4J8-12375-85028

4 vaccinations 5 coded responses 54 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 301 / GA
Registered: 2021-03-09

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

2021-03-09
Registered in v-safe
2021-03-09
Dose 1 — Moderna
2021-03-09
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-06
Dose 2 — Moderna
2021-04-06
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site erythema, Injection site swelling, Injection site warmth — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Heat at injection site where the redness and swelling is

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

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-18
Survey response — day 42, dose 2
MedDRA: Cough, Fatigue, Oropharyngeal pain, Respiratory tract congestion, Sinusitis — Feeling: Poor · Be unable to work, 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: It came on quickly thought I was experiencing allergies. Had for two weeks. It started with sore throat that went away next day, Coughing, congestion then sometimes coughing up mucus. Doctor said sinus infection treating Still coughing lit tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Report sent to call center — day 42, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-22
Dose 3 — Moderna
Co-administered: Flu
2021-11-22
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-29
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-06
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-13
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-20
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-27
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-03
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-21
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-11
Call 1 — Left Voicemail
2022-05-23
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-24
Dose 4 — Moderna
Co-administered: Flu
2022-09-24
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-09-25
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-09-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-09-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-29
Survey response — days 1–6 daily, dose 4
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-09-30
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-01
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-08
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-15
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-22
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-29
Survey response — day 35, dose 4
MedDRA: Abdominal pain, Diarrhoea, Exposure to communicable disease, Muscle spasms, Nausea — Feeling: Good · Be unable to do your normal daily activities

Free text: Abdominal pain, nausea, cramps and watery stools. Maybe stomach virus. I teach school and many of the children had been absent because of it.

MedDRA releases: 2024-11 · check-in free text available
2022-11-05
Survey response — day 42, dose 4
MedDRA: Abdominal pain, Diarrhoea, Headache, Influenza A virus test positive, Nausea — 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: Symptoms: Nausea, diarrhea, abdominal pain, headache · Healthcare visit (other): Tested positive for flu A

MedDRA releases: 2024-11 · check-in free text available
2022-11-05
Report sent to call center — day 42, dose 4
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)
2022-11-08
Call 2 — Left Voicemail
2022-11-08
Call 1 — Left Voicemail
2022-11-08
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-08
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-24
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-25
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Moderna
2	2021-04-06	Moderna
3	2021-11-22	Moderna	Flu
4	2022-09-24	Moderna	Flu

Call center

2 call center cases

2 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-08

Systemic reaction (other): Heat at injection site where the redness and swelling is

Release 8 — day 42, dose 2

2021-05-18

Symptoms: It came on quickly thought I was experiencing allergies. Had for two weeks. It started with sore throat that went away next day, Coughing, congestion then sometimes coughing up mucus. Doctor said sinus infection treating Still coughing lit tired

Release 12 — days 1–6 daily, dose 4

2022-09-29

Systemic reaction (other): Sore throat

Release 12 — day 35, dose 4

2022-10-29

Symptoms: Abdominal pain, nausea, cramps and watery stools. Maybe stomach virus. I teach school and many of the children had been absent because of it.

Release 12 — day 42, dose 4

2022-11-05

Symptoms: Nausea, diarrhea, abdominal pain, headache

Healthcare visit (other): Tested positive for flu A

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	Influenza A virus test positive	·	·	✓
SD	Abdominal pain	·	·	✓
SD	Cough	✓	✓	✓
SD	Diarrhoea	·	·	✓
SD	Exposure to communicable disease	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Muscle spasms	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓

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