493-20834-10412

4 vaccinations 7 coded responses 38 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 229 / VA
Registered: 2021-01-21

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

2021-01-21
Registered in v-safe
2021-01-21
Dose 1 — Moderna
2021-01-21
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Heart rate increased, Pyrexia — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Felt like I had a fever or hot but no elevated temperature. I also have had fast heart rate. Feeling a little off since late last night which would be 36 hours after first dose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Nausea

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-11
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-17
Dose 2 — Moderna
2021-02-18
Survey response — days 1–6 daily, dose 2
MedDRA: Thirst, Tinnitus — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Heard ringing in ear like going to faint about 12 hours after second dose when standing up. 2. Extreme thirst 9-15 hours after second dose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Itching · Fatigue or tiredness

Adult check-in
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site rash — Feeling: Good · Site: Redness, Itching

Free text: Bandaid gave rash at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-03
Survey response — day 14, dose 2
MedDRA: Injection site pruritus — Feeling: Good

Free text: Injection site is suddenly itchy the last 4 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-19
Survey response — 3 months, dose 2
MedDRA: Office visit, Rash, Rash macular — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Mysterious rash on torso only. Did not itch. Splotchy and not really raised. Lasted about 2-4 weeks and disappeared. Dr and dermatologists were both seen. I called the Moderna hotline as well to report Rash presented 2-3 weeks after second dose · Healthcare visit (other): Dr appt as well as dermatology to check

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-18
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-09
Dose 3 — Moderna
2021-11-12
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Itching · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · None

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-16
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-23
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-30
Survey response — day 21, dose 3
MedDRA: Lymph node pain — Feeling: Good

Free text: Lymph nodes tender in left armpit

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-14
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-21
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-08
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-10
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-12
Call 1 — Left Voicemail
2022-05-12
Call successful
Not applicable - Accidental Reporting
2022-07-29
Dose 4 — Pfizer-BioNTech
2022-10-30
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-01-29
Survey response — 6 months, dose 4
MedDRA: Asthenia, COVID-19, Fatigue, Hallucination, Insomnia, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Moderna
2	2021-02-17	Moderna
3	2021-11-09	Moderna	No
4	2022-07-29	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-23

Systemic reaction (other): Felt like I had a fever or hot but no elevated temperature. I also have had fast heart rate. Feeling a little off since late last night which would be 36 hours after first dose

Release 4 — days 1–6 daily, dose 2

2021-02-18

Systemic reaction (other): Heard ringing in ear like going to faint about 12 hours after second dose when standing up. 2. Extreme thirst 9-15 hours after second dose.

2021-02-21

Systemic reaction (other): Bandaid gave rash at injection site

Release 4 — day 14, dose 2

2021-03-03

Symptoms: Injection site is suddenly itchy the last 4 days

Release 8 — 3 months, dose 2

2021-05-19

Symptoms: Mysterious rash on torso only. Did not itch. Splotchy and not really raised. Lasted about 2-4 weeks and disappeared. Dr and dermatologists were both seen. I called the Moderna hotline as well to report Rash presented 2-3 weeks after second dose

Healthcare visit (other): Dr appt as well as dermatology to check

Release 10 — day 21, dose 3

2021-11-30

Symptoms: Lymph nodes tender in left armpit

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	Asthenia	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	Hallucination	·	·	✓
SD	Injection site pruritus	✓	✓	✓
SD	Insomnia	·	·	✓
SD	Lymph node pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rash	✓	✓	✓
SD	Rash macular	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Injection site rash	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Thirst	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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