63A-30435-38618

3 vaccinations 6 coded responses 18 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 750 / TX
Registered: 2021-01-05

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

2021-01-05
Registered in v-safe
2021-01-05
Dose 1 — Moderna
2021-01-05
Health check-in — day 0, dose 1
Feeling: Fair · None

Adult check-in
2021-01-06
Survey response — days 1–6 daily, dose 1
MedDRA: Immediate post-injection reaction, Pain, Swelling — Feeling: Fair · Site: Pain, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: An hour after the shot I had severe pain, plus swelling. I still have both today, but the pain is not as severe.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-01-10
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain, Pre-existing disease — Feeling: Fair · Site: Pain, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore throat, probably from normal post nasal drip

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-10
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-12
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-01-20
Survey response — day 14, dose 1
MedDRA: Unevaluable event — Feeling: Fair

Free text: I dont think it is related to the vaccine because I have had it prior to getting it. But I think I should mention that I got a rash under my breast that looks like an allergic rash.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-02
Dose 2 — Moderna
2021-02-02
Survey response — day 0, dose 2
MedDRA: Rhinorrhoea — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to work

Free text: Runny nose from allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — days 1–6 daily, dose 2
MedDRA: Rash macular, Swelling — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Skin around area not fully red, but is blotchy. Swelling is worst symptom.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-02-11
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-02-16
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-08-05
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-09-16
Dose 3 — Moderna
2021-10-25
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-10-30
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-18
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-17
Survey response — 6 months, dose 3
MedDRA: Ocular discomfort, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Pressure behind right eye. · Healthcare visit (other): Opthamologist, who ordered a scan, which showed nothing. Symptoms continue, so am escalating to my primary care doctor.

MedDRA releases: 2024-11 · check-in free text available
2022-03-17
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-22
Call 1 — Left Voicemail
2022-05-03
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-05	Moderna
2	2021-02-02	Moderna
3	2021-09-16	Moderna	No

Call center

3 call center cases

1 successful · 2 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-06

Systemic reaction (other): An hour after the shot I had severe pain, plus swelling. I still have both today, but the pain is not as severe.

2021-01-10

Systemic reaction (other): Sore throat, probably from normal post nasal drip

Release 2 — day 14, dose 1

2021-01-20

Symptoms: I dont think it is related to the vaccine because I have had it prior to getting it. But I think I should mention that I got a rash under my breast that looks like an allergic rash.

Release 3 — day 0, dose 2

2021-02-02

Systemic reaction (other): Runny nose from allergies

Release 3 — days 1–6 daily, dose 2

2021-02-04

Systemic reaction (other): Skin around area not fully red, but is blotchy. Swelling is worst symptom.

Release 11 — 6 months, dose 3

2022-03-17

Symptoms: Pressure behind right eye.

Healthcare visit (other): Opthamologist, who ordered a scan, which showed nothing. Symptoms continue, so am escalating to my primary care doctor.

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	Ocular discomfort	·	·	✓
SD	Unevaluable event	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rash macular	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Swelling	✓	✓	✓
SRO	Upper-airway cough syndrome	○	○	○

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