3PH-13680-94579

2 vaccinations 14 coded responses 26 check-ins 14 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 480 / MI
Registered: 2021-02-26

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

2021-02-26
Registered in v-safe
2021-02-26
Dose 1 — Moderna
2021-02-26
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fever · Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Irritability — Feeling: Fair · Fever · Fatigue or tiredness

Free text: Feel irritable

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · None

Adult check-in
2021-03-03
Survey response — days 1–6 daily, dose 1
MedDRA: Rash, Rash pruritic, Rash vesicular — Feeling: Good · Diarrhea, Rash, not including the immediate area around the injection site

Free text: Liquid filled bumps on right knee -itchy, top of right hand -not itchy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — day 7, dose 1
Feeling: Good · Fever · None

Adult check-in
2021-03-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-19
Survey response — day 21, dose 1
MedDRA: Abdominal distension, Abdominal pain upper, Body temperature increased, Gastric dilatation, Nausea — Feeling: Fair

Free text: Stomachache, hard & distended, nausea. Temp max 101.4

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Dose 2 — Moderna
2021-03-26
Survey response — day 28, dose 1
MedDRA: Abdominal discomfort, Discomfort, Vulvovaginal mycotic infection — Feeling: Fair

Free text: Stomach & intestinal discomfort, vaginal yeast infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Dyspnoea — Feeling: Fair · Site: Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Light headed, shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis — Feeling: Fair · Site: Itching · Fever · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Unusual sweating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Hyperhidrosis — Feeling: Good · Fever · Fatigue or tiredness

Free text: Sweating like menopause, short of breath still

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal discomfort, Dizziness, Hyperhidrosis, Skin odour abnormal — Feeling: Fair · Fever · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizzy, upset stomach, feel sweaty. Strong body odor.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — day 7, dose 2
MedDRA: Abdominal distension, Hyperhidrosis — Feeling: Fair · Fever · Fatigue or tiredness

Free text: Bloat, sweating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — day 14, dose 2
MedDRA: Diarrhoea, Urinary tract infection — Feeling: Good

Free text: Loose stool, UTI symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — day 21, dose 2
MedDRA: Dyspnoea — Feeling: Fair

Free text: Seem to be short of breath more often

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-30
Survey response — day 35, dose 2
MedDRA: Lower urinary tract symptoms — Feeling: Fair

Free text: I cant get rid of UTI symptoms. They come & go.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — day 42, dose 2
MedDRA: Abdominal pain, Abdominal pain upper, Flatulence, Nausea, Pyrexia, Urinary tract infection — Feeling: Fair · Be unable to do your normal daily activities

Free text: Recurring stomach & abdominal pain with horrible gas pains, low grade fever 100.4. On& off UTI symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-25
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-24
Survey response — 6 months, dose 2
MedDRA: Flank pain, Unevaluable event — Feeling: Fair · 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: Symptoms: Sharp pains in left side, lessening but lasting 3 weeks · Healthcare visit (other): Ultrasound, bloodwork

MedDRA releases: 2024-11 · check-in free text available
2021-09-24
Report sent to call center — 6 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 · 1 call case(s)
2021-09-27
Call 1 — Left Voicemail
2022-03-28
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Moderna
2	2021-03-26	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-03-01

Systemic reaction (other): Feel irritable

2021-03-03

Systemic reaction (other): Liquid filled bumps on right knee -itchy, top of right hand -not itchy

Release 5 — day 21, dose 1

2021-03-19

Symptoms: Stomachache, hard & distended, nausea. Temp max 101.4

Release 6 — day 28, dose 1

2021-03-26

Symptoms: Stomach & intestinal discomfort, vaginal yeast infection

Release 6 — days 1–6 daily, dose 2

2021-03-28

Systemic reaction (other): Light headed, shortness of breath

2021-03-29

Systemic reaction (other): Unusual sweating

2021-03-30

Systemic reaction (other): Sweating like menopause, short of breath still

2021-04-01

Systemic reaction (other): Dizzy, upset stomach, feel sweaty. Strong body odor.

Release 6 — day 7, dose 2

2021-04-02

Systemic reaction (other): Bloat, sweating

Release 7 — day 14, dose 2

2021-04-09

Symptoms: Loose stool, UTI symptoms

Release 7 — day 21, dose 2

2021-04-16

Symptoms: Seem to be short of breath more often

Release 8 — day 35, dose 2

2021-04-30

Symptoms: I cant get rid of UTI symptoms. They come & go.

Release 8 — day 42, dose 2

2021-05-07

Symptoms: Recurring stomach & abdominal pain with horrible gas pains, low grade fever 100.4. On& off UTI symptoms

Release 9 — 6 months, dose 2

2021-09-24

Symptoms: Sharp pains in left side, lessening but lasting 3 weeks

Healthcare visit (other): Ultrasound, bloodwork

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	Unevaluable event	·	·	✓
SD	Abdominal discomfort	✓	✓	✓
SD	Abdominal distension	✓	✓	✓
SD	Abdominal pain	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Body temperature increased	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Discomfort	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Flank pain	·	·	✓
SD	Flatulence	✓	✓	✓
SD	Gastric dilatation	✓	✓	✓
SD	Lower urinary tract symptoms	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Urinary tract infection	✓	✓	✓
SD	Vulvovaginal mycotic infection	✓	✓	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Abdominal distension	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Irritability	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Rash pruritic	✓	✓	✓
SRO	Rash vesicular	✓	✓	✓
SRO	Skin odour abnormal	✓	✓	✓

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