4DF-94671-30473

4 vaccinations 11 coded responses 29 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 198 / DE
Registered: 2021-03-31

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-30
Dose 1 — Moderna
2021-03-31
Registered in v-safe
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · Fatigue or tiredness

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-06
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-13
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site pruritus — Feeling: Fair

Free text: The mole and skin near the shot have been itchy and red.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 21, dose 1
MedDRA: Injection site pain, Medical counselling, Myalgia, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Arm muscle remains sore near shot location. · Healthcare visit (other): Phone message /callback from nurse

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

1 call case(s)
2021-04-27
Dose 2 — Moderna
2021-04-27
Survey response — day 0, dose 2
MedDRA: Pruritus — Feeling: Fair · Site: Pain

Free text: Itchy skin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog, Decreased appetite — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work

Free text: Not vomiting; just not hungry. Brain fog. Normal temp last night was 97.7.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
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 · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-04-29
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)
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-04
Health check-in — day 7, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-05-11
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-18
Survey response — day 21, dose 2
MedDRA: Injection site discolouration, Injection site pruritus — Feeling: Fair

Free text: Slight discoloration around shot area and persistent itchiness there.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-11-16
Dose 3 — Moderna
2021-11-17
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-11-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-11-20
Survey response — days 1–6 daily, dose 3
MedDRA: Chills, Genital haemorrhage — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Moderate Chills yesterday. Genital bleeding today outside of standard cycle.

MedDRA releases: 2024-11 · check-in free text available
2021-11-21
Survey response — days 1–6 daily, dose 3
MedDRA: Vaginal haemorrhage — Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tiredness

Free text: Genital spotting

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Survey response — day 7, dose 3
MedDRA: Menstruation irregular — Feeling: Fair · Site: Itching · Fatigue or tiredness

Free text: This changed my menstrual cycle.

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Survey response — day 14, dose 3
MedDRA: Injection site pruritus, Injection site reaction, Rash erythematous — Feeling: Fair

Free text: A red rash has just started around the site, with periods of itchiness.

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-30
Survey response — day 42, dose 3
MedDRA: Chills — Feeling: Fair

Free text: Chills

MedDRA releases: 2024-11 · check-in free text available
2022-02-26
Call 1 — Left Voicemail
2022-09-26
Dose 4 — Moderna
2022-10-03
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-13
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-30	Moderna
2	2021-04-27	Moderna
3	2021-11-16	Moderna	No
4	2022-09-26	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 7 — day 14, dose 1

2021-04-13

Symptoms: The mole and skin near the shot have been itchy and red.

Release 7 — day 21, dose 1

2021-04-21

Symptoms: Arm muscle remains sore near shot location.

Healthcare visit (other): Phone message /callback from nurse

Release 8 — day 0, dose 2

2021-04-27

Systemic reaction (other): Itchy skin

Release 8 — days 1–6 daily, dose 2

2021-04-28

Systemic reaction (other): Not vomiting; just not hungry. Brain fog. Normal temp last night was 97.7.

2021-04-30

Systemic reaction (other): Brain fog

Release 8 — day 21, dose 2

2021-05-18

Symptoms: Slight discoloration around shot area and persistent itchiness there.

Release 10 — days 1–6 daily, dose 3

2021-11-20

Systemic reaction (other): Moderate Chills yesterday. Genital bleeding today outside of standard cycle.

2021-11-21

Systemic reaction (other): Genital spotting

Release 10 — day 7, dose 3

2021-11-26

Systemic reaction (other): This changed my menstrual cycle.

Release 10 — day 14, dose 3

2021-12-05

Symptoms: A red rash has just started around the site, with periods of itchiness.

Release 10 — day 42, dose 3

2021-12-30

Symptoms: Chills

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	Medical counselling	✓	✓	✓
SD	Chills	·	·	✓
SD	Injection site discolouration	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site reaction	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Rash erythematous	·	·	✓
SRO	Brain fog	✓	✓	✓
SRO	Chills	·	·	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Genital haemorrhage	·	·	✓
SRO	Menstruation irregular	·	·	✓
SRO	Pruritus	✓	✓	✓
SRO	Vaginal haemorrhage	·	·	✓

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