3YT-25069-39634

3 vaccinations 6 coded responses 34 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 125 / NY
Registered: 2021-04-04

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

2021-04-01
Dose 1 — Moderna
2021-04-04
Registered in v-safe
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-15
Survey response — day 14, dose 1
MedDRA: Injection site pain, Injection site rash, Injection site swelling, Rash erythematous, Rash pruritic — Feeling: Good

Free text: About 10 days after initially receiving the vaccine, I had swelling, tenderness, red rash around the injection site. The rash was a little itchy. Symptoms lasted 5-6 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-29
Dose 2 — Moderna
2021-04-29
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-06
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-10
Survey response — day 42, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I have an infected saliva gland.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-21
Call 2 — Left Voicemail
2021-07-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-11
Dose 3 — Moderna
2021-12-13
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Free text: Lymph node swelling in armpit of arm that received injection

MedDRA releases: 2024-11 · check-in free text available
2021-12-14
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy, Rash erythematous — Feeling: Good · Site: Redness, Swelling, Itching

Free text: Continued Lymph node swelling under the arm that received the injection. Also, the red rash area is a little bigger today than yesterday.

MedDRA releases: 2024-11 · check-in free text available
2021-12-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-12-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · None

Adult check-in
2021-12-18
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-25
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-01
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-01-08
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-16
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-24
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-12
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-11
Survey response — 6 months, dose 3
MedDRA: COVID-19, Chills, Cough, Fatigue, Headache, Pain, Respiratory tract congestion, Viral infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Unknown virus is early April: Cough, congestion, fatigue, Positive COVID in mid-May: cough, congestion, headaches, body aches, chills, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-06-11
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-13
Call 1 — Left Voicemail
2022-06-13
Call 1 — Left Voicemail
2022-12-11
Survey response — 12 months, dose 3
MedDRA: Asthma, Pre-existing disease, Respiratory tract infection viral — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Respiratory virus, asthma triggered as a result. First time I've had to treat asthma with Prednisone and advair in about 10 years

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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-12
Call 3 — Left Voicemail
2022-12-12
Call 2 — Left Voicemail
2022-12-12
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Moderna
2	2021-04-29	Moderna
3	2021-12-11	Moderna	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 7 — day 14, dose 1

2021-04-15

Symptoms: About 10 days after initially receiving the vaccine, I had swelling, tenderness, red rash around the injection site. The rash was a little itchy. Symptoms lasted 5-6 days.

Release 9 — day 42, dose 2

2021-06-10

Symptoms: I have an infected saliva gland.

Release 10 — days 1–6 daily, dose 3

2021-12-13

Systemic reaction (other): Lymph node swelling in armpit of arm that received injection

2021-12-14

Systemic reaction (other): Continued Lymph node swelling under the arm that received the injection. Also, the red rash area is a little bigger today than yesterday.

Release 12 — 6 months, dose 3

2022-06-11

Symptoms: Unknown virus is early April: Cough, congestion, fatigue, Positive COVID in mid-May: cough, congestion, headaches, body aches, chills, fatigue

Release 12 — 12 months, dose 3

2022-12-11

Symptoms: Respiratory virus, asthma triggered as a result. First time I've had to treat asthma with Prednisone and advair in about 10 years

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	Asthma	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rash erythematous	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Respiratory tract infection viral	·	·	✓
SD	Unevaluable event	✓	✓	✓
SD	Viral infection	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Rash erythematous	·	·	✓

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