4BC-33767-18534

3 vaccinations 9 coded responses 40 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 180 / PA
Registered: 2021-02-04

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

2021-02-04
Registered in v-safe
2021-02-04
Dose 1 — Moderna
2021-02-04
Health check-in — day 0, dose 1
Feeling: Good · None

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

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Headache

Adult check-in
2021-02-07
Survey response — days 1–6 daily, dose 1
MedDRA: Sneezing — Feeling: Good · Site: Pain · Headache

Free text: Sneezing quite a bit

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

Free text: Sneezing

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

Free text: Dull sinus headache. Sneezy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site mass, Injection site warmth — Feeling: Good

Free text: Hard lump surrounding the injection site. Red and hot to touch. All appeared 8 days post vaccination. As of today, the lump, tenderness and redness have subsided and it no longer is hot to the touch.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-04
Dose 2 — Moderna
2021-03-04
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-03-11
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-25
Survey response — day 21, dose 2
MedDRA: Injection site erythema, Injection site induration, Skin warm — Feeling: Good

Free text: Arm issue - hard and red around injection site. Hot to the touch.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Dose 3 — Moderna
2021-10-29
Survey response — day 0, dose 3
MedDRA: No adverse event — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Feeling abnormal — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Feel awful but glad to have gotten my booster

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Diarrhea

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Headache

Adult check-in
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Limb discomfort — Feeling: Good · Site: Pain, Swelling

Free text: Arm still feel very heavy.

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-05
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 42, dose 3
Feeling: Good

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

Adult check-in
2022-04-29
Survey response — 6 months, dose 3
MedDRA: Nasopharyngitis, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Bad cold · Healthcare visit (other): Pcp

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-03
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Moderna
2	2021-03-04	Moderna
3	2021-10-29	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-07

Systemic reaction (other): Sneezing quite a bit

2021-02-08

Systemic reaction (other): Sneezing

2021-02-09

Systemic reaction (other): Dull sinus headache. Sneezy.

Release 4 — day 14, dose 1

2021-02-18

Symptoms: Hard lump surrounding the injection site. Red and hot to touch. All appeared 8 days post vaccination. As of today, the lump, tenderness and redness have subsided and it no longer is hot to the touch.

Release 6 — day 21, dose 2

2021-03-25

Symptoms: Arm issue - hard and red around injection site. Hot to the touch.

Release 10 — day 0, dose 3

2021-10-29

Systemic reaction (other): No

Release 10 — days 1–6 daily, dose 3

2021-10-30

Systemic reaction (other): Feel awful but glad to have gotten my booster

2021-11-02

Systemic reaction (other): Arm still feel very heavy.

Release 11 — 6 months, dose 3

2022-04-29

Symptoms: Bad cold

Healthcare visit (other): Pcp

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	Injection site erythema	✓	✓	✓
SD	Injection site induration	✓	✓	✓
SD	Injection site mass	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Skin warm	✓	✓	✓
SRO	Feeling abnormal	·	·	✓
SRO	Limb discomfort	·	·	✓
SRO	No adverse event	·	·	✓
SRO	Sinus headache	✓	✓	✓
SRO	Sneezing	✓	✓	✓

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