3S2-72053-59016

4 vaccinations 8 coded responses 55 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 175 / PA
Registered: 2021-02-25

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

2021-02-25
Registered in v-safe
2021-02-25
Dose 1 — Moderna
2021-02-25
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · Fatigue or tiredness

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-03-03
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Fair · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: above symptoms on/off past 20 hrs; easing up last 4 hrs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-25
Dose 2 — Moderna
2021-03-25
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-04-01
Survey response — day 7, dose 2
MedDRA: Injection site bruising — Feeling: Good · Site: Pain

Free text: Bruising at injection site improving

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-24
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-23
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Dose 3 — Moderna
2021-10-29
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain, Redness · Fever · Chills, Headache

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-01
Survey response — days 1–6 daily, dose 3
MedDRA: Body temperature increased, Headache — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness

Free text: Last 2 days had temp 99.8 and moderate headache after 4:00pm.

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Redness, Swelling, Itching

Free text: No temp elevation past 24 hr

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Itching · None

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

Adult check-in
2021-11-05
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-10
Survey response — day 42, dose 3
MedDRA: Dizziness, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities

Free text: Episode of dizziness 12/9. Lasted on and off 2 hrs. Did home Covid Test = negative

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-29
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-06-03
Dose 4 — Moderna
2022-06-03
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-06-04
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-06-05
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-06-06
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-06-07
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Itching · None

Adult check-in
2022-06-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-09
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-10
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-06-17
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-24
Survey response — day 21, dose 4
MedDRA: Diarrhoea, Fatigue, Nausea, Vomiting — Feeling: Good · Be unable to do your normal daily activities

Free text: Nausea, Vomiting, Diarrhea for 48 hrs 6 days ago. Some residual fatigue. Feel ok otherwise

MedDRA releases: 2024-11 · check-in free text available
2022-07-01
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-08
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-15
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-09-02
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-12-02
Survey response — 6 months, dose 4
MedDRA: Nasal congestion, Office visit, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Sinus infection/continuous nasal congestion · Healthcare visit (other): Office visit

MedDRA releases: 2024-11 · check-in free text available
2022-12-02
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-12-05
Call 2 — Left Voicemail
2023-06-05
Survey response — 12 months, dose 4
MedDRA: Hip arthroplasty, Surgery — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Hospitalization

MedDRA releases: 2024-11
2023-06-05
Call case (no matching report) — Unsuccessful
2023-06-06
Call 1 — Left Voicemail
2023-06-06
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-25	Moderna
2	2021-03-25	Moderna
3	2021-10-29	Moderna	No
4	2022-06-03	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): above symptoms on/off past 20 hrs; easing up last 4 hrs

Release 6 — day 7, dose 2

2021-04-01

Systemic reaction (other): Bruising at injection site improving

Release 10 — days 1–6 daily, dose 3

2021-11-01

Systemic reaction (other): Last 2 days had temp 99.8 and moderate headache after 4:00pm.

2021-11-02

Systemic reaction (other): No temp elevation past 24 hr

Release 10 — day 42, dose 3

2021-12-10

Symptoms: Episode of dizziness 12/9. Lasted on and off 2 hrs. Did home Covid Test = negative

Release 12 — day 21, dose 4

2022-06-24

Symptoms: Nausea, Vomiting, Diarrhea for 48 hrs 6 days ago. Some residual fatigue. Feel ok otherwise

Release 12 — 6 months, dose 4

2022-12-02

Symptoms: Sinus infection/continuous nasal congestion

Healthcare visit (other): 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	·	·	✓
HCVO	Surgery	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dizziness	·	·	✓
SD	Fatigue	·	·	✓
SD	Hip arthroplasty	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nausea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinusitis	·	·	✓
SD	Surgery	·	·	✓
SD	Vomiting	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Body temperature increased	·	·	✓
SRO	Headache	·	·	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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