	Moderna
3	2021-10-28	Moderna	Flu
4	2022-04-06	Moderna	No
5	2022-09-12	Moderna	No
6	2023-04-24	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — day 14, dose 1

2021-04-15

Symptoms: The top part of my arm turned red and swelled up for about four days. It was itchy too. It was especially bad around the injection site. Its back to normal now.

Release 8 — days 1–6 daily, dose 2

2021-05-01

Systemic reaction (other): Kidney back pain, double gravity feeling

2021-05-02

Systemic reaction (other): Kidney/back pain

2021-05-03

Systemic reaction (other): Pain in kidney lower back area and under rib cage on left side

2021-05-04

Systemic reaction (other): Left side pain under rib

Release 10 — days 1–6 daily, dose 3

2021-10-30

Systemic reaction (other): Felt awful last night - better this morning. Shortness of breath for the last 24 hours

2021-10-31

Systemic reaction (other): Still can't take a deep breath. Even after hitting my inhaler.

2021-11-01

Systemic reaction (other): Shortness of breath

Release 11 — day 35, dose 4

2022-05-11

Symptoms: Chest pains and lightheaded occasionally

Release 12 — day 7, dose 5

2022-09-19

Systemic reaction (other): I think it's just being tired.

Release 12 — day 14, dose 5

2022-09-26

Symptoms: Stuffy, runny nose, light cough, headache starting this morning.

Release 12 — 3 months, dose 5

2022-12-12

Symptoms: I was diagnosed with an autoimmune thyroid disorder where I have thyroid antibodies in my blood. Family history of thyroid issues - and years of symptoms- so not related to Covid vaccine.

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	Anti-thyroid antibody positive	·	·	✓
SD	Autoimmune thyroid disorder	·	·	✓
SD	Chest pain	·	·	✓
SD	Cough	·	·	✓
SD	Dizziness	·	·	✓
SD	Erythema	✓	✓	✓
SD	Familial risk factor	·	·	✓
SD	Headache	·	·	✓
SD	Injection site pruritus	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Peripheral swelling	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	Dyspnoea	·	·	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Malaise	·	·	✓
SRO	Musculoskeletal chest pain	✓	✓	✓
SRO	Renal pain	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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