3GX-16950-53649

3 vaccinations 6 coded responses 14 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 921 / CA
Registered: 2021-12-12

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

2021-03-02
Dose 1 — Moderna
2021-03-30
Dose 2 — Moderna
2021-12-11
Dose 3 — Moderna
2021-12-12
Registered in v-safe
2021-12-12
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-12-14
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site

Adult check-in
2021-12-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-12-18
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-12-25
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-01
Survey response — day 21, dose 3
MedDRA: Lymphadenitis, Oropharyngeal pain, Pain, Rhinorrhoea — Feeling: Poor

Free text: Sore throat, runny nose, inflamed lymph nodes in neck. Achey

MedDRA releases: 2024-11 · check-in free text available
2022-01-08
Survey response — day 28, dose 3
MedDRA: Cough, Fatigue, Myalgia, Pyrexia, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fever, cough, congestion, exhaustion, muscle aches

MedDRA releases: 2024-11 · check-in free text available
2022-01-15
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-01-22
Survey response — day 42, dose 3
MedDRA: Asthma, Cough, Emergency care, Injection site induration, Injection site mass, Injection site pain, Office visit, Pre-existing disease, Unevaluable event — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Coughing so long and hard I broke a rib. Went to dr who noticed I was overdue for my tetanus shot. Having a reaction at that site. (Hard tennis ball sized lump, with awful pain). I went to md due to cohesion and coughing. Hospital due to asthma

MedDRA releases: 2024-11 · check-in free text available
2022-01-22
Report sent to call center — day 42, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-01-24
Call 1 — Left Voicemail
2022-03-13
Survey response — 3 months, dose 3
MedDRA: Contusion, Fall, Hypothyroidism, Multiple sclerosis, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I was diagnosed with hypothyroidism. My MS has gotten worse. I fell hard last week. 4 big bone bruises.

MedDRA releases: 2024-11 · check-in free text available
2022-03-13
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-14
Call 1 — Left Voicemail
2022-06-13
Survey response — 6 months, dose 3
MedDRA: Diarrhoea, Nasopharyngitis, Sinusitis — Feeling: Good · Be unable to work or attend school, 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: Diarrhea, common cold, sinus infection

MedDRA releases: 2024-11 · check-in free text available
2022-06-13
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-14
Call 2 — Left Voicemail
2022-06-14
Call 2 — Left Voicemail
2022-06-14
Call 1 — Left Voicemail
2022-12-11
Survey response — 12 months, dose 3
MedDRA: COVID-19 — Feeling: Poor

Free text: I have Covid

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-02	Moderna	No
2	2021-03-30	Moderna	No
3	2021-12-11	Moderna	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 10 — day 21, dose 3

2022-01-01

Symptoms: Sore throat, runny nose, inflamed lymph nodes in neck. Achey

Release 10 — day 28, dose 3

2022-01-08

Symptoms: Fever, cough, congestion, exhaustion, muscle aches

Release 11 — day 42, dose 3

2022-01-22

Symptoms: Coughing so long and hard I broke a rib. Went to dr who noticed I was overdue for my tetanus shot. Having a reaction at that site. (Hard tennis ball sized lump, with awful pain). I went to md due to cohesion and coughing. Hospital due to asthma

Release 11 — 3 months, dose 3

2022-03-13

Symptoms: I was diagnosed with hypothyroidism. My MS has gotten worse. I fell hard last week. 4 big bone bruises.

Release 12 — 6 months, dose 3

2022-06-13

Symptoms: Diarrhea, common cold, sinus infection

Release 12 — 12 months, dose 3

2022-12-11

Symptoms: I have Covid

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	Asthma	·	·	✓
SD	Contusion	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Emergency care	·	·	✓
SD	Fall	·	·	✓
SD	Fatigue	·	·	✓
SD	Hypothyroidism	·	·	✓
SD	Injection site induration	·	·	✓
SD	Injection site mass	·	·	✓
SD	Injection site pain	·	·	✓
SD	Lymphadenitis	·	·	✓
SD	Multiple sclerosis	·	·	✓
SD	Myalgia	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Office visit	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinusitis	·	·	✓
SD	Unevaluable event	·	·	✓

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