3FU-53370-52195

3 vaccinations 8 coded responses 34 check-ins 8 free-text entries 5 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 954 / CA
Registered: 2021-01-19

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

Timeline

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

2021-01-19
Registered in v-safe
2021-01-19
Dose 1 — Moderna
2021-01-20
Survey response — day 0, dose 1
MedDRA: Lymphadenopathy, Oropharyngeal pain — Feeling: Good · Site: Pain · Fever

Free text: Sore throat and swollen lymph nodes on the right side of my neck (I got the shot in my right arm)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-09
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-16
Dose 2 — Moderna
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-02-17
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)
2021-02-18
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Medical counselling, Pyrexia, Rash — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Swollen axillary lymph nodes - for my first dose of moderna I had swollen cervical lymph nodes in the side of the injection. For my second dose I have had swollen axillary lymph nodes on the side of the injection. Both of them occurred within four ti six hours of the vaccine. It is the second day since my second shot and my axillary lymph swelling has increased slightly. · Healthcare visit (other): I received an email consult for a rash that I got on the palm of my left hand that looked like some sort of hemorrhagic rash below the surface of the skin. It appeared during the fever of 102 yesterday, was painless and not raised, and has persisted today but has diminished significantly

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
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)
2021-02-19
Survey response — days 1–6 daily, dose 2
MedDRA: Dysgeusia, Fatigue, Headache, Lymphadenopathy, Nausea, Petechiae — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: My petechial rash on the palm of my hand is resolving. One or two spots left. The metallic taste in my mouth I have had since the first night is also gone. Nausea and headache and fatigue persist along with axillary, cervical, and now femoral lymphadenopathy on the right side of my body (which is the injection side).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
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)
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Feeling abnormal, Lymphadenopathy, Pain in extremity, Petechiae, Rash — Feeling: Good · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Axillary lymph node swelling on injection site arm persists, its painful to rest my arm against my body. On my random petechial rash I got on my opposite hand, there is only one dot left, the rest have resolved. I would rate my fatigue very mild today. I felt like death the last three days but today I woke up feeling more like myself! Woohoo!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain lower, Pelvic pain, Pyrexia — Feeling: Good · Site: Pain · Fatigue or tiredness, Abdominal pain

Free text: Ever since my fever I have had a mild dull ache deep in my low abdomen/pelvis. I thought at first it was my kidneys but its bilateral and more toward the front of my abdomen. It is barely noticeable and doesnt seem to change with activity. Could be a pelvic muscle that is sore or achy. Not sure but it started the first night of fever and hadnt gone away, although it has lessened.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-23
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-09
Survey response — day 21, dose 2
MedDRA: Immediate post-injection reaction, Petechiae, Purpura, Pyrexia, Rash — Feeling: Fair

Free text: I developed a hemorrhagic (petechial) rash on the palm of my hand during the immediate aftermath of my second shot. I never had it before and it resolved with my fever. But yesterday it suddenly reappeared for one day and is gone today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-18
Survey response — 3 months, dose 2
MedDRA: Urinary tract infection — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: I got a UTI for the first time in my life and then c dif after being treated for the UTI. I began eating a Whole Foods plant based diet and was treated with two weeks of vancomycin and I am all better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Report sent to call center — 3 months, 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)
2021-08-09
Call 1 — Left Voicemail
2021-11-13
Dose 3 — Moderna
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-11-15
Report sent to call center — days 1–6 daily, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-16
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-11-16
Call 1 — Left Voicemail
2021-11-17
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-11-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-11-19
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-11-21
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-28
Survey response — day 14, dose 3
MedDRA: Migraine, Somnambulism — Feeling: Good

Free text: Sleepwalking (I plugged a sink and turned on a faucet and flooded part of our house - in my dream I was turning off a carbon monoxide detector), and migraines

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-11
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-18
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-25
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-14
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-14
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-11-15
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-19	Moderna
2	2021-02-16	Moderna
3	2021-11-13	Moderna	No

Call center

5 call center cases

5 unsuccessful

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-20

Systemic reaction (other): Sore throat and swollen lymph nodes on the right side of my neck (I got the shot in my right arm)

Release 4 — days 1–6 daily, dose 2

2021-02-18

Systemic reaction (other): Swollen axillary lymph nodes - for my first dose of moderna I had swollen cervical lymph nodes in the side of the injection. For my second dose I have had swollen axillary lymph nodes on the side of the injection. Both of them occurred within four ti six hours of the vaccine. It is the second day since my second shot and my axillary lymph swelling has increased slightly.

Healthcare visit (other): I received an email consult for a rash that I got on the palm of my left hand that looked like some sort of hemorrhagic rash below the surface of the skin. It appeared during the fever of 102 yesterday, was painless and not raised, and has persisted today but has diminished significantly

2021-02-19

Systemic reaction (other): My petechial rash on the palm of my hand is resolving. One or two spots left. The metallic taste in my mouth I have had since the first night is also gone. Nausea and headache and fatigue persist along with axillary, cervical, and now femoral lymphadenopathy on the right side of my body (which is the injection side).

2021-02-20

Systemic reaction (other): Axillary lymph node swelling on injection site arm persists, its painful to rest my arm against my body. On my random petechial rash I got on my opposite hand, there is only one dot left, the rest have resolved. I would rate my fatigue very mild today. I felt like death the last three days but today I woke up feeling more like myself! Woohoo!

2021-02-21

Systemic reaction (other): Ever since my fever I have had a mild dull ache deep in my low abdomen/pelvis. I thought at first it was my kidneys but its bilateral and more toward the front of my abdomen. It is barely noticeable and doesnt seem to change with activity. Could be a pelvic muscle that is sore or achy. Not sure but it started the first night of fever and hadnt gone away, although it has lessened.

Release 5 — day 21, dose 2

2021-03-09

Symptoms: I developed a hemorrhagic (petechial) rash on the palm of my hand during the immediate aftermath of my second shot. I never had it before and it resolved with my fever. But yesterday it suddenly reappeared for one day and is gone today.

Release 8 — 3 months, dose 2

2021-05-18

Symptoms: I got a UTI for the first time in my life and then c dif after being treated for the UTI. I began eating a Whole Foods plant based diet and was treated with two weeks of vancomycin and I am all better.

Release 10 — day 14, dose 3

2021-11-28

Symptoms: Sleepwalking (I plugged a sink and turned on a faucet and flooded part of our house - in my dream I was turning off a carbon monoxide detector), and migraines

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	Pyrexia	✓	✓	✓
HCVO	Rash	✓	✓	✓
SD	Immediate post-injection reaction	✓	✓	✓
SD	Migraine	·	·	✓
SD	Petechiae	✓	✓	✓
SD	Purpura	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Somnambulism	·	·	✓
SD	Urinary tract infection	✓	✓	✓
SRO	Abdominal pain lower	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pelvic pain	✓	✓	✓
SRO	Petechiae	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Rash	✓	✓	✓

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