3NN-10694-33384

5 vaccinations 6 coded responses 36 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 806 / CO
Registered: 2021-01-14

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

2021-01-14
Registered in v-safe
2021-01-14
Dose 1 — Moderna
2021-01-14
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Good

Free text: Cough but it isnt unusual mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: Exposure notification from my cell phone. No symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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 · None

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: Good

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

Adult check-in
2021-02-11
Dose 2 — Moderna
2021-02-11
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-13
Survey response — 3 months, dose 2
MedDRA: Erythema, Peripheral swelling — Feeling: Good

Free text: Redness on my hands and L hand swells overnight. The swelling goes down during the day. I havent been using lotion so they might just be chapped. When it first started I thought I might be allergic to the soap at work.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-28
Dose 3 — Moderna
Co-administered: Flu
2022-02-11
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-09
Dose 4 — Moderna
Co-administered: Tetanus
2022-09-23
Dose 5 — Moderna
Co-administered: Tetanus
2022-09-26
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Redness · None

Adult check-in
2022-09-28
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Redness · None

Adult check-in
2022-09-29
Survey response — days 1–6 daily, dose 5
MedDRA: Injection site erythema — Feeling: Good · Site: Redness

Free text: Vac site still a little red. Does not bother me.

MedDRA releases: 2024-11 · check-in free text available
2022-09-30
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-07
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-14
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-21
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-28
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-04
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-23
Survey response — 3 months, dose 5
MedDRA: Office visit, Sinusitis, Upper respiratory tract infection — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Sinusitis and upper respiratory illness · Healthcare visit (other): Dr office visit

MedDRA releases: 2024-11 · check-in free text available
2022-12-23
Report sent to call center — 3 months, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2022-12-27
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-24
Survey response — 6 months, dose 5
MedDRA: Cough, Lower respiratory tract congestion, 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

MedDRA releases: 2024-11
2023-03-24
Report sent to call center — 6 months, dose 5
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)
2023-03-28
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-11	Moderna
3	2021-10-28	Moderna	Flu
4	2022-05-09	Moderna	Tetanus
5	2022-09-23	Moderna	Tetanus

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): Cough but it isnt unusual mild

2021-01-16

Systemic reaction (other): Exposure notification from my cell phone. No symptoms.

Release 8 — 3 months, dose 2

2021-05-13

Symptoms: Redness on my hands and L hand swells overnight. The swelling goes down during the day. I havent been using lotion so they might just be chapped. When it first started I thought I might be allergic to the soap at work.

Release 12 — days 1–6 daily, dose 5

2022-09-29

Systemic reaction (other): Vac site still a little red. Does not bother me.

Release 12 — 3 months, dose 5

2022-12-23

Symptoms: Sinusitis and upper respiratory illness

Healthcare visit (other): Dr office visit

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	Office visit	·	·	✓
SD	Cough	·	·	✓
SD	Erythema	✓	✓	✓
SD	Lower respiratory tract congestion	·	·	✓
SD	Peripheral swelling	✓	✓	✓
SD	Sinusitis	·	·	✓
SD	Upper respiratory tract infection	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Injection site erythema	·	·	✓
SRO	No adverse event	✓	✓	✓

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