66W-81561-74356

6 vaccinations 10 coded responses 67 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 100 / NY
Registered: 2021-02-06

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

2021-01-28
Dose 1 — Moderna
2021-02-06
Registered in v-safe
2021-02-06
Survey response — day 7, dose 1
MedDRA: Injection site pain, Rash, Urticaria — Feeling: Good · Site: Pain, Redness, Itching

Free text: Hives-like rash that developed just today (9 days after injection). I had slight pain the day after injection; no itchy "rash" until today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-25
Dose 2 — Moderna
2021-02-25
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-03-04
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-03-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-27
Survey response — 3 months, dose 2
MedDRA: Mammogram abnormal, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Suspicious mammogram · Healthcare visit (other): Routine screening then diagnostic screening

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-24
Dose 3 — Moderna
2021-10-25
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Armpit soreness

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Survey response — days 1–6 daily, dose 3
MedDRA: Body temperature increased — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever

Free text: After the questionnaire yesterday my temperature went up.

MedDRA releases: 2024-11 · check-in free text available
2021-10-27
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain — Feeling: Good · Site: Pain, Redness, Swelling, Itching

Free text: Mild armpit pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-10-31
Health check-in — day 7, dose 3
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-11-07
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-14
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-21
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-28
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-05
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-23
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-31
Dose 4 — Moderna
2022-04-02
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-03
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-04-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2022-04-06
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-07
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-14
Survey response — day 14, dose 4
MedDRA: Ophthalmic migraine — Feeling: Fair · Be unable to do your normal daily activities

Free text: Ocular migraine

MedDRA releases: 2024-11 · check-in free text available
2022-04-21
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-04-28
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-05
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-12
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-05-12
Call 1 — Left Voicemail
2022-05-13
Callback requested for
2022-05-13
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-30
Survey response — 3 months, dose 4
MedDRA: Ageusia, Anosmia, Laboratory test abnormal, Oropharyngeal pain, Sneezing, Throat irritation — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I tested positive on rapid antigen test June 21 with sore throat and sneezing symptoms. Lost my sense of smell and taste on June 25. Sore throat and sneezing were gone. I experienced Scratchy throat this morning. Rapid antigen is positive.

MedDRA releases: 2024-11 · check-in free text available
2022-06-30
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-07-01
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-26
Dose 5 — Moderna
Co-administered: Flu
2022-09-30
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-09-30
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2022-10-01
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2022-10-02
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2022-10-03
Health check-in — day 7, dose 5
Feeling: Good · Site: Redness · None

Adult check-in
2022-10-10
Survey response — day 14, dose 5
MedDRA: Rash — Feeling: Good

Free text: Slight rash

MedDRA releases: 2024-11 · check-in free text available
2022-10-17
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-24
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-31
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-07
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-26
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-27
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in
2023-04-22
Dose 6 — Pfizer-BioNTech
2023-04-23
Survey response — days 1–6 daily, dose 6
MedDRA: Axillary pain — Feeling: Good · Site: Pain

MedDRA releases: 2024-11
2023-04-24
Survey response — days 1–6 daily, dose 6
MedDRA: Axillary pain — Feeling: Good · Site: Pain, Redness, Swelling

MedDRA releases: 2024-11
2023-04-25
Health check-in — days 1–6 daily, dose 6
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2023-04-26
Health check-in — days 1–6 daily, dose 6
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2023-04-27
Health check-in — days 1–6 daily, dose 6
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2023-04-28
Health check-in — days 1–6 daily, dose 6
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2023-04-29
Health check-in — day 7, dose 6
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2023-05-08
Health check-in — day 14, dose 6
Feeling: Good

Adult check-in
2023-05-13
Health check-in — day 21, dose 6
Feeling: Good

Adult check-in
2023-05-20
Health check-in — day 28, dose 6
Feeling: Good

Adult check-in
2023-05-27
Health check-in — day 35, dose 6
Feeling: Good

Adult check-in
2023-06-03
Health check-in — day 42, dose 6
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-28	Moderna
2	2021-02-25	Moderna
3	2021-10-24	Moderna	No
4	2022-03-31	Moderna	No
5	2022-09-26	Moderna	Flu
6	2023-04-22	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — day 7, dose 1

2021-02-06

Systemic reaction (other): Hives-like rash that developed just today (9 days after injection). I had slight pain the day after injection; no itchy "rash" until today.

Release 8 — 3 months, dose 2

2021-05-27

Symptoms: Suspicious mammogram

Healthcare visit (other): Routine screening then diagnostic screening

Release 10 — days 1–6 daily, dose 3

2021-10-25

Systemic reaction (other): Armpit soreness

2021-10-26

Systemic reaction (other): After the questionnaire yesterday my temperature went up.

2021-10-27

Systemic reaction (other): Mild armpit pain

Release 11 — day 14, dose 4

2022-04-14

Symptoms: Ocular migraine

Release 12 — 3 months, dose 4

2022-06-30

Symptoms: I tested positive on rapid antigen test June 21 with sore throat and sneezing symptoms. Lost my sense of smell and taste on June 25. Sore throat and sneezing were gone. I experienced Scratchy throat this morning. Rapid antigen is positive.

Release 12 — day 14, dose 5

2022-10-10

Symptoms: Slight rash

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	Unevaluable event	✓	✓	✓
SD	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	Laboratory test abnormal	·	·	✓
SD	Mammogram abnormal	✓	·	✓
SD	Ophthalmic migraine	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Rash	·	·	✓
SD	Sneezing	·	·	✓
SD	Throat irritation	·	·	✓
SD	Unevaluable event	○	✓	○
SRO	Axillary pain	·	·	✓
SRO	Body temperature increased	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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