6A2-14980-32726

2 vaccinations 6 coded responses 26 check-ins 6 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 373 / TN
Registered: 2021-02-08

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

2021-02-08
Registered in v-safe
2021-02-08
Dose 1 — Moderna
2021-02-08
Health check-in — day 0, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-22
Survey response — day 14, dose 1
MedDRA: Feeling hot, Rash, Swelling face — Feeling: Good

Free text: I have had very hot swollen cheeks with a rash on both that began last Wednesday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-08
Dose 2 — Moderna
2021-03-08
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain, Swelling · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-11
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Rash, not including the immediate area around the injection site

Free text: May be from recent surgery

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-15
Health check-in — day 7, dose 2
Feeling: Fair · Site: Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-22
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-12
Survey response — day 35, dose 2
MedDRA: Injection site reaction, Localised infection — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Infection arm at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-19
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-07
Survey response — 3 months, dose 2
MedDRA: Antibiotic therapy, Infection, Injection site deformation, Injection site infection, Injection site pain, Injection site swelling — 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: Symptoms: The injection site had a nasty infection and hole in it. Pain and swelling . Had to have antibiotics to get rid of it. March and april. My 2nd vaccine was march 8 · Healthcare visit (other): Not sure if this infection occured after i was last contacted or if there was mo options to choose from to bring it to attention

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-04
Call 1 — Left Voicemail
2021-09-06
Survey response — 6 months, dose 2
MedDRA: Bowel obstruction surgery, Office visit, Oral candidiasis, Oral infection — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: Obstructed bowel surgery, mouth infection, oral thrush, · Healthcare visit (other): PCP

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-06
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

1 call case(s)
2021-09-10
Call 1 — Left Voicemail
2022-03-08
Survey response — 12 months, dose 2
MedDRA: Asthenia, COVID-19, Condition aggravated, Intestinal obstruction, Pre-existing disease, Spinal operation — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Bowel obstruction gall bladder flare up, back surgery, weakness, covid in january

MedDRA releases: 2024-11 · check-in free text available
2022-03-08
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 · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-03-09
Call 1 — Left Voicemail
2022-03-09
Callback requested for
05:00PM ET

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-08	Moderna
2	2021-03-08	Moderna

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 4 — day 14, dose 1

2021-02-22

Symptoms: I have had very hot swollen cheeks with a rash on both that began last Wednesday

Release 5 — days 1–6 daily, dose 2

2021-03-11

Systemic reaction (other): May be from recent surgery

Release 7 — day 35, dose 2

2021-04-12

Symptoms: Infection arm at injection site

Release 8 — 3 months, dose 2

2021-06-07

Symptoms: The injection site had a nasty infection and hole in it. Pain and swelling . Had to have antibiotics to get rid of it. March and april. My 2nd vaccine was march 8

Healthcare visit (other): Not sure if this infection occured after i was last contacted or if there was mo options to choose from to bring it to attention

Release 9 — 6 months, dose 2

2021-09-06

Symptoms: Obstructed bowel surgery, mouth infection, oral thrush,

Healthcare visit (other): PCP

Release 11 — 12 months, dose 2

2022-03-08

Symptoms: Bowel obstruction gall bladder flare up, back surgery, weakness, covid in january

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	Infection	✓	✓	✓
HCVO	Office visit	✓	·	✓
SD	Antibiotic therapy	✓	✓	✓
SD	Asthenia	·	·	✓
SD	Bowel obstruction surgery	✓	·	✓
SD	Condition aggravated	·	·	✓
SD	COVID-19	·	·	✓
SD	Feeling hot	✓	✓	✓
SD	Injection site deformation	✓	✓	✓
SD	Injection site infection	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site reaction	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Intestinal obstruction	·	·	✓
SD	Localised infection	✓	✓	✓
SD	Oral candidiasis	✓	·	✓
SD	Oral infection	✓	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rash	✓	✓	✓
SD	Spinal operation	·	·	✓
SD	Swelling face	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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