3PF-82259-06954

3 vaccinations 9 coded responses 25 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 945 / CA
Registered: 2021-02-18

Relationship: Self
Race: Asian
Ethnicity: N/A

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-18
Registered in v-safe
2021-02-18
Dose 1 — Moderna
2021-02-18
Survey response — day 0, dose 1
MedDRA: Paraesthesia, Pruritus — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Itchy on pricking sensation on my legs 2 hrs after the inoculation but it all went away in a few minutes and the symptoms were barely noticeable.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

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

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-25
Survey response — day 7, dose 1
MedDRA: Injection site induration, Injection site pain — Feeling: Good · Muscle or body aches

Free text: Both slight muscle pain and slight hardness just below injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-11
Survey response — day 21, dose 1
MedDRA: Ear pain — Feeling: Fair

Free text: Left ear pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Dose 2 — Moderna
2021-03-18
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site induration — Feeling: Good · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: The skin at the injection site feels hard today and yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good · Site: Swelling · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: In-person doctor's appointment scheduled.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site eczema — Feeling: Good

Free text: Eczema on my injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — day 7, dose 2
MedDRA: Eczema, Injection site eczema, No adverse event, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Eczema on injection site · Healthcare visit (other): Doctor's appointment at health center. Appointment on April 1,2021

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-17
Survey response — 3 months, dose 2
MedDRA: Eczema — Feeling: Fair

Free text: Eczema

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-16
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-18
Dose 3 — Moderna
2022-01-22
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-18
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-19
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-18
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-18	Moderna
2	2021-03-18	Moderna
3	2021-11-18	Moderna	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-18

Systemic reaction (other): Itchy on pricking sensation on my legs 2 hrs after the inoculation but it all went away in a few minutes and the symptoms were barely noticeable.

Release 4 — day 7, dose 1

2021-02-25

Systemic reaction (other): Both slight muscle pain and slight hardness just below injection site

Release 5 — day 21, dose 1

2021-03-11

Symptoms: Left ear pain

Release 5 — days 1–6 daily, dose 2

2021-03-19

Systemic reaction (other): Cough

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): The skin at the injection site feels hard today and yesterday

2021-03-22

Healthcare visit (other): In-person doctor's appointment scheduled.

2021-03-24

Systemic reaction (other): Eczema on my injection site

Release 6 — day 7, dose 2

2021-03-25

Systemic reaction (other): Eczema on injection site

Healthcare visit (other): Doctor's appointment at health center. Appointment on April 1,2021

Release 9 — 3 months, dose 2

2021-06-17

Symptoms: Eczema

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	No adverse event	○	✓	○
HCVO	Unevaluable event	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Eczema	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Eczema	○	✓	○
SRO	Injection site eczema	✓	✓	✓
SRO	Injection site induration	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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