5V3-23530-16645

3 vaccinations 9 coded responses 37 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 278 / NC
Registered: 2021-03-11

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-10
Dose 1 — Moderna
2021-03-11
Registered in v-safe
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Diarrhoea — Feeling: Fair · Site: Pain, Redness · Joint pains, Fatigue or tiredness, Nausea

Free text: Severe diarrhea an hour after receiving the shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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 · Muscle or body aches

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 — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — day 7, dose 1
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2021-03-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-07
Dose 2 — Moderna
2021-04-07
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Joint pains, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

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 — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-16
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-21
Survey response — day 14, dose 2
MedDRA: Medical counselling, Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: 4-10-21 i noticed small bumps in the inner thigh area 4-12 they came in the back of my legs behind the knee feedlot 4-17 behind my neck i havent changed my soap or laundry detergent spoke to a nurse on 4-20 waiting to see what to do next

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-29
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-05
Survey response — day 28, dose 2
MedDRA: Rash — Feeling: Fair

Free text: Still developing skin rash in new places

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — day 35, dose 2
MedDRA: Rash — Feeling: Fair

Free text: Still developing rashes in different parts of my body

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Survey response — day 42, dose 2
MedDRA: Breast mass, Breast pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: pain in right breast small knot that comes and go

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-06
Survey response — 6 months, dose 2
MedDRA: Ageusia, Anosmia, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Tested positive for Covid 30days ago still can't taste or smell

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Dose 3 — Moderna
2021-11-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-11-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-24
Survey response — days 1–6 daily, dose 3
MedDRA: Muscle spasms — Feeling: Fair · Headache

Free text: Cramps in legs and back last night and today

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Health check-in — day 7, dose 3
Feeling: Fair · Joint pains, Vomiting

Adult check-in
2021-12-03
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-17
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-24
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-31
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-18
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-03-08
Call 1 — Could Not Reach Participant
2022-03-11
Call 2 — Could Not Reach Participant
2022-05-20
Survey response — 6 months, dose 3
MedDRA: Headache, Muscle spasms — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache and muscle cramps

MedDRA releases: 2024-11 · check-in free text available
2022-11-19
Survey response — 12 months, dose 3
MedDRA: Office visit, Pain, Swelling, Urticaria — 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 · Emergency room or emergency department visit

Free text: Symptoms: Hives swelling body pain 6 new medication · Healthcare visit (other): Specialist

MedDRA releases: 2024-11 · check-in free text available
2022-11-19
Report sent to call center — 12 months, 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

Emergency room or emergency department visit · 1 call case(s)
2022-11-21
Call 1 — Left Voicemail
2022-11-21
Call 3 — Left Voicemail
2022-11-21
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Moderna
2	2021-04-07	Moderna
3	2021-11-19	Moderna	No

Call center

3 call center cases

3 unsuccessful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-11

Systemic reaction (other): Severe diarrhea an hour after receiving the shot

Release 7 — day 14, dose 2

2021-04-21

Symptoms: 4-10-21 i noticed small bumps in the inner thigh area 4-12 they came in the back of my legs behind the knee feedlot 4-17 behind my neck i havent changed my soap or laundry detergent spoke to a nurse on 4-20 waiting to see what to do next

Release 8 — day 28, dose 2

2021-05-05

Symptoms: Still developing skin rash in new places

Release 8 — day 35, dose 2

2021-05-12

Symptoms: Still developing rashes in different parts of my body

Release 8 — day 42, dose 2

2021-05-19

Symptoms: pain in right breast small knot that comes and go

Release 10 — 6 months, dose 2

2021-10-06

Symptoms: Tested positive for Covid 30days ago still can't taste or smell

Release 10 — days 1–6 daily, dose 3

2021-11-24

Systemic reaction (other): Cramps in legs and back last night and today

Release 11 — 6 months, dose 3

2022-05-20

Symptoms: Headache and muscle cramps

Release 12 — 12 months, dose 3

2022-11-19

Symptoms: Hives swelling body pain 6 new medication

Healthcare visit (other): Specialist

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	·	·	✓
SD	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	Breast mass	✓	✓	✓
SD	Breast pain	✓	✓	✓
SD	Headache	·	·	✓
SD	Medical counselling	✓	✓	✓
SD	Muscle spasms	·	·	✓
SD	Pain	·	·	✓
SD	Rash	✓	✓	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Swelling	·	·	✓
SD	Urticaria	·	·	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Muscle spasms	·	·	✓

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