46W-27782-85473

3 vaccinations 12 coded responses 29 check-ins 12 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 667 / KS
Registered: 2021-02-23

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

2021-02-23
Registered in v-safe
2021-02-23
Dose 1 — Moderna
2021-02-23
Survey response — day 0, dose 1
MedDRA: Injection site rash — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Three bumps appeared above injection site but are fading

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-02-25
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Paranasal sinus discomfort, Sinus pain — Feeling: Good · Headache

Free text: Sinus pain and pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-22
Dose 2 — Moderna
2021-03-22
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Office visit — Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Feels like my chest is on fire if I lay down for very long · Healthcare visit (other): Er visit within an hour of vaccination

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Paranasal sinus discomfort, Sinus pain — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Be unable to work

Free text: Sinus pain and pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-31
Survey response — day 7, dose 2
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — day 14, dose 2
MedDRA: Dry skin, Skin fissures — Feeling: Good

Free text: Extremely dry and cracked skin on my hands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-19
Survey response — day 28, dose 2
MedDRA: Urinary tract infection — Feeling: Poor

Free text: Severe uti that I'm on my third antibiotic for

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — day 35, dose 2
MedDRA: Kidney infection, Urinary tract infection — Feeling: Fair · Be unable to work

Free text: Uti progressed to kidney infection that required levaquin to treat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-10-26
Dose 3 — Moderna
2021-10-28
Survey response — days 1–6 daily, dose 3
MedDRA: Oedema peripheral — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Swelling in armpit

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-05
Survey response — day 7, dose 3
MedDRA: Cough, Throat irritation — Feeling: Fair

Free text: Itchy/scratchy throat and dry cough

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Survey response — day 14, dose 3
MedDRA: Cough — Feeling: Fair

Free text: Dry cough when sleeping

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Call 1 — Left Voicemail
2021-12-07
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-10-26
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-23	Moderna
2	2021-03-22	Moderna
3	2021-10-26	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 0, dose 1

2021-02-23

Systemic reaction (other): Three bumps appeared above injection site but are fading

Release 4 — days 1–6 daily, dose 1

2021-03-01

Systemic reaction (other): Sinus pain and pressure

Release 6 — days 1–6 daily, dose 2

2021-03-23

Systemic reaction (other): Feels like my chest is on fire if I lay down for very long

Healthcare visit (other): Er visit within an hour of vaccination

2021-03-24

Systemic reaction (other): Sinus pain and pressure

2021-03-25

Systemic reaction (other): Dizziness

Release 6 — day 7, dose 2

2021-03-31

Systemic reaction (other): Sore throat

Release 6 — day 14, dose 2

2021-04-05

Symptoms: Extremely dry and cracked skin on my hands

Release 7 — day 28, dose 2

2021-04-19

Symptoms: Severe uti that I'm on my third antibiotic for

Release 8 — day 35, dose 2

2021-04-26

Symptoms: Uti progressed to kidney infection that required levaquin to treat

Release 10 — days 1–6 daily, dose 3

2021-10-28

Systemic reaction (other): Swelling in armpit

Release 10 — day 7, dose 3

2021-11-05

Systemic reaction (other): Itchy/scratchy throat and dry cough

Release 10 — day 14, dose 3

2021-11-09

Symptoms: Dry cough when sleeping

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	Cough	·	·	✓
SD	Dry skin	✓	✓	✓
SD	Kidney infection	✓	✓	✓
SD	Skin fissures	✓	✓	✓
SD	Urinary tract infection	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Cough	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Injection site rash	✓	✓	✓
SRO	Oedema peripheral	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Paranasal sinus discomfort	✓	✓	✓
SRO	Sinus pain	✓	✓	✓
SRO	Throat irritation	·	·	✓

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