34U-20989-12750

3 vaccinations 9 coded responses 26 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 617 / IL
Registered: 2021-03-10

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

2021-03-10
Registered in v-safe
2021-03-10
Dose 1 — Moderna
2021-03-10
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Mouth ulceration — Feeling: Good

Free text: Mouth ulcers

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Survey response — day 7, dose 1
MedDRA: Eye ulcer, Skin ulcer — Feeling: Good

Free text: Some weird kind of ulcery skin condition on one of my eyelids. Its kind of like a mouth canker but on my eyelid instead.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-10
Dose 2 — Moderna
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Chills, Fatigue, Pyrexia — Feeling: Good · Site: Swelling · Be unable to do your normal daily activities

Free text: Severe fatigue the day and day after I got the shot: I couldnt stay awake. Also chills, joint pain and a small fever.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-17
Health check-in — day 7, dose 2
Feeling: Fair · Fever · Rash, not including the immediate area around the injection site

Adult check-in
2021-04-24
Survey response — day 14, dose 2
MedDRA: Eyelid rash, Heavy menstrual bleeding, Menstruation irregular — Feeling: Fair

Free text: Extremely heavy menstrual flow during my period. Eyelid rash has come back on eyelids.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — day 21, dose 2
MedDRA: Skin discolouration — Feeling: Good

Free text: One toe on each foot is purple on the ends

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-12
Survey response — 3 months, dose 2
MedDRA: Nodule, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: A lump in my shoulder and one on my leg · Healthcare visit (other): Family doc visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-12
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-21
Call 1 — Left Voicemail
2021-09-16
Dose 3 — Moderna
2021-10-09
Survey response — 6 months, dose 2
MedDRA: Cholelithiasis, Gallbladder enlargement, Office visit — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Gallbladder wall thickness increase · Healthcare visit (other): Regular doctors visit for routine ultrasound assessment for my gallstones

MedDRA releases: 2024-11 · check-in free text available
2021-10-09
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-10-12
Call 1 — Left Voicemail
2021-10-29
Survey response — day 42, dose 3
MedDRA: Cholelithiasis, Gallbladder enlargement — Feeling: Good

Free text: Gallbladder wall thickening (likely linked to gallstones).

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Survey response — 3 months, dose 3
MedDRA: Peripheral swelling, Skin discolouration — Feeling: Good

Free text: A weird purple swelling on one of my toes

MedDRA releases: 2024-11 · check-in free text available
2022-03-18
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-18
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Moderna
2	2021-04-10	Moderna
3	2021-09-16	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-12

Systemic reaction (other): Mouth ulcers

Release 5 — day 7, dose 1

2021-03-17

Systemic reaction (other): Some weird kind of ulcery skin condition on one of my eyelids. Its kind of like a mouth canker but on my eyelid instead.

Release 7 — days 1–6 daily, dose 2

2021-04-14

Systemic reaction (other): Severe fatigue the day and day after I got the shot: I couldnt stay awake. Also chills, joint pain and a small fever.

Release 7 — day 14, dose 2

2021-04-24

Symptoms: Extremely heavy menstrual flow during my period. Eyelid rash has come back on eyelids.

Release 8 — day 21, dose 2

2021-05-01

Symptoms: One toe on each foot is purple on the ends

Release 9 — 3 months, dose 2

2021-07-12

Symptoms: A lump in my shoulder and one on my leg

Healthcare visit (other): Family doc visit

Release 10 — 6 months, dose 2

2021-10-09

Symptoms: Gallbladder wall thickness increase

Healthcare visit (other): Regular doctors visit for routine ultrasound assessment for my gallstones

Release 10 — day 42, dose 3

2021-10-29

Symptoms: Gallbladder wall thickening (likely linked to gallstones).

Release 10 — 3 months, dose 3

2021-12-17

Symptoms: A weird purple swelling on one of my toes

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	Cholelithiasis	·	·	✓
HCVO	Office visit	✓	✓	✓
SD	Cholelithiasis	·	·	✓
SD	Eyelid rash	✓	✓	✓
SD	Gallbladder enlargement	·	·	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Menstruation irregular	·	·	✓
SD	Nodule	✓	✓	✓
SD	Peripheral swelling	·	·	✓
SD	Skin discolouration	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Eye ulcer	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Mouth ulceration	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Skin ulcer	✓	✓	✓

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