4GF-28905-03327

3 vaccinations 5 coded responses 21 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 064 / CT
Registered: 2021-01-07

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

2021-01-07
Registered in v-safe
2021-01-07
Dose 1 — Moderna
2021-01-07
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-01-14
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Survey response — day 14, dose 1
MedDRA: Unevaluable event — Feeling: Poor · Be unable to work

Free text: Rash on face I think from eating fresh ginger also stomach sick from fish I think that was bad

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-04
Dose 2 — Moderna
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Headache, Nausea, Vomiting — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting

Free text: I had a terrible headache the next day and I felt exhausted for 2 days I also had nausea and vomited on Saturday I feel much better today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-05
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
2021-03-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-05
Survey response — 6 months, dose 2
MedDRA: Cough — Feeling: Fair

Free text: Just coughing

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-11
Dose 3 — Moderna
2022-02-04
Survey response — 12 months, dose 2
MedDRA: Abdominal pain lower, Back pain, Cough, Office visit, Sneezing — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Still sneezing and coughing also pain in lower abdomen and back · Healthcare visit (other): Doctor and chiropractor

MedDRA releases: 2024-11 · check-in free text available
2022-02-04
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2022-02-10
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-03-31
Call 1 — Left Voicemail
2022-05-12
Survey response — 6 months, dose 3
MedDRA: Ageusia, Anosmia, Cough, Diarrhoea, Headache, Pain, Pyrexia, SARS-CoV-2 test positive, Sneezing — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I tested positive for COVID-19 about 4 weeks ago had sneezing cough headache diarrhea achy fever lost smell and taste all for about 8-9 days Received antibody infusion still have a little cough and have to use an inhaler

MedDRA releases: 2024-11 · check-in free text available
2022-05-12
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-05-13
Call 2 — Left Voicemail
2022-05-13
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Moderna
2	2021-02-04	Moderna
3	2021-11-11	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-21

Symptoms: Rash on face I think from eating fresh ginger also stomach sick from fish I think that was bad

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): I had a terrible headache the next day and I felt exhausted for 2 days I also had nausea and vomited on Saturday I feel much better today

Release 9 — 6 months, dose 2

2021-08-05

Symptoms: Just coughing

Release 11 — 12 months, dose 2

2022-02-04

Symptoms: Still sneezing and coughing also pain in lower abdomen and back

Healthcare visit (other): Doctor and chiropractor

Release 11 — 6 months, dose 3

2022-05-12

Symptoms: I tested positive for COVID-19 about 4 weeks ago had sneezing cough headache diarrhea achy fever lost smell and taste all for about 8-9 days Received antibody infusion still have a little cough and have to use an inhaler

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	Abdominal pain lower	·	·	✓
SD	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	Back pain	·	·	✓
SD	Cough	✓	·	✓
SD	Diarrhoea	·	·	✓
SD	Headache	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sneezing	·	·	✓
SD	Unevaluable event	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Vomiting	✓	✓	✓

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