3R3-19788-00582

3 vaccinations 9 coded responses 36 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 194 / PA
Registered: 2021-01-11

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

2021-01-11
Registered in v-safe
2021-01-11
Dose 1 — Moderna
2021-01-11
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-14
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Nausea

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Survey response — day 14, dose 1
MedDRA: Vaccination site swelling — Feeling: Good

Free text: Lump at vaccination site for 2 days developing after a week

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-08
Dose 2 — Moderna
2021-02-08
Survey response — day 0, dose 2
MedDRA: Dysgeusia — Feeling: Fair · Site: Pain

Free text: Funny taste

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling hot, Hyperhidrosis — Feeling: Fair · Site: Pain · Fever

Free text: Increase heat like running a race a sweating its horrible I hate the feeling of feeling hot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling hot, Injection site induration — Feeling: Fair · Site: Pain · Fever · Headache

Free text: Still feeling hot using ice packs my arm feels rock hard at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling hot, Hyperhidrosis — Feeling: Good · Fever

Free text: Continue to feel internally hot sweaty just sitting around or sleeping

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

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 — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-15
Survey response — day 35, dose 2
MedDRA: Cough, Fatigue — Feeling: Good

Free text: Increase cough and fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-11
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-09-02
Dose 3 — Moderna
2021-09-03
Survey response — days 1–6 daily, dose 3
MedDRA: Mobility decreased — Feeling: Poor · Site: Pain, Redness · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Could hardly move

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-09-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-09-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains

Adult check-in
2021-09-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains

Adult check-in
2021-09-08
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site discolouration — Feeling: Good · Joint pains

Free text: Black and blue mark at injection site

MedDRA releases: 2024-11 · check-in free text available
2021-09-09
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-09-16
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-09-23
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-02
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-07
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-02
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-03
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-02
Survey response — 12 months, dose 3
MedDRA: Hypersensitivity, Office visit, Rash — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Unknown rashes biopsy completed unknown origin Hypersensitivity · Healthcare visit (other): Several office visits

MedDRA releases: 2024-11 · check-in free text available
2022-09-02
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-09-07
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-11	Moderna
2	2021-02-08	Moderna
3	2021-09-02	Moderna	No

Call center

2 call center cases

1 unsuccessful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-25

Symptoms: Lump at vaccination site for 2 days developing after a week

Release 3 — day 0, dose 2

2021-02-08

Systemic reaction (other): Funny taste

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Increase heat like running a race a sweating its horrible I hate the feeling of feeling hot

2021-02-11

Systemic reaction (other): Still feeling hot using ice packs my arm feels rock hard at injection site

2021-02-12

Systemic reaction (other): Continue to feel internally hot sweaty just sitting around or sleeping

Release 5 — day 35, dose 2

2021-03-15

Symptoms: Increase cough and fatigue

Release 9 — days 1–6 daily, dose 3

2021-09-03

Systemic reaction (other): Could hardly move

2021-09-08

Systemic reaction (other): Black and blue mark at injection site

Release 12 — 12 months, dose 3

2022-09-02

Symptoms: Unknown rashes biopsy completed unknown origin Hypersensitivity

Healthcare visit (other): Several office visits

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	Fatigue	✓	✓	✓
SD	Hypersensitivity	·	·	✓
SD	Rash	·	·	✓
SD	Vaccination site swelling	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Injection site discolouration	·	·	✓
SRO	Injection site induration	✓	✓	✓
SRO	Mobility decreased	✓	·	✓

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