2YR-70485-39393

5 vaccinations 19 coded responses 39 check-ins 17 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 320 / FL
Registered: 2021-03-05

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

2021-03-05
Registered in v-safe
2021-03-05
Dose 1 — Moderna
2021-03-05
Survey response — day 0, dose 1
MedDRA: No adverse event — Feeling: Good · Site: Pain

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite — 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

Free text: Loss of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling, Itching · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Swollen painful lymph nodes at collarbone, neck, under arm

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 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Itching

Free text: Painful swollen lymph nodes in collarbonearea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain

Free text: Swollen lymph node

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — day 7, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-01
Dose 2 — Moderna
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: No

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

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

Adult check-in
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Survey response — day 14, dose 2
MedDRA: Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-06
Survey response — day 35, dose 2
MedDRA: Dyspepsia, Nausea — Feeling: Good

Free text: Heart burn and mild nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-22
Dose 3 — Moderna
2021-10-29
Survey response — day 7, dose 3
MedDRA: Arthralgia, Fatigue, Headache, Myalgia — Feeling: Good · Be unable to do your normal daily activities

Free text: The day after the shot I experienced headache, joint pain, muscle aches, fatigue. This lasted for 36 hours.

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-12
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-14
Call successful
Not applicable - Accidental Reporting
2021-11-19
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-26
Survey response — day 35, dose 3
MedDRA: Arthralgia — Feeling: Good

Free text: Joint pain in hands, fingers, elbows, ankles, feet.

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-21
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-22
Survey response — 6 months, dose 3
MedDRA: Blue toe syndrome, Erythema, Peripheral swelling, Pruritus — Feeling: Good · Be unable to do your normal daily activities

Free text: Swollen, itchy, purple/red toes.

MedDRA releases: 2024-11 · check-in free text available
2022-04-25
Dose 4 — Moderna
2022-05-18
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-23
Survey response — day 28, dose 4
MedDRA: Cough, Lethargy, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activities

Free text: Sore throat, congestion, cough, lethargy

MedDRA releases: 2024-11 · check-in free text available
2022-05-30
Survey response — day 35, dose 4
MedDRA: Mouth ulceration — Feeling: Fair

Free text: Mouth ulcers

MedDRA releases: 2024-11 · check-in free text available
2022-06-06
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-25
Survey response — 3 months, dose 4
MedDRA: Colitis, Office visit, Renal mass — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Colitis and just found a mass in kidney · Healthcare visit (other): Doctor visit, colonoscopy and abdominal CT

MedDRA releases: 2024-11 · check-in free text available
2022-07-25
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-07-26
Call 1 — Left Voicemail
2022-07-26
Call 1 — Left Voicemail
2022-10-24
Survey response — 6 months, dose 4
MedDRA: Renal cancer — Feeling: Good · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Kidney cancer

MedDRA releases: 2024-11 · check-in free text available
2022-10-24
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

Hospitalization · 1 call case(s)
2022-10-25
Call 2 — Could Not Reach Participant
2022-10-25
Call 1 — Could Not Reach Participant
2022-10-28
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-28
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-23
Dose 5 — Moderna
2023-04-25
Survey response — 12 months, dose 4
MedDRA: Asthma, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-04-25
Report sent to call center — 12 months, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-04-26
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-05-08
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-06-22
Survey response — 3 months, dose 5
MedDRA: Bronchitis, Oropharyngeal pain, Pyrexia, Sinusitis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Moderna
2	2021-04-01	Moderna
3	2021-10-22	Moderna	No
4	2022-04-25	Moderna	No
5	2023-03-23	Moderna	No

Call center

4 call center cases

4 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-05

Systemic reaction (other): None

Release 5 — days 1–6 daily, dose 1

2021-03-07

Systemic reaction (other): Loss of appetite

2021-03-08

Systemic reaction (other): Swollen painful lymph nodes at collarbone, neck, under arm

2021-03-09

Systemic reaction (other): Painful swollen lymph nodes in collarbonearea

2021-03-10

Systemic reaction (other): Swollen lymph node

Release 5 — day 7, dose 1

2021-03-12

Systemic reaction (other): None

Release 6 — days 1–6 daily, dose 2

2021-04-02

Systemic reaction (other): No

2021-04-05

Systemic reaction (other): None

Release 7 — day 14, dose 2

2021-04-15

Symptoms: Nausea

Release 8 — day 35, dose 2

2021-05-06

Symptoms: Heart burn and mild nausea

Release 10 — day 7, dose 3

2021-10-29

Systemic reaction (other): The day after the shot I experienced headache, joint pain, muscle aches, fatigue. This lasted for 36 hours.

Release 10 — day 35, dose 3

2021-11-26

Symptoms: Joint pain in hands, fingers, elbows, ankles, feet.

Release 11 — 6 months, dose 3

2022-04-22

Symptoms: Swollen, itchy, purple/red toes.

Release 11 — day 28, dose 4

2022-05-23

Symptoms: Sore throat, congestion, cough, lethargy

Release 11 — day 35, dose 4

2022-05-30

Symptoms: Mouth ulcers

Release 12 — 3 months, dose 4

2022-07-25

Symptoms: Colitis and just found a mass in kidney

Healthcare visit (other): Doctor visit, colonoscopy and abdominal CT

Release 12 — 6 months, dose 4

2022-10-24

Symptoms: Kidney cancer

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	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Arthralgia	·	·	✓
SD	Asthma	·	·	✓
SD	Blue toe syndrome	·	·	✓
SD	Bronchitis	·	·	✓
SD	Colitis	·	·	✓
SD	Cough	·	·	✓
SD	Dyspepsia	✓	✓	✓
SD	Erythema	·	·	✓
SD	Lethargy	·	·	✓
SD	Mouth ulceration	·	·	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Peripheral swelling	·	·	✓
SD	Pruritus	·	·	✓
SD	Pyrexia	·	·	✓
SD	Renal cancer	·	·	✓
SD	Renal mass	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sinusitis	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Fatigue	·	·	✓
SRO	Headache	·	·	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Myalgia	·	·	✓
SRO	No adverse event	✓	✓	✓

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