433-33682-79093

3 vaccinations 12 coded responses 26 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 829 / WY
Registered: 2020-12-28

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

2020-12-28
Registered in v-safe
2021-01-06
Dose 1 — Moderna
2021-01-06
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-09
Survey response — days 1–6 daily, dose 1
MedDRA: Malaise, Throat irritation — Feeling: Fair

Free text: Irritated throat. Dont feel well.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-10
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Diarrhoea, Feeling hot, Malaise, Peripheral coldness — Feeling: Fair · Fever

Free text: Not feeling well. Norm temp is 96.8. Ferl hot inside but skin cool. Loose stools but still formed. Low energy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-20
Survey response — day 14, dose 1
MedDRA: Diarrhoea, Faeces discoloured, Feeling hot, Hypertrophy of tongue papillae, Oropharyngeal pain, Pharyngeal erythema, SARS-CoV-2 test negative — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Sore throat with red streaks and dark red. Enlarged taste buds in the back of tongue and very red. Loose stools light colored. Feverish no fever. O2 90-93 when up n moving one day. · Healthcare visit (other): Telehealtg scheduled for tomorrow. Rapid covid negative more result thurs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-20
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-27
Survey response — day 21, dose 1
MedDRA: Pharyngitis streptococcal, Unevaluable event — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Hospitalization

Free text: Symptoms: Strep throat · Healthcare visit (other): Injection at office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Report sent to call center — day 21, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-03
Dose 2 — Moderna
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Fair · Fever · Headache, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Dry cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — days 1–6 daily, dose 2
MedDRA: Diarrhoea, Stomatitis, Throat irritation — Feeling: Fair · Fever · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Loose stools irritation in mouth and throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling hot — Feeling: Good

Free text: Body radiates heat at night still

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling hot — Feeling: Good

Free text: Radiate alot of heat at night its like baking insidee

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — day 7, dose 2
MedDRA: Pyrexia — Feeling: Good

Free text: Bedtime feverish no sweating continues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 21, dose 2
Feeling: Good

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

Adult check-in
2021-03-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-03-26
Call 1 — Left Voicemail
2021-03-30
Call 2 — Left Voicemail
2021-04-01
Call 3 — Left Voicemail
2021-05-05
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-08
Call 1 — Left Voicemail
2021-08-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-03
Survey response — 12 months, dose 2
MedDRA: Diarrhoea, Nausea, Sinus congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Nausea loose stools stuffy sinus

MedDRA releases: 2024-11 · check-in free text available
2022-06-10
Dose 3 — Moderna
2022-09-13
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-12-09
Survey response — 6 months, dose 3
MedDRA: Cough, Sinusitis — Feeling: Fair

Free text: bad cough, sinus infection

MedDRA releases: 2024-11 · check-in free text available
2023-06-10
Survey response — 12 months, dose 3
MedDRA: Cough, Hyperhidrosis, Myalgia, Oropharyngeal pain, Sinusitis, Taste disorder — Feeling: Good

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Moderna
2	2021-02-03	Moderna
3	2022-06-10	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 1 — days 1–6 daily, dose 1

2021-01-09

Systemic reaction (other): Irritated throat. Dont feel well.

2021-01-10

Systemic reaction (other): Not feeling well. Norm temp is 96.8. Ferl hot inside but skin cool. Loose stools but still formed. Low energy

Release 2 — day 14, dose 1

2021-01-20

Symptoms: Sore throat with red streaks and dark red. Enlarged taste buds in the back of tongue and very red. Loose stools light colored. Feverish no fever. O2 90-93 when up n moving one day.

Healthcare visit (other): Telehealtg scheduled for tomorrow. Rapid covid negative more result thurs.

Release 2 — day 21, dose 1

2021-01-27

Symptoms: Strep throat

Healthcare visit (other): Injection at office

Release 3 — days 1–6 daily, dose 2

2021-02-05

Systemic reaction (other): Dry cough

2021-02-06

Systemic reaction (other): Loose stools irritation in mouth and throat

2021-02-08

Systemic reaction (other): Body radiates heat at night still

2021-02-09

Systemic reaction (other): Radiate alot of heat at night its like baking insidee

Release 4 — day 7, dose 2

2021-02-10

Systemic reaction (other): Bedtime feverish no sweating continues

Release 11 — 12 months, dose 2

2022-02-03

Symptoms: Nausea loose stools stuffy sinus

Release 12 — 6 months, dose 3

2022-12-09

Symptoms: bad cough, sinus infection

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	SARS-CoV-2 test negative	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Cough	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Faeces discoloured	✓	✓	✓
SD	Feeling hot	✓	✓	✓
SD	Hyperhidrosis	·	·	✓
SD	Hypertrophy of tongue papillae	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pharyngeal erythema	✓	✓	✓
SD	Pharyngitis streptococcal	✓	✓	✓
SD	Sinus congestion	·	·	✓
SD	Sinusitis	·	·	✓
SD	Taste disorder	·	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Peripheral coldness	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Stomatitis	✓	✓	✓
SRO	Throat irritation	✓	✓	✓

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