5QG-15877-75388

2 vaccinations 7 coded responses 25 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 985 / WA
Registered: 2021-01-19

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

2021-01-19
Registered in v-safe
2021-01-19
Dose 1 — Moderna
2021-01-19
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Nausea

Adult check-in
2021-01-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Fever · Headache

Adult check-in
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Oral herpes — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Nausea

Free text: New cold sore-lip

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Survey response — day 7, dose 1
MedDRA: Hernia, Office visit — Feeling: Good · Abdominal pain · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Possible hernia from exercising too hard after gallbladder/stones surgery last November 26th · Healthcare visit (other): Drs office soon

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-09
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-16
Dose 2 — Moderna
2021-02-16
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches

Free text: Slight light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-18
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site swelling — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches

Free text: Some puffiness around shot area in left arm, mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Fatigue or tiredness

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-02
Survey response — day 14, dose 2
MedDRA: Fungal infection, Office visit, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Unrelated, I believe, yeast infection most likely from the Gallbladder/stones surgery. I have had it, saw Dr, being treated now. · Healthcare visit (other): Regular Ck bk on Thyroid, and yeast infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-18
Survey response — 3 months, dose 2
MedDRA: Pre-existing disease, Rash, Vulvovaginal discomfort — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: On going vaginal irritation and odd skin rash, upper face.Had it a while. Got Appt to see dermatology and under Drs care vaginal.Allergies.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-17
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-09
Call successful
Other
2022-02-16
Survey response — 12 months, dose 2
MedDRA: Pre-existing disease — Feeling: Fair

Free text: Sinus, on going

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-19	Moderna
2	2021-02-16	Moderna

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-22

Systemic reaction (other): New cold sore-lip

Release 2 — day 7, dose 1

2021-01-26

Systemic reaction (other): Possible hernia from exercising too hard after gallbladder/stones surgery last November 26th

Healthcare visit (other): Drs office soon

Release 4 — day 0, dose 2

2021-02-16

Systemic reaction (other): Slight light headed

Release 4 — days 1–6 daily, dose 2

2021-02-18

Systemic reaction (other): Some puffiness around shot area in left arm, mild

Release 4 — day 14, dose 2

2021-03-02

Symptoms: Unrelated, I believe, yeast infection most likely from the Gallbladder/stones surgery. I have had it, saw Dr, being treated now.

Healthcare visit (other): Regular Ck bk on Thyroid, and yeast infection

Release 8 — 3 months, dose 2

2021-05-18

Symptoms: On going vaginal irritation and odd skin rash, upper face.Had it a while. Got Appt to see dermatology and under Drs care vaginal.Allergies.

Release 11 — 12 months, dose 2

2022-02-16

Symptoms: Sinus, on going

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	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Fungal infection	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Vulvovaginal discomfort	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Hernia	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Oral herpes	✓	✓	✓

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