3WG-32521-92731

4 vaccinations 9 coded responses 43 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 314 / GA
Registered: 2021-02-11

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

2021-02-07
Dose 1 — Moderna
2021-02-11
Registered in v-safe
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness · Diarrhea

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-02-14
Survey response — day 7, dose 1
MedDRA: Head discomfort — Feeling: Good · Headache

Free text: Slight headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Survey response — day 14, dose 1
MedDRA: Diarrhoea — Feeling: Good

Free text: Bowels have been loose until today. So far today they have been ok.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-07
Dose 2 — Moderna
2021-03-07
Health check-in — day 0, dose 2
Feeling: Fair · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Headache

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Good · Site: Pain

Free text: The arm is only slightly sore to the touch

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-14
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-28
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-04
Survey response — day 28, dose 2
MedDRA: Cough, Dysphonia, Oropharyngeal pain — Feeling: Poor

Free text: Sore throat hoarseness cough

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

Adult check-in
2021-04-18
Health check-in — day 42, dose 2
Feeling: Good

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

Adult check-in
2021-09-08
Survey response — 6 months, dose 2
MedDRA: Dysphonia, Headache — Feeling: Fair

Free text: Headaches and hoarseness

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Dose 3 — Moderna
2021-11-01
Health check-in — day 0, dose 3
Feeling: Fair · None

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-08
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-15
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-22
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-30
Survey response — day 28, dose 3
MedDRA: Cough, Increased need for sleep, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Low grade fever coughs from wanting to sleep a lot which lasted 3 days. My family thinks I just got run down from cooking a large thanksgiving dinner

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-13
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-31
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-03
Dose 4 — Moderna
2022-04-19
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-04-24
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-03
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-08
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-05-15
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-03
Survey response — 3 months, dose 4
MedDRA: Anaemia, Colonoscopy abnormal, Haematochezia, Large intestine polyp, Precancerous lesion of digestive tract — Feeling: Fair

Free text: Anemic and had two iron infusions. Blood showing up in stools. Had the scope down the throat didn't show anything. Then had a colonoscopy and had two polyps that were pre cancerous

MedDRA releases: 2024-11 · check-in free text available
2022-10-02
Survey response — 6 months, dose 4
MedDRA: Anaemia — Feeling: Fair

Free text: Anemic Had 2 iron infusions Colonoscopy had 2 pre cancerous diets Cant remember last check in and if either one of these were reported

MedDRA releases: 2024-11 · check-in free text available
2023-04-05
Survey response — 12 months, dose 4
MedDRA: Blood pressure increased, Office visit, Swelling — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-04-05
Report sent to call center — 12 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2023-04-06
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-07	Moderna
2	2021-03-07	Moderna
3	2021-11-01	Moderna	No
4	2022-04-03	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — day 7, dose 1

2021-02-14

Systemic reaction (other): Slight headache

Release 4 — day 14, dose 1

2021-02-21

Symptoms: Bowels have been loose until today. So far today they have been ok.

Release 5 — days 1–6 daily, dose 2

2021-03-12

Systemic reaction (other): The arm is only slightly sore to the touch

Release 6 — day 28, dose 2

2021-04-04

Symptoms: Sore throat hoarseness cough

Release 9 — 6 months, dose 2

2021-09-08

Symptoms: Headaches and hoarseness

Release 10 — day 28, dose 3

2021-11-30

Symptoms: Low grade fever coughs from wanting to sleep a lot which lasted 3 days. My family thinks I just got run down from cooking a large thanksgiving dinner

Release 12 — 3 months, dose 4

2022-07-03

Symptoms: Anemic and had two iron infusions. Blood showing up in stools. Had the scope down the throat didn't show anything. Then had a colonoscopy and had two polyps that were pre cancerous

Release 12 — 6 months, dose 4

2022-10-02

Symptoms: Anemic Had 2 iron infusions Colonoscopy had 2 pre cancerous diets Cant remember last check in and if either one of these were reported

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	Anaemia	·	·	✓
SD	Blood pressure increased	·	·	✓
SD	Colonoscopy abnormal	·	·	✓
SD	Cough	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dysphonia	✓	✓	✓
SD	Haematochezia	·	·	✓
SD	Headache	·	·	✓
SD	Increased need for sleep	·	·	✓
SD	Large intestine polyp	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Precancerous lesion of digestive tract	·	·	✓
SD	Pyrexia	·	·	✓
SD	Swelling	·	·	✓
SRO	Head discomfort	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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