3UQ-27262-23468

2 vaccinations 7 coded responses 16 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 945 / CA
Registered: 2021-01-10

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

2020-12-23
Dose 1 — Moderna
2021-01-10
Registered in v-safe
2021-01-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-15
Survey response — day 21, dose 1
MedDRA: Aphonia, Asthenopia, Fatigue, Malaise, Tension headache — Feeling: Poor · Be unable to do your normal daily activities

Free text: Feeling fatigue since yesterday. Hard to speak at times and lost my voice a couple times today. Tension around my head. Some eyes strain. Feeling like I am getting sick.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-20
Dose 2 — Moderna
2021-01-20
Survey response — day 0, dose 2
MedDRA: Adverse reaction, Dehydration — Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Mild sore throat. Feeling dehydrated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Survey response — days 1–6 daily, dose 2
MedDRA: Bloody discharge, Eye pain, Oropharyngeal pain, Rhinorrhoea, Toothache — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Mild sore throat, mild running nose, some blood in sputum and nasal mucous. Eye balls pain, teeth pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Fatigue or tiredness

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Headache

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-01-26
Survey response — days 1–6 daily, dose 2
MedDRA: Aphonia, Dysphonia — Feeling: Good

Free text: Since I first received Moderna vaccine, I have off and on of my voice becomes hoarse and then lost of voice briefly.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-02-05
Survey response — day 14, dose 2
MedDRA: Peripheral coldness — Feeling: Fair

Free text: R hand colder than L hand

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-02-17
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-02-24
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-23
Survey response — 3 months, dose 2
MedDRA: Abdominal pain — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Left abdominal pain off and on.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-11
Call 1 — Left Voicemail
2021-07-21
Survey response — 6 months, dose 2
MedDRA: Abdominal pain, Steatorrhoea, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Oil in stool and and L abdominal pain · Healthcare visit (other): Procedures

MedDRA releases: 2024-11 · check-in free text available
2021-07-21
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-27
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-23	Moderna
2	2021-01-20	Moderna

Call center

3 call center cases

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

See the call center timeline

Free text

Release 2 — day 21, dose 1

2021-01-15

Symptoms: Feeling fatigue since yesterday. Hard to speak at times and lost my voice a couple times today. Tension around my head. Some eyes strain. Feeling like I am getting sick.

Release 2 — day 0, dose 2

2021-01-20

Systemic reaction (other): Mild sore throat. Feeling dehydrated

Release 2 — days 1–6 daily, dose 2

2021-01-21

Systemic reaction (other): Mild sore throat, mild running nose, some blood in sputum and nasal mucous. Eye balls pain, teeth pain.

2021-01-26

Systemic reaction (other): Since I first received Moderna vaccine, I have off and on of my voice becomes hoarse and then lost of voice briefly.

Release 3 — day 14, dose 2

2021-02-05

Symptoms: R hand colder than L hand

Release 7 — 3 months, dose 2

2021-04-23

Symptoms: Left abdominal pain off and on.

Release 9 — 6 months, dose 2

2021-07-21

Symptoms: Oil in stool and and L abdominal pain

Healthcare visit (other): Procedures

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 pain	✓	✓	✓
SD	Aphonia	✓	✓	✓
SD	Asthenopia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Peripheral coldness	✓	✓	✓
SD	Steatorrhoea	·	·	✓
SD	Tension headache	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Aphonia	✓	✓	✓
SRO	Bloody discharge	✓	✓	✓
SRO	Dehydration	✓	✓	✓
SRO	Dysphonia	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Toothache	✓	✓	✓

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