3UP-26358-17919

5 vaccinations 13 coded responses 40 check-ins 13 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 919 / CA
Registered: 2021-01-18

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-14
Dose 1 — Moderna
2021-01-18
Registered in v-safe
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling, Itching · None

Adult check-in
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Throat irritation — Feeling: Good

Free text: Throat irritation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-01-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-11
Dose 2 — Moderna
2021-02-11
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills

Adult check-in
2021-02-17
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Good · Site: Itching

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-11
Survey response — day 28, dose 2
MedDRA: Cough, Dyspnoea, Headache, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sore throat, dry cough, random shortness of breath, headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-25
Survey response — day 42, dose 2
MedDRA: Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Calf pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-12
Survey response — 6 months, dose 2
MedDRA: Dizziness, Vertigo — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Frequent dizziness and vertigo for 6 months

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-12
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-16
Call 1 — Left Voicemail
2021-10-29
Dose 3 — Moderna
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling, Itching · None

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site bruising — Feeling: Good · Site: Itching

Free text: Bruise on injection site

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site bruising — Feeling: Good · Site: Itching · Headache

Free text: Bruising on and around injection site

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site bruising — Feeling: Fair · Site: Itching · Fever · Chills, Headache, Fatigue or tiredness

Free text: Bruising around injection site

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Survey response — day 7, dose 3
MedDRA: Injection site bruising — Feeling: Fair · Site: Itching · Headache

Free text: Lesser bruising injection site

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Survey response — day 14, dose 3
MedDRA: Dizziness, Dyspnoea exertional, Fatigue — Feeling: Fair

Free text: Generalized fatigue, lightheadedness, shortness of breath with exertion

MedDRA releases: 2024-11 · check-in free text available
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
Survey response — day 35, dose 3
MedDRA: Headache — Feeling: Fair

Free text: More frequent Headaches, from twice weekly to almost daily

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Survey response — day 42, dose 3
MedDRA: Headache, Vertigo — Feeling: Fair · Be unable to do your normal daily activities

Free text: Vertigo and headaches

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

Adult check-in
2022-04-27
Dose 4 — Moderna
2022-04-29
Survey response — 6 months, dose 3
MedDRA: Arthralgia, Chills, Headache, Pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Body aches, chills, headache, joint pains

MedDRA releases: 2024-11 · check-in free text available
2022-05-22
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-25
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-01
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-08
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-27
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-12
Dose 5 — Pfizer-BioNTech
2023-04-28
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in
2023-05-15
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-11	Moderna
3	2021-10-29	Moderna	No
4	2022-04-27	Moderna	No
5	2022-11-12	Pfizer-BioNTech	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-19

Systemic reaction (other): Throat irritation

Release 4 — days 1–6 daily, dose 2

2021-02-17

Systemic reaction (other): Sore throat

Release 5 — day 28, dose 2

2021-03-11

Symptoms: Sore throat, dry cough, random shortness of breath, headache

Release 6 — day 42, dose 2

2021-03-25

Symptoms: Calf pain

Release 9 — 6 months, dose 2

2021-08-12

Symptoms: Frequent dizziness and vertigo for 6 months

Release 10 — days 1–6 daily, dose 3

2021-11-02

Systemic reaction (other): Bruise on injection site

2021-11-03

Systemic reaction (other): Bruising on and around injection site

2021-11-04

Systemic reaction (other): Bruising around injection site

Release 10 — day 7, dose 3

2021-11-05

Systemic reaction (other): Lesser bruising injection site

Release 10 — day 14, dose 3

2021-11-12

Symptoms: Generalized fatigue, lightheadedness, shortness of breath with exertion

Release 10 — day 35, dose 3

2021-12-03

Symptoms: More frequent Headaches, from twice weekly to almost daily

Release 10 — day 42, dose 3

2021-12-10

Symptoms: Vertigo and headaches

Release 11 — 6 months, dose 3

2022-04-29

Symptoms: Body aches, chills, headache, joint pains

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
SD	Arthralgia	·	·	✓
SD	Chills	·	·	✓
SD	Cough	✓	✓	✓
SD	Dizziness	✓	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Dyspnoea exertional	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Vertigo	✓	·	✓
SRO	Injection site bruising	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Throat irritation	✓	✓	✓

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