2QQ-31269-29388

3 vaccinations 12 coded responses 35 check-ins 12 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 780 / TX
Registered: 2021-01-07

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Registered dependents

DD2-11372-79441 Child or adolescent in my care · Male · 2021-08-17

Timeline

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

2021-01-07
Registered in v-safe
2021-01-07
Dose 1 — Moderna
2021-01-07
Survey response — day 0, dose 1
MedDRA: Hot flush — Feeling: Good

Free text: Hot flashes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None · Be unable to do your normal daily activities

Adult check-in
2021-01-08
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-12
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Muscle spasms — Feeling: Good

Free text: Cramping/sharp on/off pain left side chest and breast bone area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-21
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-01-28
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-04
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-08
Dose 2 — Moderna
2021-02-08
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-10
Survey response — 3 months, dose 2
MedDRA: Abdominal pain upper, Diarrhoea, Nausea, Office visit, Vomiting — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Stomach pain, nausea, vomiting and diarrhea · Healthcare visit (other): Office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Report sent to call center — 3 months, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-28
Call 1 — Left Voicemail
2021-12-11
Call successful
Not applicable - Accidental Reporting
2022-01-24
Dose 3 — Moderna
2022-01-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-01-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2022-01-27
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Breast mass, Pruritus, Tenderness — Feeling: Good

Free text: Soreness under arm, arm pit and lump next to breast. Area feels tender and itchy inside across the entire area

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
Survey response — days 1–6 daily, dose 3
MedDRA: Oedema peripheral, Pain, Pruritus, Swelling — Feeling: Good

Free text: Swelling under arm, armpit, neck and pectoral area with soreness feeling and itching in area

MedDRA releases: 2024-11 · check-in free text available
2022-01-29
Survey response — days 1–6 daily, dose 3
MedDRA: Breast swelling, Oedema peripheral — Feeling: Good

Free text: Swelling on left side of breast and upper underarm

MedDRA releases: 2024-11 · check-in free text available
2022-01-30
Survey response — days 1–6 daily, dose 3
MedDRA: Breast swelling, Pruritus — Feeling: Good

Free text: Swelling in between breast area with itchiness inside

MedDRA releases: 2024-11 · check-in free text available
2022-01-31
Survey response — day 7, dose 3
MedDRA: Oedema peripheral — Feeling: Good

Free text: Puffiness close to armpit is still present

MedDRA releases: 2024-11 · check-in free text available
2022-02-07
Survey response — day 14, dose 3
MedDRA: Muscular weakness, Pain in extremity — Feeling: Good

Free text: Weakness to inner biceps/inner elbow area with some moderate pain that comes and goes

MedDRA releases: 2024-11 · check-in free text available
2022-02-15
Survey response — day 21, dose 3
MedDRA: Breast pain, Muscle swelling, Myalgia, Neck pain, Swelling — Feeling: Good

Free text: Swelling is still present around pectoral area and left side of neck with soreness. Sharp but faint pains to area and under breast

MedDRA releases: 2024-11 · check-in free text available
2022-02-21
Survey response — day 28, dose 3
MedDRA: Breast discomfort, Myalgia — Feeling: Good

Free text: Discomfort to left side of breast when Lyon on left side and soreness to pec area

MedDRA releases: 2024-11 · check-in free text available
2022-03-01
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-04-25
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-07-27
Survey response — 6 months, dose 3
MedDRA: Diarrhoea, Motion sickness, Urinary tract infection, Vomiting — Feeling: Fair · 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: Diarrhea Vomiting from motion sickness UTI

MedDRA releases: 2024-11 · check-in free text available
2022-07-27
Report sent to call center — 6 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)
2022-07-28
Call successful
Not applicable - Accidental Reporting

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Moderna
2	2021-02-08	Moderna
3	2022-01-24	Moderna	No

Call center

3 call center cases

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

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-07

Systemic reaction (other): Hot flashes

Release 1 — days 1–6 daily, dose 1

2021-01-12

Systemic reaction (other): Cramping/sharp on/off pain left side chest and breast bone area

Release 8 — 3 months, dose 2

2021-05-10

Symptoms: Stomach pain, nausea, vomiting and diarrhea

Healthcare visit (other): Office visit

Release 11 — days 1–6 daily, dose 3

2022-01-27

Systemic reaction (other): Soreness under arm, arm pit and lump next to breast. Area feels tender and itchy inside across the entire area

2022-01-28

Systemic reaction (other): Swelling under arm, armpit, neck and pectoral area with soreness feeling and itching in area

2022-01-29

Systemic reaction (other): Swelling on left side of breast and upper underarm

2022-01-30

Systemic reaction (other): Swelling in between breast area with itchiness inside

Release 11 — day 7, dose 3

2022-01-31

Systemic reaction (other): Puffiness close to armpit is still present

Release 11 — day 14, dose 3

2022-02-07

Symptoms: Weakness to inner biceps/inner elbow area with some moderate pain that comes and goes

Release 11 — day 21, dose 3

2022-02-15

Symptoms: Swelling is still present around pectoral area and left side of neck with soreness. Sharp but faint pains to area and under breast

Release 11 — day 28, dose 3

2022-02-21

Symptoms: Discomfort to left side of breast when Lyon on left side and soreness to pec area

Release 12 — 6 months, dose 3

2022-07-27

Symptoms: Diarrhea Vomiting from motion sickness UTI

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
HCVO	Office visit	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Breast discomfort	·	·	✓
SD	Breast pain	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Motion sickness	·	·	✓
SD	Muscle swelling	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Myalgia	·	·	✓
SD	Nausea	✓	✓	✓
SD	Neck pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Swelling	·	·	✓
SD	Urinary tract infection	·	·	✓
SD	Vomiting	✓	✓	✓
SRO	Axillary pain	·	·	✓
SRO	Breast mass	·	·	✓
SRO	Breast swelling	·	·	✓
SRO	Chest pain	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Oedema peripheral	·	·	✓
SRO	Pain	·	·	✓
SRO	Pruritus	·	·	✓
SRO	Swelling	·	·	✓
SRO	Tenderness	·	·	✓

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