5P2-24210-57613

2 vaccinations 7 coded responses 22 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 030 / NH
Registered: 2021-02-04

Relationship: Self
Race: White
Ethnicity: N/A

Timeline

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

2021-02-01
Dose 1 — Moderna
2021-02-04
Registered in v-safe
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-05
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Good · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: This started last night after last checkin but was gone by this morning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Survey response — day 14, dose 1
MedDRA: Chills, Pyrexia — Feeling: Good · Be unable to do your normal daily activities

Free text: I got a fever and chills. The fever lasted about 12 hours. The chills lasted a day and a half or so

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-01
Dose 2 — Moderna
2021-03-01
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Fatigue or tiredness

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal distension, Abdominal pain, Infection, Pre-existing disease — Feeling: Fair · Site: Redness, Swelling · Fever · Abdominal pain · Be unable to do your normal daily activities

Free text: I have a AspireAssist tube in my stomach that has become very pain abs swollen around it. Dr thinks infected. Odd first time infected in years day after vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Discharge, Erythema, Infection, Pain, Swelling — Feeling: Poor · Site: Redness, Swelling, Itching · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to work

Free text: Area around pick line infected first time in over 2 years. Red swollen painful. Dripping puss. Put on clyndimiacine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache

Adult check-in
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Gram stain positive, Infection, Office visit — Feeling: Good · Headache · Be unable to do your normal daily activities

Free text: Seems dr report shows My infection was from RARE GRAM POSITIVE COCCI IN PAIRS plus a few other things like RARE GRAM POSITIVE COCCI IN PAIRS

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — day 7, dose 2
MedDRA: Musculoskeletal stiffness, Vascular device infection — Feeling: Good · Headache, Muscle or body aches

Free text: Stiff neck. Pick line infection getting better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-12
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-01
Survey response — 12 months, dose 2
MedDRA: Cough, Sinus pain — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sinus pain. Cough

MedDRA releases: 2024-11 · check-in free text available
2022-03-01
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-03
Call 1 — Left Voicemail
2022-03-03
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-01	Moderna
2	2021-03-01	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-05

Systemic reaction (other): This started last night after last checkin but was gone by this morning

Release 4 — day 14, dose 1

2021-02-15

Symptoms: I got a fever and chills. The fever lasted about 12 hours. The chills lasted a day and a half or so

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): I have a AspireAssist tube in my stomach that has become very pain abs swollen around it. Dr thinks infected. Odd first time infected in years day after vaccine

2021-03-05

Systemic reaction (other): Area around pick line infected first time in over 2 years. Red swollen painful. Dripping puss. Put on clyndimiacine

2021-03-07

Systemic reaction (other): Seems dr report shows My infection was from RARE GRAM POSITIVE COCCI IN PAIRS plus a few other things like RARE GRAM POSITIVE COCCI IN PAIRS

Release 5 — day 7, dose 2

2021-03-08

Systemic reaction (other): Stiff neck. Pick line infection getting better

Release 11 — 12 months, dose 2

2022-03-01

Symptoms: Sinus pain. 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	Chills	✓	✓	✓
SD	Cough	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Sinus pain	·	·	✓
SRO	Abdominal distension	✓	✓	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Discharge	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Gram stain positive	✓	✓	✓
SRO	Infection	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Office visit	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Swelling	✓	✓	✓
SRO	Vascular device infection	✓	✓	✓

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