2PW-20062-79459

3 vaccinations 10 coded responses 30 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 370 / TN
Registered: 2021-03-23

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-09
Dose 1 — Moderna
2021-03-23
Registered in v-safe
2021-03-23
Survey response — day 14, dose 1
MedDRA: Fatigue, Headache, Injection site erythema, Injection site pruritus, Injection site swelling, Vomiting — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: March 20 I noticed bump forming on my injection site. I was tired,but not sick the next day, injection site, redder and more itchy. Injection site worst the next day, tired, but not sick, so I went to work. Went home, massive headache, throw up, lbm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-06
Dose 2 — Moderna
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling hot, Pyrexia — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Feel like I'm going to have a fever, but no fever temperature. Ice pack helps the hot face feeling.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Pollakiuria — Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tiredness

Free text: I've been peeing a lot since yesterday. Maybe it's just because I've been hydrating myself.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Good · Site: Redness, Swelling, Itching

Free text: I'm not sure if the the injection spot feels hot or it's just itchy, but it's noticeable feeling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-20
Survey response — day 14, dose 2
MedDRA: Fatigue, Headache, Impaired work ability, Pain, Self-medication — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Splitting headache. Started Sunday evening and I came home from work so tired when it was only my 1st day. I had to go home from work Monday because I took Tylenol and it wasn't helping the pain. Just waiting it out today, but I think I will be ok.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — day 21, dose 2
Feeling: Good

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

Adult check-in
2021-05-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-18
Survey response — day 42, dose 2
MedDRA: Blepharospasm — Feeling: Fair

Free text: It not so bad, but I've been getting constant left eye twitch for a week now and it's bothersome. Except that, I'm really feeling ok.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-08
Survey response — 3 months, dose 2
MedDRA: Breast mass — Feeling: Good

Free text: Mass on my breast

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-07
Survey response — 6 months, dose 2
MedDRA: Benign breast neoplasm — Feeling: Good

Free text: I had a breast cancer scare, but it's benign.

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Dose 3 — Moderna
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I felt this yesterday. I got my booster Thursday. I'm feeling somewhat ok now, except for the sore arm.

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-04
Health check-in — day 7, dose 3
Feeling: Fair · Fever · 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
2021-12-03
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
2022-04-28
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-28
Survey response — 12 months, dose 3
MedDRA: Benign breast neoplasm — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: benign breast tumor

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-31
Call 1 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Moderna
2	2021-04-06	Moderna
3	2021-10-28	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — day 14, dose 1

2021-03-23

Symptoms: March 20 I noticed bump forming on my injection site. I was tired,but not sick the next day, injection site, redder and more itchy. Injection site worst the next day, tired, but not sick, so I went to work. Went home, massive headache, throw up, lbm cut off by CDC

Release 7 — days 1–6 daily, dose 2

2021-04-07

Systemic reaction (other): Feel like I'm going to have a fever, but no fever temperature. Ice pack helps the hot face feeling.

2021-04-08

Systemic reaction (other): I've been peeing a lot since yesterday. Maybe it's just because I've been hydrating myself.

2021-04-09

Systemic reaction (other): I'm not sure if the the injection spot feels hot or it's just itchy, but it's noticeable feeling

Release 7 — day 14, dose 2

2021-04-20

Symptoms: Splitting headache. Started Sunday evening and I came home from work so tired when it was only my 1st day. I had to go home from work Monday because I took Tylenol and it wasn't helping the pain. Just waiting it out today, but I think I will be ok. cut off by CDC

Release 8 — day 42, dose 2

2021-05-18

Symptoms: It not so bad, but I've been getting constant left eye twitch for a week now and it's bothersome. Except that, I'm really feeling ok.

Release 9 — 3 months, dose 2

2021-07-08

Symptoms: Mass on my breast

Release 10 — 6 months, dose 2

2021-10-07

Symptoms: I had a breast cancer scare, but it's benign.

Release 10 — days 1–6 daily, dose 3

2021-10-30

Systemic reaction (other): I felt this yesterday. I got my booster Thursday. I'm feeling somewhat ok now, except for the sore arm.

Release 12 — 12 months, dose 3

2022-10-28

Symptoms: benign breast tumor

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	Benign breast neoplasm	·	·	✓
SD	Blepharospasm	✓	✓	✓
SD	Breast mass	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Impaired work ability	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Pain in extremity	·	·	✓
SRO	Pollakiuria	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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