3FY-27879-00770

3 vaccinations 6 coded responses 33 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 502 / IA
Registered: 2021-01-29

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-01-22
Dose 1 — Moderna
2021-01-29
Registered in v-safe
2021-01-29
Survey response — day 7, dose 1
MedDRA: Lymph node pain, Pharyngeal swelling — Feeling: Poor · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, 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: Swollen throat & lymph nodes not sure if from shot or have strep throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Report sent to call center — day 7, dose 1
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)
2021-02-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-15
Dose 2 — Moderna
2021-02-16
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, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Nausea

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-02-22
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-29
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-09
Call 1 — Left Voicemail
2021-08-16
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-22
Dose 3 — Moderna
2021-10-22
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2021-10-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fever · Chills, Fatigue or tiredness, Diarrhea

Adult check-in
2021-10-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Nausea

Adult check-in
2021-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fever · Fatigue or tiredness

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-10-29
Health check-in — day 7, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-11-05
Survey response — day 14, dose 3
MedDRA: Fatigue — Feeling: Good

Free text: Tired

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Survey response — day 21, dose 3
MedDRA: Fatigue — Feeling: Fair

Free text: Tired!!

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-26
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-03
Survey response — day 42, dose 3
MedDRA: Abdominal distension, Headache, Injection site scab, Injection site swelling, Unevaluable event — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Bump scab at injection site. Headache, big swollen stomach · Healthcare visit (other): Will see doctor Tuesday

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-06
Call 1 — Left Voicemail
2022-01-21
Survey response — 3 months, dose 3
MedDRA: C-reactive protein increased, Inflammation, Pharyngitis streptococcal, Red blood cell sedimentation rate increased — Feeling: Poor · Be unable to work or attend school

Free text: Strep throat don't think related to the booster. & lots of inflammation in my body. My CRP & Sed rate are elevated

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Survey response — 6 months, dose 3
MedDRA: Adverse reaction, C-reactive protein increased, Dyspnoea, Erythema, Inflammation, Red blood cell sedimentation rate increased — 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: High CRP and Sed Rate not sure if shot made inflammation worse I'm a Longhauler I now get bright red face & short of breath not sure if related

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Report sent to call center — 6 months, dose 3
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)
2022-04-25
Call 1 — Left Voicemail
2022-10-24
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna
2	2021-02-15	Moderna
3	2021-10-22	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 3 — day 7, dose 1

2021-01-29

Systemic reaction (other): Swollen throat & lymph nodes not sure if from shot or have strep throat

Release 10 — day 14, dose 3

2021-11-05

Symptoms: Tired

Release 10 — day 21, dose 3

2021-11-12

Symptoms: Tired!!

Release 10 — day 42, dose 3

2021-12-03

Symptoms: Bump scab at injection site. Headache, big swollen stomach

Healthcare visit (other): Will see doctor Tuesday

Release 11 — 3 months, dose 3

2022-01-21

Symptoms: Strep throat don't think related to the booster. & lots of inflammation in my body. My CRP & Sed rate are elevated

Release 11 — 6 months, dose 3

2022-04-22

Symptoms: High CRP and Sed Rate not sure if shot made inflammation worse I'm a Longhauler I now get bright red face & short of breath not sure if related

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	Unevaluable event	·	·	✓
SD	Abdominal distension	·	·	✓
SD	Adverse reaction	·	·	✓
SD	C-reactive protein increased	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Erythema	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Inflammation	·	·	✓
SD	Injection site scab	·	·	✓
SD	Injection site swelling	·	·	✓
SD	Pharyngitis streptococcal	·	·	✓
SD	Red blood cell sedimentation rate increased	·	·	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Pharyngeal swelling	✓	✓	✓

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