39T-13817-35412

4 vaccinations 4 coded responses 33 check-ins 4 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 982 / WA
Registered: 2021-02-12

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

2021-01-14
Dose 1 — Moderna
2021-02-11
Dose 2 — Moderna
2021-02-12
Registered in v-safe
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · 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
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-04
Survey response — day 21, dose 2
MedDRA: Anal inflammation, Fungal infection, Genital herpes, Genital tract inflammation, Inflammation, Medical counselling — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: I had a fairly severe case of genital herpes erupt on February 25th. And subsequent to that seem to have a fungal infection or other inflammatory response also in genital/anal/buttocks area · Healthcare visit (other): went to private pay ARNP

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-14
Call 2 — Left Voicemail
2021-11-06
Dose 3 — Moderna
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-11-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Diarrhea, Abdominal pain

Adult check-in
2021-11-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-11-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-13
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-20
Survey response — day 14, dose 3
MedDRA: Genital tract inflammation, Pruritus genital — Feeling: Good

Free text: Experiencing genital itching and inflammation. Not sure it is a symptom at this Point or that it is vaccine connected but something similar happened after my second moderna vaccine.

MedDRA releases: 2024-11 · check-in free text available
2021-11-27
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-04
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-18
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-06
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-06
Dose 4 — Moderna
2022-05-07
Survey response — 6 months, dose 3
MedDRA: Chills, Headache, Nausea, Pain, Pain in extremity, Pyrexia, Self-medication — Feeling: Fair · Be unable to do your normal daily activities

Free text: i'm not sure if this is about only the covid shots or not but will stick to those. I had a second booster yesterday. Very sore arm when tried to lift it up or move it. Then fever, headache, chills, body aches, nausea. Took pain relievers. feel better

MedDRA releases: 2024-11 · check-in free text available
2022-05-15
Health check-in — day 7, dose 4
Feeling: Fair · Abdominal pain

Adult check-in
2022-05-22
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-27
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-03
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-10
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-17
Survey response — day 42, dose 4
MedDRA: Chest discomfort, Cough, Formication, Headache, Oropharyngeal pain, Rhinorrhoea, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Cough sore throat runny nose headache crawly skin tight chesr · Healthcare visit (other): I'm about to see our local Arnp

MedDRA releases: 2024-11 · check-in free text available
2022-06-17
Report sent to call center — day 42, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-06-21
Call 1 — Left Voicemail
2022-06-21
Call 1 — Left Voicemail
2022-08-05
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-04
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-11	Moderna
3	2021-11-06	Moderna	No
4	2022-05-06	Moderna	No

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — day 21, dose 2

2021-03-04

Symptoms: I had a fairly severe case of genital herpes erupt on February 25th. And subsequent to that seem to have a fungal infection or other inflammatory response also in genital/anal/buttocks area

Healthcare visit (other): went to private pay ARNP

Release 10 — day 14, dose 3

2021-11-20

Symptoms: Experiencing genital itching and inflammation. Not sure it is a symptom at this Point or that it is vaccine connected but something similar happened after my second moderna vaccine.

Release 11 — 6 months, dose 3

2022-05-07

Symptoms: i'm not sure if this is about only the covid shots or not but will stick to those. I had a second booster yesterday. Very sore arm when tried to lift it up or move it. Then fever, headache, chills, body aches, nausea. Took pain relievers. feel better cut off by CDC

Release 12 — day 42, dose 4

2022-06-17

Symptoms: Cough sore throat runny nose headache crawly skin tight chesr

Healthcare visit (other): I'm about to see our local Arnp

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	✓	✓	✓
HCVO	Unevaluable event	·	·	✓
SD	Anal inflammation	✓	✓	✓
SD	Chest discomfort	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Formication	·	·	✓
SD	Fungal infection	✓	✓	✓
SD	Genital herpes	✓	✓	✓
SD	Genital tract inflammation	✓	✓	✓
SD	Headache	·	·	✓
SD	Inflammation	✓	✓	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Pruritus genital	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Self-medication	·	·	✓

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