3L4-57672-34370

4 vaccinations 7 coded responses 36 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 210 / MD
Registered: 2021-01-14

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

Registered dependents

VVN-59368-24763 Child or adolescent in my care · Female · 2022-06-22

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
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

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

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-21
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-11
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-15
Dose 2 — Moderna
2021-02-18
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Injection site erythema, Injection site pain, Injection site swelling, Nausea, Pain, Pyrexia — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Free text: For 36 hrs after my second dose I had a low grade fever (99.8) chills, body aches, swelling/redness/moderate pain at injection site, mild nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

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

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

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

Adult check-in
2021-03-15
Survey response — day 28, dose 2
MedDRA: Nasal congestion — Feeling: Fair

Free text: Nasal congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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
2021-08-16
Survey response — 6 months, dose 2
MedDRA: Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Good

Free text: I had a couple of episodes of congestion. I had a home rapid test the first time and both a rapid and PCR test the second time and all tests were negative for COVID.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-11
Dose 3 — Moderna
2022-02-15
Survey response — 12 months, dose 2
MedDRA: Micturition urgency, Pollakiuria, Urinary tract pain — 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, Emergency room or emergency department visit

Free text: Unexplained lower urinary tract pain with increased urgency and frequency

MedDRA releases: 2024-11 · check-in free text available
2022-02-15
Report sent to call center — 12 months, dose 2
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 · 1 call case(s)
2022-02-16
Call 1 — Left Voicemail
2022-05-12
Survey response — 6 months, dose 3
MedDRA: Bladder pain, Micturition urgency, Pelvic pain, Pollakiuria — Feeling: Good · 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: Urinary frequency/urgency, bladder/pelvic pain

MedDRA releases: 2024-11 · check-in free text available
2022-05-12
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-13
Call 2 — Left Voicemail
2022-05-13
Call 1 — Left Voicemail
2022-05-13
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-13
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-07
Dose 4 — Moderna
2022-11-11
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-11
Survey response — 12 months, dose 3
MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: COVID

MedDRA releases: 2024-11 · check-in free text available
2022-11-12
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-13
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-14
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-11-21
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-28
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-12-05
Survey response — day 28, dose 4
MedDRA: Cough, Laryngitis, Respiratory tract congestion, SARS-CoV-2 test negative, Viral upper respiratory tract infection — Feeling: Fair · Be unable to work or attend school

Free text: Upper respiratory virus - congestion, laryngitis, cough. All three home COVID tests were negative.

MedDRA releases: 2024-11 · check-in free text available
2022-12-12
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-19
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-02-06
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-05-11
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-15	Moderna
3	2021-11-11	Moderna	No
4	2022-11-07	Moderna	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-18

Systemic reaction (other): For 36 hrs after my second dose I had a low grade fever (99.8) chills, body aches, swelling/redness/moderate pain at injection site, mild nausea

Release 5 — day 28, dose 2

2021-03-15

Symptoms: Nasal congestion

Release 9 — 6 months, dose 2

2021-08-16

Symptoms: I had a couple of episodes of congestion. I had a home rapid test the first time and both a rapid and PCR test the second time and all tests were negative for COVID.

Release 11 — 12 months, dose 2

2022-02-15

Symptoms: Unexplained lower urinary tract pain with increased urgency and frequency

Release 11 — 6 months, dose 3

2022-05-12

Symptoms: Urinary frequency/urgency, bladder/pelvic pain

Release 12 — 12 months, dose 3

2022-11-11

Symptoms: COVID

Release 12 — day 28, dose 4

2022-12-05

Symptoms: Upper respiratory virus - congestion, laryngitis, cough. All three home COVID tests were negative.

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	Bladder pain	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Laryngitis	·	·	✓
SD	Micturition urgency	·	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Pelvic pain	·	·	✓
SD	Pollakiuria	·	·	✓
SD	Respiratory tract congestion	✓	·	✓
SD	SARS-CoV-2 test negative	✓	·	✓
SD	Urinary tract pain	·	·	✓
SD	Viral upper respiratory tract infection	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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