3VW-12329-55394

3 vaccinations 6 coded responses 26 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 920 / CA
Registered: 2021-02-02

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

2021-02-02
Registered in v-safe
2021-02-02
Dose 1 — Moderna
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-02-09
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-23
Survey response — day 21, dose 1
MedDRA: Fatigue, Irritability, Migraine, Myalgia, Nasal congestion, Nasopharyngitis, Oropharyngeal pain, Sneezing — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sore throat, stuffy nose, sneezing, muscle aches, fatigue, crankiness. Just a cold, I think-- no fever, nothing major. The ubiquitous headaches... one really bad migraine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-08
Dose 2 — Moderna
2021-03-09
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-05-04
Survey response — 3 months, dose 1
MedDRA: Bacterial infection, Blister, Hypersensitivity, Nausea, Office visit, Pain, Pruritus, Swelling, Urticaria — 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, Emergency room or emergency department visit

Free text: Symptoms: Allergic reaction to ChloraPrep, resulting in bacterial infection with itchy hives & blisters, swelling, pain & nausea. That was a few days post vax #2. · Healthcare visit (other): PCP followup

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Report sent to call center — 3 months, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-06
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-24
Dose 3 — Moderna
2021-10-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-31
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-07
Survey response — day 14, dose 3
MedDRA: Cough — Feeling: Fair

Free text: Persistent dry cough

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-21
Survey response — day 28, dose 3
MedDRA: Cough, Depression, Fatigue, Headache, Oropharyngeal pain, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school

Free text: Cough, sore throat, runny nose, headache, fatigue, depression

MedDRA releases: 2024-11 · check-in free text available
2021-11-28
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-05
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-23
Survey response — 3 months, dose 3
MedDRA: Nasopharyngitis, Oropharyngeal pain — Feeling: Fair

Free text: I have a cold & sore throat.

MedDRA releases: 2024-11 · check-in free text available
2022-02-11
Call 1 — Could Not Reach Participant
2022-02-16
Call 2 — Could Not Reach Participant
2022-04-24
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-24
Survey response — 12 months, dose 3
MedDRA: Abnormal loss of weight, Balance disorder, Decreased appetite, Depression, Gastrointestinal disorder, Parosmia — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Rapid unintended weight loss, digestive issues, impairment of balance, impaired sense of smell, loss of appetite, depression

MedDRA releases: 2024-11 · check-in free text available
2022-10-24
Report sent to call center — 12 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-10-25
Call 3 — Left Voicemail
2022-10-25
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-02	Moderna
2	2021-03-08	Moderna
3	2021-10-24	Moderna	No

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 21, dose 1

2021-02-23

Symptoms: Sore throat, stuffy nose, sneezing, muscle aches, fatigue, crankiness. Just a cold, I think-- no fever, nothing major. The ubiquitous headaches... one really bad migraine.

Release 8 — 3 months, dose 1

2021-05-04

Symptoms: Allergic reaction to ChloraPrep, resulting in bacterial infection with itchy hives & blisters, swelling, pain & nausea. That was a few days post vax #2.

Healthcare visit (other): PCP followup

Release 10 — day 14, dose 3

2021-11-07

Symptoms: Persistent dry cough

Release 10 — day 28, dose 3

2021-11-21

Symptoms: Cough, sore throat, runny nose, headache, fatigue, depression

Release 11 — 3 months, dose 3

2022-01-23

Symptoms: I have a cold & sore throat.

Release 12 — 12 months, dose 3

2022-10-24

Symptoms: Rapid unintended weight loss, digestive issues, impairment of balance, impaired sense of smell, loss of appetite, depression

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	Abnormal loss of weight	·	·	✓
SD	Bacterial infection	✓	✓	✓
SD	Balance disorder	·	·	✓
SD	Blister	✓	✓	✓
SD	Cough	·	·	✓
SD	Decreased appetite	·	·	✓
SD	Depression	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	·	·	✓
SD	Hypersensitivity	✓	✓	✓
SD	Irritability	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Parosmia	·	·	✓
SD	Pruritus	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Sneezing	✓	✓	✓
SD	Swelling	✓	✓	✓
SD	Urticaria	✓	✓	✓

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