39S-14305-01969

3 vaccinations 13 coded responses 31 check-ins 13 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 601 / IL
Registered: 2021-03-03

Relationship: Self
Race: Other
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-21
Dose 1 — Moderna
2021-03-03
Registered in v-safe
2021-03-03
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain, Redness, Itching · None · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-03-03
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-07
Survey response — day 14, dose 1
MedDRA: Injection site rash, Rash erythematous — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Red angry rash at injection site stated eight days after injection lasted 6 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-14
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-21
Dose 2 — Moderna
2021-03-21
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Medical counselling, Taste disorder — 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, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Struggling to drink liquids because everything tastes bad · Healthcare visit (other): Talked to the nurse at my doctors office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Cold sweat — Feeling: Fair · Site: Pain, Swelling · Fever · Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: I felt very Clammy this morning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Vaginal discharge — Feeling: Good · Site: Pain · Headache

Free text: Im assuming this is unrelated but I had a clear slimy vaginal discharge today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-11
Survey response — day 21, dose 2
MedDRA: Nasopharyngitis, Throat irritation — Feeling: Fair

Free text: Cold like symptoms, scratchy throat,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-25
Survey response — day 35, dose 2
MedDRA: Pain in extremity — Feeling: Good

Free text: Pain in left calve

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

Adult check-in
2021-06-21
Survey response — 3 months, dose 2
MedDRA: Cough, Discharge, Nasopharyngitis, Respiratory tract congestion, Secretion discharge — Feeling: Good

Free text: Cold like symptoms, chest congestion, cough, Lots of drainage. Mostly white but a small amount of thick light green mucus one day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-04
Call 1 — Left Voicemail
2021-12-11
Dose 3 — Moderna
2021-12-12
Survey response — days 1–6 daily, dose 3
MedDRA: Erythema, Pruritus — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Yesterday both forearms were red and itchy Not sure if it was from the booster or from decorating an artificial Christmas tree

MedDRA releases: 2024-11 · check-in free text available
2021-12-13
Survey response — days 1–6 daily, dose 3
MedDRA: Feeling hot — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Feeling like I'm overheated

MedDRA releases: 2024-11 · check-in free text available
2021-12-14
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia — Feeling: Fair · Site: Pain · Joint pains · Be unable to do your normal daily activities

Free text: Severe left hip pain

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

Adult check-in
2021-12-18
Health check-in — day 7, dose 3
Feeling: Good · None

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

Adult check-in
2022-01-01
Survey response — day 21, dose 3
MedDRA: Nasal congestion, Rhinorrhoea — Feeling: Good

Free text: Stuffy nose and nasal drainage

MedDRA releases: 2024-11 · check-in free text available
2022-01-09
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-15
Survey response — day 35, dose 3
MedDRA: Headache — Feeling: Good

Free text: Headaches

MedDRA releases: 2024-11 · check-in free text available
2022-01-24
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-12
Survey response — 3 months, dose 3
MedDRA: Nasopharyngitis, Oropharyngeal pain — Feeling: Good

Free text: Cold like symptoms, sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-06-13
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-21	Moderna
2	2021-03-21	Moderna
3	2021-12-11	Moderna	No

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — day 14, dose 1

2021-03-07

Symptoms: Red angry rash at injection site stated eight days after injection lasted 6 days

Release 6 — days 1–6 daily, dose 2

2021-03-22

Systemic reaction (other): Struggling to drink liquids because everything tastes bad

Healthcare visit (other): Talked to the nurse at my doctors office

2021-03-23

Systemic reaction (other): I felt very Clammy this morning

2021-03-24

Systemic reaction (other): Im assuming this is unrelated but I had a clear slimy vaginal discharge today

Release 7 — day 21, dose 2

2021-04-11

Symptoms: Cold like symptoms, scratchy throat,

Release 7 — day 35, dose 2

2021-04-25

Symptoms: Pain in left calve

Release 9 — 3 months, dose 2

2021-06-21

Symptoms: Cold like symptoms, chest congestion, cough, Lots of drainage. Mostly white but a small amount of thick light green mucus one day

Release 10 — days 1–6 daily, dose 3

2021-12-12

Systemic reaction (other): Yesterday both forearms were red and itchy Not sure if it was from the booster or from decorating an artificial Christmas tree

2021-12-13

Systemic reaction (other): Feeling like I'm overheated

2021-12-14

Systemic reaction (other): Severe left hip pain

Release 10 — day 21, dose 3

2022-01-01

Symptoms: Stuffy nose and nasal drainage

Release 10 — day 35, dose 3

2022-01-15

Symptoms: Headaches

Release 11 — 3 months, dose 3

2022-03-12

Symptoms: Cold like symptoms, sore throat

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	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Discharge	✓	✓	✓
SD	Headache	·	·	✓
SD	Injection site rash	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Rash erythematous	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Secretion discharge	✓	✓	✓
SD	Throat irritation	✓	✓	✓
SRO	Arthralgia	·	·	✓
SRO	Cold sweat	✓	✓	✓
SRO	Erythema	·	·	✓
SRO	Feeling hot	·	·	✓
SRO	Pruritus	·	·	✓
SRO	Taste disorder	✓	✓	✓
SRO	Vaginal discharge	✓	✓	✓

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