5UW-16899-66174

2 vaccinations 8 coded responses 20 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 660 / KS
Registered: 2021-03-28

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

2021-03-28
Registered in v-safe
2021-03-28
Dose 1 — Moderna
2021-03-28
Health check-in — day 0, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-08
Survey response — day 7, dose 1
MedDRA: Adverse reaction, Self-medication — Feeling: Fair · Site: Pain, Redness, Itching · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Moderna Arm on Day 8 · Healthcare visit (other): Recommendation of over the counter hydrocortisone and antihistamine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

no matching call case
2021-04-11
Survey response — day 14, dose 1
MedDRA: Contusion, Injection site rash — Feeling: Good

Free text: Unexplained bruise to left arm. Also still with rash to right arm, near injection site. Rash developed on 8th day. Rash clearing where first noted, but appears to have moved down arm below initial rash area.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — day 21, dose 1
MedDRA: Diarrhoea, Fatigue — Feeling: Good

Free text: Diarrhea Fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Dose 2 — Moderna
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Diarrhoea, Headache, Hyperhidrosis, Malaise, Nausea, Pyrexia — Feeling: Fair · Site: Redness, Itching · Headache, Nausea, Diarrhea

Free text: Swollen lymph nodes. Also periodic sweating. I missed the first day of reporting due to being so sick. Fever ran at least 48 hours. Today no fever but slight nausea and slight headache. Some diarrhea. All of these symptoms were moderate to severe prior to today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Myalgia — Feeling: Fair · Nausea, Diarrhea

Free text: Muscle soreness to arm of injection, but not at injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-16
Survey response — day 21, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Continue with swollen lymph nodes three weeks after second vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-25
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-24
Survey response — 6 months, dose 2
MedDRA: Asthenia, Fatigue, Pleurisy, Pyrexia — 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 · Emergency room or emergency department visit

Free text: Pleurisy unexplained cause. Weakness, fatigue, recurrent fever.

MedDRA releases: 2024-11 · check-in free text available
2021-10-24
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

Emergency room or emergency department visit · 1 call case(s)
2021-10-26
Call 1 — Left Voicemail
2022-04-25
Survey response — 12 months, dose 2
MedDRA: Bronchitis, Pre-existing disease — Feeling: Good · 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: Chronic cough, bronchitis, possible pneumonia

MedDRA releases: 2024-11 · check-in free text available
2022-04-25
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-26
Call 1 — Requested Callback
2022-04-29
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-28	Moderna
2	2021-04-25	Moderna

Call center

2 call center cases

2 unsuccessful

1 check-in flagged for a call with no call center case on record

See the call center timeline

Free text

Release 7 — day 7, dose 1

2021-04-08

Systemic reaction (other): Moderna Arm on Day 8

Healthcare visit (other): Recommendation of over the counter hydrocortisone and antihistamine

Release 7 — day 14, dose 1

2021-04-11

Symptoms: Unexplained bruise to left arm. Also still with rash to right arm, near injection site. Rash developed on 8th day. Rash clearing where first noted, but appears to have moved down arm below initial rash area.

Release 7 — day 21, dose 1

2021-04-19

Symptoms: Diarrhea Fatigue

Release 8 — days 1–6 daily, dose 2

2021-04-28

Systemic reaction (other): Swollen lymph nodes. Also periodic sweating. I missed the first day of reporting due to being so sick. Fever ran at least 48 hours. Today no fever but slight nausea and slight headache. Some diarrhea. All of these symptoms were moderate to severe prior to today.

2021-04-29

Systemic reaction (other): Muscle soreness to arm of injection, but not at injection site.

Release 8 — day 21, dose 2

2021-05-16

Symptoms: Continue with swollen lymph nodes three weeks after second vaccine

Release 10 — 6 months, dose 2

2021-10-24

Symptoms: Pleurisy unexplained cause. Weakness, fatigue, recurrent fever.

Release 11 — 12 months, dose 2

2022-04-25

Symptoms: Chronic cough, bronchitis, possible pneumonia

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	Self-medication	✓	✓	✓
SD	Asthenia	·	·	✓
SD	Bronchitis	·	·	✓
SD	Contusion	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Pleurisy	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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