6BW-48580-17608

4 vaccinations 6 coded responses 31 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 787 / TX
Registered: 2021-01-23

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

2021-01-23
Registered in v-safe
2021-01-23
Dose 1 — Moderna
2021-01-23
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Myalgia — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Sore arm muscle from injection but still doing ta chi

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-20
Dose 2 — Moderna
2021-02-20
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site

Free text: Spacey mind

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · None

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · None

Adult check-in
2021-02-27
Health check-in — day 7, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-20
Survey response — day 28, dose 2
MedDRA: Pre-existing condition improved, Psoriasis, Rash, Skin disorder, Squamous cell carcinoma — Feeling: Good

Free text: Increase in skin issues that I already had from the past but were gone ......grovers rash, psoriasis, squamous cell melanoma

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — day 35, dose 2
Feeling: Good

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

Adult check-in
2021-05-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-01
Dose 3 — Moderna
2021-08-23
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-20
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-03-29
Dose 4 — Moderna
2022-04-27
Survey response — day 28, dose 4
MedDRA: Cancer surgery, Condition aggravated, Eyelid tumour, Office visit, Pre-existing disease, Skin cancer, Surgery — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Surgery on lower left eyelid for skin cancer.34 yr history of skin cancer · Healthcare visit (other): Private MD preplanned surgery for skin cancer.see above

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Report sent to call center — day 28, dose 4
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)
2022-04-28
Call 1 — Left Voicemail
2022-05-03
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-10
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-06-29
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-29
Survey response — 6 months, dose 4
MedDRA: COVID-19, Depression, Fatigue, Pre-existing disease — 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 caught Covid in July. Fortunately I was able to take Paxlovid, I have chronic leukemia, which kept me out of the hospital. I did have a rebound 8 days after completing the RX. Most definitely have fatigue and some depression now but I did not die!

MedDRA releases: 2024-11 · check-in free text available
2022-09-29
Report sent to call center — 6 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)
2022-09-30
Call 2 — Left Voicemail
2022-09-30
Call 1 — Left Voicemail
2023-03-29
Survey response — 12 months, dose 4
MedDRA: Depression — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-23	Moderna
2	2021-02-20	Moderna
3	2021-08-01	Moderna	No
4	2022-03-29	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-25

Systemic reaction (other): Sore arm muscle from injection but still doing ta chi

Release 4 — days 1–6 daily, dose 2

2021-02-21

Systemic reaction (other): Spacey mind

Release 6 — day 28, dose 2

2021-03-20

Symptoms: Increase in skin issues that I already had from the past but were gone ......grovers rash, psoriasis, squamous cell melanoma

Release 11 — day 28, dose 4

2022-04-27

Symptoms: Surgery on lower left eyelid for skin cancer.34 yr history of skin cancer

Healthcare visit (other): Private MD preplanned surgery for skin cancer.see above

Release 12 — 6 months, dose 4

2022-09-29

Symptoms: I caught Covid in July. Fortunately I was able to take Paxlovid, I have chronic leukemia, which kept me out of the hospital. I did have a rebound 8 days after completing the RX. Most definitely have fatigue and some depression now but I did not die! cut off by CDC

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	·	·	✓
HCVO	Pre-existing disease	·	·	✓
HCVO	Skin cancer	·	·	✓
HCVO	Surgery	·	·	✓
SD	Cancer surgery	·	·	✓
SD	Condition aggravated	·	·	✓
SD	COVID-19	·	·	✓
SD	Depression	·	·	✓
SD	Eyelid tumour	·	·	✓
SD	Fatigue	·	·	✓
SD	Pre-existing condition improved	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Psoriasis	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Skin disorder	✓	✓	✓
SD	Squamous cell carcinoma	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Myalgia	✓	✓	✓

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