3T2-17177-67768

2 vaccinations 11 coded responses 21 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 954 / CA
Registered: 2021-02-18

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

2021-02-17
Dose 1 — Moderna
2021-02-18
Registered in v-safe
2021-02-19
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Pain, Swelling · Fever · Fatigue or tiredness

Free text: Just sore in my injection arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — days 1–6 daily, dose 1
MedDRA: Tooth infection — Feeling: Poor · Fever · Fatigue or tiredness · Be unable to work

Free text: Have bad infected tooth in upper jaw

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — days 1–6 daily, dose 1
MedDRA: Tooth disorder — Feeling: Good · Fever · Fatigue or tiredness

Free text: Tooth better. I usually get a drug hangover with 1/2 a norco 5mg

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-17
Dose 2 — Moderna
2021-03-17
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Fatigue — Feeling: Good · Site: Swelling · Fever · Muscle or body aches

Free text: Just feel a tiny bit light headed and tired.

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: Pruritus — Feeling: Good · Site: Pain, Swelling, Itching · Muscle or body aches

Free text: Just been itchy on the front of my legs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Emotional disorder — Feeling: Good

Free text: Kinda emotional

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: Jo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-27
Survey response — day 7, dose 2
MedDRA: Cough, Sneezing — Feeling: Good

Free text: Sneezing. Coughing, probably hay fever.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-14
Survey response — day 28, dose 2
MedDRA: Hypersensitivity — Feeling: Good · Be unable to work

Free text: Got terrible allergies on Monday. Took Generic form of Clariden and I feel much better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-18
Survey response — 3 months, dose 2
MedDRA: Heat exhaustion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Had heat exhaustion for three days after swimming vigorously when pool opened.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-17
Survey response — 6 months, dose 2
MedDRA: Breast mass, Invasive lobular breast carcinoma, Office visit — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: I found a lump in left breast. (b)(6) determined it was ILC breast cancer. Will have surgery and radiation, maybe chemo in next two months. Prognosis great!! · Healthcare visit (other): Pre-surgical meeting,

MedDRA releases: 2024-11 · check-in free text available
2021-09-17
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-21
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-17	Moderna
2	2021-03-17	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-19

Systemic reaction (other): Just sore in my injection arm.

2021-02-22

Systemic reaction (other): Have bad infected tooth in upper jaw

2021-02-23

Systemic reaction (other): Tooth better. I usually get a drug hangover with 1/2 a norco 5mg

Release 5 — days 1–6 daily, dose 2

2021-03-19

Systemic reaction (other): Just feel a tiny bit light headed and tired.

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): Just been itchy on the front of my legs.

2021-03-21

Systemic reaction (other): Kinda emotional

2021-03-22

Systemic reaction (other): Jo

Release 6 — day 7, dose 2

2021-03-27

Systemic reaction (other): Sneezing. Coughing, probably hay fever.

Release 7 — day 28, dose 2

2021-04-14

Symptoms: Got terrible allergies on Monday. Took Generic form of Clariden and I feel much better.

Release 9 — 3 months, dose 2

2021-06-18

Symptoms: Had heat exhaustion for three days after swimming vigorously when pool opened.

Release 9 — 6 months, dose 2

2021-09-17

Symptoms: I found a lump in left breast. (b)(6) determined it was ILC breast cancer. Will have surgery and radiation, maybe chemo in next two months. Prognosis great!!

Healthcare visit (other): Pre-surgical meeting,

redacted (b)(6)

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	Breast mass	·	·	✓
SD	Heat exhaustion	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Invasive lobular breast carcinoma	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Emotional disorder	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Sneezing	✓	✓	✓
SRO	Tooth disorder	✓	✓	✓
SRO	Tooth infection	✓	✓	✓

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