2QT-15270-66472

4 vaccinations 7 coded responses 38 check-ins 7 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 626 / IL
Registered: 2021-02-05

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

2021-02-05
Registered in v-safe
2021-02-05
Dose 1 — Moderna
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-19
Survey response — day 14, dose 1
MedDRA: Fatigue, Office visit, Sinusitis — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional

Free text: Symptoms: Sinusitis and tiredness. Had to be in quarantine for 2 days awaiting COVID results. This may be unrelated to my vaccine. · Healthcare visit (other): Saw my doctor in the office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Report sent to call center — day 14, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-28
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-05
Dose 2 — Moderna
2021-03-05
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Peripheral coldness — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My feet were so cold it woke me up--3 pairs of socks didn't work, Had to turn up the heat!to

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Immunisation reaction, Medical counselling, Unevaluable event — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): COVID arm · Healthcare visit (other): School nurse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-09
Survey response — days 1–6 daily, dose 2
MedDRA: Immunisation reaction — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Free text: Covid Arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness

Free text: COVID Arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-03-14
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-19
Survey response — day 14, dose 2
MedDRA: Acne, Erythema, Fatigue, Feeling hot, Lymphadenopathy, Nasal oedema, Pain, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: 2 red & very swollen glands in right armpit clearly visible. My nose was also dark red and swollen, not like acne it pimple. It was very sore and felt hot to touch Very tired. · Healthcare visit (other): Appt on Monday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-26
Survey response — day 21, dose 2
MedDRA: Dermatitis infected, Localised infection, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I have 2 infected spots under my non-injection arm. One is healing. One is much worse. Tied to the vaccine? Dr doesn't think so. · Healthcare visit (other): Office appt

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-04
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-10
Call 1 — Left Voicemail
2021-09-03
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-11
Dose 3 — Moderna
2022-08-07
Dose 4 — Moderna
2022-08-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-08-09
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2022-08-10
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-08-11
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-08-12
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Diarrhea

Adult check-in
2022-08-13
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-08-14
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-08-21
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-08-28
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-09-04
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-09-11
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-09-18
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-11-08
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-02-05
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-05	Moderna
2	2021-03-05	Moderna
3	2021-11-11	Moderna	No
4	2022-08-07	Moderna	No

Call center

4 call center cases

4 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 14, dose 1

2021-02-19

Symptoms: Sinusitis and tiredness. Had to be in quarantine for 2 days awaiting COVID results. This may be unrelated to my vaccine.

Healthcare visit (other): Saw my doctor in the office

Release 5 — days 1–6 daily, dose 2

2021-03-06

Systemic reaction (other): My feet were so cold it woke me up--3 pairs of socks didn't work, Had to turn up the heat!to

2021-03-08

Systemic reaction (other): COVID arm

Healthcare visit (other): School nurse

2021-03-09

Systemic reaction (other): Covid Arm

2021-03-10

Systemic reaction (other): COVID Arm

Release 5 — day 14, dose 2

2021-03-19

Symptoms: 2 red & very swollen glands in right armpit clearly visible. My nose was also dark red and swollen, not like acne it pimple. It was very sore and felt hot to touch Very tired.

Healthcare visit (other): Appt on Monday

Release 6 — day 21, dose 2

2021-03-26

Symptoms: I have 2 infected spots under my non-injection arm. One is healing. One is much worse. Tied to the vaccine? Dr doesn't think so.

Healthcare visit (other): Office appt

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	Medical counselling	✓	·	✓
HCVO	Office visit	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Acne	✓	✓	✓
SD	Dermatitis infected	○	✓	○
SD	Erythema	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling hot	✓	✓	✓
SD	Localised infection	✓	·	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Nasal oedema	✓	✓	✓
SD	Office visit	✓	·	✓
SD	Pain	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SRO	Adverse reaction	○	·	○
SRO	Immunisation reaction	✓	✓	✓
SRO	Peripheral coldness	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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