3N6-33089-27457

3 vaccinations 11 coded responses 39 check-ins 11 free-text entries 9 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 088 / NJ
Registered: 2021-01-03

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

2021-01-03
Registered in v-safe
2021-01-03
Dose 1 — Moderna
2021-01-03
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache

Adult check-in
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-10
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-17
Survey response — day 14, dose 1
MedDRA: Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I have a urinary tract infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-24
Survey response — day 21, dose 1
MedDRA: Conjunctivitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Conjunctivitis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-31
Dose 2 — Moderna
2021-01-31
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-04
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Musculoskeletal discomfort — Feeling: Good

Free text: Chest and back discomfort (moderate)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — day 7, dose 2
Feeling: Good · None

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

Adult check-in
2021-02-22
Survey response — day 21, dose 2
MedDRA: Peripheral swelling — Feeling: Good

Free text: Mild swelling in my feet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — day 28, dose 2
MedDRA: Back pain, Chest pain, Oedema peripheral, Oropharyngeal pain — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Mild edema in my ankles and feet. Also, woke up two nights with pain in center of chest, back and throat. May have been some kind of esophageal spasm or reflux?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-07
Survey response — day 35, dose 2
MedDRA: Chest discomfort, Chest pain, Eructation, Gastrointestinal disorder, Gastrooesophageal reflux disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Gastro symptoms such as frequent burping, pain/pressure at times in center of chest, reflux

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-14
Survey response — day 42, dose 2
MedDRA: Oedema peripheral — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Edema in my feet and ankles

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-17
Call 1 — Left Voicemail
2021-05-02
Survey response — 3 months, dose 2
MedDRA: Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: UTI

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-01
Survey response — 6 months, dose 2
MedDRA: Cough, Emergency care, Malaise, Nasal congestion, Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea, Secretion discharge, Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: Mild UTITwo colds with symptoms including sore throat, runny/stuffy nose, congested cough, general malaise · Healthcare visit (other): I went to the ER when I had the UTI and one of the colds at the same time. Only reason I went to the ER rather than PCP is because I was out of state visiting relatives and insurance only covered ER in that circumstance.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-01
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-03
Call 1 — Left Voicemail
2021-10-30
Dose 3 — Moderna
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-06
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-13
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-20
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-27
Survey response — day 28, dose 3
MedDRA: Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: UTI

MedDRA releases: 2024-11 · check-in free text available
2021-11-27
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-30
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-12-04
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-11
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-29
Survey response — 3 months, dose 3
MedDRA: Orthostatic hypertension — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Orthostatic hypotension

MedDRA releases: 2024-11 · check-in free text available
2022-01-29
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)
2022-02-04
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-30
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-10-31
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-03	Moderna
2	2021-01-31	Moderna
3	2021-10-30	Moderna	No

Call center

9 call center cases

9 successful

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-17

Symptoms: I have a urinary tract infection

Release 2 — day 21, dose 1

2021-01-24

Symptoms: Conjunctivitis

Release 3 — days 1–6 daily, dose 2

2021-02-04

Systemic reaction (other): Chest and back discomfort (moderate)

Release 4 — day 21, dose 2

2021-02-22

Symptoms: Mild swelling in my feet

Release 4 — day 28, dose 2

2021-02-28

Symptoms: Mild edema in my ankles and feet. Also, woke up two nights with pain in center of chest, back and throat. May have been some kind of esophageal spasm or reflux?

Release 5 — day 35, dose 2

2021-03-07

Symptoms: Gastro symptoms such as frequent burping, pain/pressure at times in center of chest, reflux

Release 5 — day 42, dose 2

2021-03-14

Symptoms: Edema in my feet and ankles

Release 8 — 3 months, dose 2

2021-05-02

Symptoms: UTI

Release 9 — 6 months, dose 2

2021-08-01

Symptoms: Mild UTITwo colds with symptoms including sore throat, runny/stuffy nose, congested cough, general malaise

Healthcare visit (other): I went to the ER when I had the UTI and one of the colds at the same time. Only reason I went to the ER rather than PCP is because I was out of state visiting relatives and insurance only covered ER in that circumstance.

Release 10 — day 28, dose 3

2021-11-27

Symptoms: UTI

Release 11 — 3 months, dose 3

2022-01-29

Symptoms: Orthostatic hypotension

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	Emergency care	✓	·	✓
HCVO	Nasopharyngitis	✓	·	✓
HCVO	Urinary tract infection	✓	·	✓
SD	Back pain	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Conjunctivitis	✓	✓	✓
SD	Cough	✓	·	✓
SD	Eructation	✓	✓	✓
SD	Gastrointestinal disorder	✓	✓	✓
SD	Gastrooesophageal reflux disease	✓	✓	✓
SD	Malaise	✓	·	✓
SD	Nasal congestion	✓	·	✓
SD	Nasopharyngitis	✓	·	✓
SD	Oedema peripheral	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Orthostatic hypertension	·	·	✓
SD	Peripheral swelling	✓	✓	✓
SD	Rhinorrhoea	✓	·	✓
SD	Secretion discharge	✓	·	✓
SD	Urinary tract infection	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Musculoskeletal discomfort	✓	✓	✓

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