2XJ-45763-65245

3 vaccinations 9 coded responses 36 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 329 / FL
Registered: 2021-03-17

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

2021-03-17
Registered in v-safe
2021-03-17
Dose 1 — Moderna
2021-03-17
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-03-24
Survey response — day 7, dose 1
MedDRA: Ear pain — Feeling: Good

Free text: Earache. Probably not related

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — day 14, dose 1
MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activities

Free text: Headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-14
Dose 2 — Moderna
2021-04-14
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Nausea

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-21
Health check-in — day 7, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-28
Health check-in — day 14, dose 2
Feeling: Good

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

Adult check-in
2021-05-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-13
Survey response — 6 months, dose 2
MedDRA: Cough, Pain, Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: Good · Be unable to work or attend school

Free text: Cough, runny nose, stuffy, achy, sneezy

MedDRA releases: 2024-11 · check-in free text available
2021-12-12
Dose 3 — Moderna
2021-12-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-12-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-26
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-02
Survey response — day 21, dose 3
MedDRA: Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-01-09
Survey response — day 28, dose 3
MedDRA: COVID-19, Headache, Lip swelling, Oropharyngeal pain, Urticaria — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Covid positive. Headache, sore throat, hives, swollen lip

MedDRA releases: 2024-11 · check-in free text available
2022-01-16
Survey response — day 35, dose 3
MedDRA: COVID-19, Urticaria — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Covid hives

MedDRA releases: 2024-11 · check-in free text available
2022-01-23
Survey response — day 42, dose 3
MedDRA: Lip swelling, Urticaria — Feeling: Fair

Free text: Hives and swollen lip.

MedDRA releases: 2024-11 · check-in free text available
2022-03-13
Survey response — 3 months, dose 3
MedDRA: COVID-19, Lip swelling, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I have hives and swollen lips since contracting covid after my booster shot. I'm on my 3rd round of steroids - not working.

MedDRA releases: 2024-11 · check-in free text available
2022-03-13
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-16
Call 1 — Left Voicemail
2022-06-12
Survey response — 6 months, dose 3
MedDRA: COVID-19, Urticaria — 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: HIVES!!!!! I can't get rid of the hives!!!! I've been on steroids off and on since February after I had covid in January. It's terrible.

MedDRA releases: 2024-11 · check-in free text available
2022-06-12
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)
2022-06-13
Call 2 — Left Voicemail
2022-06-13
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Moderna
2	2021-04-14	Moderna
3	2021-12-12	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 6 — day 7, dose 1

2021-03-24

Systemic reaction (other): Earache. Probably not related

Release 6 — day 14, dose 1

2021-03-31

Symptoms: Headaches

Release 10 — 6 months, dose 2

2021-10-13

Symptoms: Cough, runny nose, stuffy, achy, sneezy

Release 10 — day 21, dose 3

2022-01-02

Symptoms: Sore throat

Release 10 — day 28, dose 3

2022-01-09

Symptoms: Covid positive. Headache, sore throat, hives, swollen lip

Release 10 — day 35, dose 3

2022-01-16

Symptoms: Covid hives

Release 11 — day 42, dose 3

2022-01-23

Symptoms: Hives and swollen lip.

Release 11 — 3 months, dose 3

2022-03-13

Symptoms: I have hives and swollen lips since contracting covid after my booster shot. I'm on my 3rd round of steroids - not working.

Release 12 — 6 months, dose 3

2022-06-12

Symptoms: HIVES!!!!! I can't get rid of the hives!!!! I've been on steroids off and on since February after I had covid in January. It's terrible.

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	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Headache	✓	✓	✓
SD	Lip swelling	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sneezing	·	·	✓
SD	Urticaria	·	·	✓
SRO	Ear pain	✓	✓	✓

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