4GH-24670-93256

3 vaccinations 12 coded responses 23 check-ins 12 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 645 / MO
Registered: 2021-01-28

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

2021-01-27
Dose 1 — Moderna
2021-01-28
Registered in v-safe
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Good · Headache, Fatigue or tiredness

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — day 14, dose 1
MedDRA: Cough, Fatigue, Rhinorrhoea, Tinnitus — Feeling: Fair

Free text: Ringing in ears, cough, runny nose, tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — day 21, dose 1
MedDRA: Chest pain, Cough, Fatigue, Feeling abnormal, Malaise, Pyrexia, Respiratory tract congestion — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: Fever, congestion, cough, foggy brain, chest pain, fatigue...all the COVID symptoms except loss of taste and smell

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Dose 2 — Moderna
2021-02-25
Survey response — day 0, dose 2
MedDRA: Pruritus — Feeling: Fair · Site: Pain · Fever

Free text: No rash, but I do feel itchy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Arm pit lymph node pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Arm pit lymph node pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-26
Survey response — 6 months, dose 2
MedDRA: Chills, Cough, Pyrexia, Respiratory tract congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Fever, chills, horrible cough and congestion

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
Report sent to call center — 6 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)
2021-09-02
Call 1 — Left Voicemail
2021-11-05
Dose 3 — Moderna
2021-11-08
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling · Be unable to do your normal daily activities

Free text: Pain in arm pit area of injection arm, inflamed gland in pelvic region (may be unrelated but just happened this weekend)

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Survey response — days 1–6 daily, dose 3
MedDRA: Pelvic pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Pain in pelvic region, possible cyst or lymph node flare up

MedDRA releases: 2024-11 · check-in free text available
2021-11-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · None

Adult check-in
2021-11-12
Survey response — day 7, dose 3
MedDRA: Thrombosis, Unevaluable event — Feeling: Poor · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Vulvular blood clot removed

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Report sent to call center — day 7, 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-15
Call 1 — Left Voicemail
2021-11-19
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-12
Survey response — day 35, dose 3
MedDRA: Cough, Headache, Respiratory tract congestion — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Congestion, headache, cough

MedDRA releases: 2024-11 · check-in free text available
2021-12-12
Report sent to call center — day 35, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-13
Call 1 — Left Voicemail
2021-12-17
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-04
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-06
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-05
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-27	Moderna
2	2021-02-25	Moderna
3	2021-11-05	Moderna	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-01

Systemic reaction (other): Cough

Release 4 — day 14, dose 1

2021-02-10

Symptoms: Ringing in ears, cough, runny nose, tired

Release 4 — day 21, dose 1

2021-02-17

Symptoms: Fever, congestion, cough, foggy brain, chest pain, fatigue...all the COVID symptoms except loss of taste and smell

Release 4 — day 0, dose 2

2021-02-25

Systemic reaction (other): No rash, but I do feel itchy

Release 4 — days 1–6 daily, dose 2

2021-02-26

Systemic reaction (other): Itching

2021-02-27

Systemic reaction (other): Arm pit lymph node pain

2021-03-01

Systemic reaction (other): Arm pit lymph node pain

Release 9 — 6 months, dose 2

2021-08-26

Symptoms: Fever, chills, horrible cough and congestion

Release 10 — days 1–6 daily, dose 3

2021-11-08

Systemic reaction (other): Pain in arm pit area of injection arm, inflamed gland in pelvic region (may be unrelated but just happened this weekend)

2021-11-09

Systemic reaction (other): Pain in pelvic region, possible cyst or lymph node flare up

Release 10 — day 7, dose 3

2021-11-12

Systemic reaction (other): Vulvular blood clot removed

Release 10 — day 35, dose 3

2021-12-12

Symptoms: Congestion, headache, cough

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
SD	Chest pain	✓	✓	✓
SD	Chills	✓	·	✓
SD	Cough	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Headache	·	·	✓
SD	Malaise	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SRO	Axillary pain	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Pelvic pain	·	·	✓
SRO	Pruritus	✓	✓	✓
SRO	Thrombosis	·	·	✓
SRO	Unevaluable event	·	·	✓

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