336-67805-12255

3 vaccinations 7 coded responses 24 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 453 / OH
Registered: 2021-02-26

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

2021-02-24
Dose 1 — Moderna
2021-02-26
Registered in v-safe
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-03
Survey response — day 7, dose 1
MedDRA: Injection site bruising — Feeling: Good

Free text: My bruising is going away where I got the injection. Is it normal to get a bruise?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-31
Dose 2 — Moderna
2021-03-31
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Diarrhea

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fever · Diarrhea

Adult check-in
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Blood glucose increased — Feeling: Good

Free text: Yes for the past five days my sugars have been about 50 points higher than usual and difficult to control

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good

Free text: How do I get another vaccine card? I lost mine and the pharmacy where I got my shots say they dont have any extra

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — day 7, dose 2
Feeling: Good · None

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

Adult check-in
2021-04-21
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-28
Survey response — day 28, dose 2
MedDRA: Cough, Discharge, Hypersensitivity, Oropharyngeal pain, Pre-existing disease — Feeling: Good

Free text: Allergy symptoms drainage cough sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-30
Survey response — 3 months, dose 2
MedDRA: Dehydration, Sinus disorder, Urinary tract infection — Feeling: Fair

Free text: UTI dehydration, sinus symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-01
Survey response — 6 months, dose 2
MedDRA: Shoulder arthroplasty — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Hospitalization

Free text: Got a Reverse TSR. Not vaccine related

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
2021-10-04
Call 1 — Could Not Reach Participant
2021-10-08
Call 2 — Left Voicemail
2021-10-15
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-11-15
Dose 3 — Moderna
2021-11-17
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea

Adult check-in
2021-11-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fever · Diarrhea

Adult check-in
2021-11-19
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · None

Adult check-in
2021-11-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · None

Adult check-in
2021-12-13
Survey response — day 28, dose 3
MedDRA: Discharge, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair

Free text: Runny nose, sore throat,drainage

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-24	Moderna
2	2021-03-31	Moderna
3	2021-11-15	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — day 7, dose 1

2021-03-03

Systemic reaction (other): My bruising is going away where I got the injection. Is it normal to get a bruise?

Release 6 — days 1–6 daily, dose 2

2021-04-05

Systemic reaction (other): Yes for the past five days my sugars have been about 50 points higher than usual and difficult to control

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): How do I get another vaccine card? I lost mine and the pharmacy where I got my shots say they dont have any extra

Release 8 — day 28, dose 2

2021-04-28

Symptoms: Allergy symptoms drainage cough sore throat

Release 9 — 3 months, dose 2

2021-06-30

Symptoms: UTI dehydration, sinus symptoms

Release 9 — 6 months, dose 2

2021-10-01

Symptoms: Got a Reverse TSR. Not vaccine related

Release 10 — day 28, dose 3

2021-12-13

Symptoms: Runny nose, sore throat,drainage

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	Dehydration	✓	✓	✓
SD	Discharge	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Shoulder arthroplasty	·	·	✓
SD	Sinus disorder	✓	✓	✓
SD	Urinary tract infection	✓	✓	✓
SRO	Blood glucose increased	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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