3GL-77607-57276

2 vaccinations 11 coded responses 22 check-ins 11 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 287 / NC
Registered: 2021-01-22

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

2021-01-21
Dose 1 — Moderna
2021-01-22
Registered in v-safe
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Contusion — Feeling: Good · Site: Pain, Redness · Headache, Fatigue or tiredness

Free text: Bruising

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Pollakiuria — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Extreme fatigue and frequent urination

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-01-28
Health check-in — day 7, dose 1
Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-04
Survey response — day 14, dose 1
MedDRA: Injection site rash, Nausea — Feeling: Good · Be unable to do your normal daily activities

Free text: I had some nausea and a large ridge patch on my left arm below the initial vaccination site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-25
Dose 2 — Moderna
2021-02-25
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Ear discomfort, Respiratory tract congestion — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Stopped up ears..Mild congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus, Respiratory tract congestion — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Free text: Itching of skin, Mild congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Peripheral swelling — Feeling: Good · Site: Pain

Free text: Have had some swelling in my left leg ever since my first Covid not sure if it's related

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Peripheral swelling — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Left leg swelling continues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — day 7, dose 2
Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-11
Survey response — day 14, dose 2
MedDRA: Headache, Insomnia — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Headache insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-08
Survey response — day 42, dose 2
MedDRA: Anxiety — Feeling: Fair · 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: Anxiety

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-27
Survey response — 3 months, dose 2
MedDRA: Lymphoedema, Physiotherapy — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Lymphedema in legs · Healthcare visit (other): Pt therapist in clinic

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-26
Survey response — 6 months, dose 2
MedDRA: Fatigue, Pre-existing disease, Urinary tract infection — Feeling: Fair · 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: UTI in progress and fatigue from radiation treatment for my cancer tumor in my stomac.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-30
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Moderna
2	2021-02-25	Moderna

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-24

Systemic reaction (other): Bruising

2021-01-25

Systemic reaction (other): Extreme fatigue and frequent urination

Release 3 — day 14, dose 1

2021-02-04

Symptoms: I had some nausea and a large ridge patch on my left arm below the initial vaccination site

Release 4 — days 1–6 daily, dose 2

2021-02-26

Systemic reaction (other): Stopped up ears..Mild congestion

2021-02-27

Systemic reaction (other): Itching of skin, Mild congestion

2021-02-28

Systemic reaction (other): Have had some swelling in my left leg ever since my first Covid not sure if it's related

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Left leg swelling continues

Release 5 — day 14, dose 2

2021-03-11

Symptoms: Headache insomnia

Release 7 — day 42, dose 2

2021-04-08

Symptoms: Anxiety

Release 8 — 3 months, dose 2

2021-05-27

Symptoms: Lymphedema in legs

Healthcare visit (other): Pt therapist in clinic

Release 9 — 6 months, dose 2

2021-08-26

Symptoms: UTI in progress and fatigue from radiation treatment for my cancer tumor in my stomac.

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	Physiotherapy	✓	✓	✓
SD	Anxiety	✓	✓	✓
SD	Fatigue	✓	·	✓
SD	Headache	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Lymphoedema	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pre-existing disease	✓	·	✓
SD	Urinary tract infection	✓	·	✓
SRO	Contusion	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Pollakiuria	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓

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