3BU-25730-97221

4 vaccinations 9 coded responses 32 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 974 / OR
Registered: 2021-01-14

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
Registered in v-safe
2021-01-14
Dose 1 — Moderna
2021-01-14
Survey response — day 0, dose 1
MedDRA: Dysphagia — Feeling: Good

Free text: It was hard to swallow for a few minutes. But I had a drink. Told myself I was fine practiced swallowing a few times. And it improved soon. I didnt feel anxious sdyer the shot. I was happy. So that swallowing difficulty was weird but brief.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-21
Survey response — day 7, dose 1
MedDRA: Chills, Feeling cold, Nasopharyngitis — Feeling: Good · Chills

Free text: I dont know if it was chills or if I was just cold and cant get warm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — day 14, dose 1
MedDRA: Cellulitis — 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

Free text: Cellulitis of my feet probably not related to the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-04
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-11
Dose 2 — Moderna
2021-02-11
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Pain

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

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

Adult check-in
2021-02-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-15
Survey response — day 28, dose 2
MedDRA: Cellulitis — Feeling: Good

Free text: Cellulitis has persisted and eorsened

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-09
Call 1 — Could Not Reach Participant
2021-06-15
Call 2 — Could Not Reach Participant
2021-08-12
Survey response — 6 months, dose 2
MedDRA: Decreased appetite, Fatigue, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I had the second Shingrix vaccination so had symptoms as a result of that with fever, fatigue, low appetite for about two days.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-04
Dose 3 — Moderna
2022-02-11
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-26
Dose 4 — Moderna
2022-05-27
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-05-31
Survey response — days 1–6 daily, dose 4
MedDRA: Adverse reaction, Concussion — Feeling: Fair · Headache, Nausea

Free text: I had a concussion so I think these symptoms are from the concussion and not from the vaccination.

MedDRA releases: 2024-11 · check-in free text available
2022-06-01
Survey response — days 1–6 daily, dose 4
MedDRA: Adverse reaction, Post concussion syndrome — Feeling: Fair · Headache, Nausea

Free text: Post concussion syndrome is the likely cause of these symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-06-13
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-16
Health check-in — day 21, dose 4
Feeling: Good

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

Adult check-in
2022-06-30
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-07
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-25
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-28
Survey response — 6 months, dose 4
MedDRA: Cellulitis — 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

Free text: Cellulitis

MedDRA releases: 2024-11 · check-in free text available
2022-11-28
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-29
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-29
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-05-26
Health check-in — 12 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	2021-11-04	Moderna	No
4	2022-05-26	Moderna	No

Call center

2 call center cases

2 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-14

Systemic reaction (other): It was hard to swallow for a few minutes. But I had a drink. Told myself I was fine practiced swallowing a few times. And it improved soon. I didnt feel anxious sdyer the shot. I was happy. So that swallowing difficulty was weird but brief.

Release 2 — day 7, dose 1

2021-01-21

Systemic reaction (other): I dont know if it was chills or if I was just cold and cant get warm.

Release 3 — day 14, dose 1

2021-01-28

Symptoms: Cellulitis of my feet probably not related to the vaccine

Release 4 — days 1–6 daily, dose 2

2021-02-13

Systemic reaction (other): Dizziness

Release 5 — day 28, dose 2

2021-03-15

Symptoms: Cellulitis has persisted and eorsened

Release 9 — 6 months, dose 2

2021-08-12

Symptoms: I had the second Shingrix vaccination so had symptoms as a result of that with fever, fatigue, low appetite for about two days.

Release 11 — days 1–6 daily, dose 4

2022-05-31

Systemic reaction (other): I had a concussion so I think these symptoms are from the concussion and not from the vaccination.

2022-06-01

Systemic reaction (other): Post concussion syndrome is the likely cause of these symptoms

Release 12 — 6 months, dose 4

2022-11-28

Symptoms: Cellulitis

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	Cellulitis	✓	✓	✓
SD	Decreased appetite	✓	·	✓
SD	Fatigue	✓	·	✓
SD	Pyrexia	✓	·	✓
SRO	Adverse reaction	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Concussion	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Dysphagia	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Post concussion syndrome	·	·	✓

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