6CP-13800-78640

3 vaccinations 11 coded responses 37 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 170 / PA
Registered: 2021-02-03

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

2021-02-03
Registered in v-safe
2021-02-03
Dose 1 — Moderna
2021-02-03
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-17
Survey response — day 14, dose 1
MedDRA: Injection site pruritus — Feeling: Good

Free text: Itching at injection site on days 6 and 7.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — day 21, dose 1
MedDRA: Migraine — Feeling: Fair

Free text: Migraine(?) headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Dose 2 — Moderna
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache

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

Adult check-in
2021-03-10
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-07
Survey response — day 35, dose 2
MedDRA: Skin exfoliation — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Peeling hands and feet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-15
Survey response — day 42, dose 2
MedDRA: Skin exfoliation — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: My palms and feet are peeling, for no apparent reason. No clue if its related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-02
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-03
Survey response — 6 months, dose 2
MedDRA: Throat irritation, Upper-airway cough syndrome — Feeling: Good

Free text: Post-nasal drip and scratchy throat

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-29
Dose 3 — Moderna
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site warmth, Oropharyngeal pain, Upper-airway cough syndrome — Feeling: Good · Site: Pain, Redness

Free text: Injection site is warm to the touch. Post-nasal drip and a sore throat developed todag

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-03
Survey response — days 1–6 daily, dose 3
MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: Good

Free text: Sore throat and nasal congestion

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-05
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-12
Survey response — day 14, dose 3
MedDRA: Diarrhoea — Feeling: Good

Free text: Diarrhea

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-10
Survey response — day 42, dose 3
MedDRA: Eustachian tube obstruction — Feeling: Fair

Free text: Eustacian tubes are clogged

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
Survey response — 3 months, dose 3
MedDRA: Nasal congestion — Feeling: Fair

Free text: Nasal congestion

MedDRA releases: 2024-11 · check-in free text available
2022-02-10
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-29
Survey response — 6 months, dose 3
MedDRA: Cough, Nasal congestion, Oropharyngeal pain — Feeling: Good

Free text: Sore throat, cough, nasal congestion

MedDRA releases: 2024-11 · check-in free text available
2022-10-29
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-03	Moderna
2	2021-03-03	Moderna
3	2021-10-29	Moderna	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 4 — day 14, dose 1

2021-02-17

Symptoms: Itching at injection site on days 6 and 7.

Release 4 — day 21, dose 1

2021-02-24

Symptoms: Migraine(?) headache

Release 7 — day 35, dose 2

2021-04-07

Symptoms: Peeling hands and feet

Release 7 — day 42, dose 2

2021-04-15

Symptoms: My palms and feet are peeling, for no apparent reason. No clue if its related.

Release 9 — 6 months, dose 2

2021-09-03

Symptoms: Post-nasal drip and scratchy throat

Release 10 — days 1–6 daily, dose 3

2021-10-30

Systemic reaction (other): Injection site is warm to the touch. Post-nasal drip and a sore throat developed todag

2021-11-03

Systemic reaction (other): Sore throat and nasal congestion

Release 10 — day 14, dose 3

2021-11-12

Symptoms: Diarrhea

Release 10 — day 42, dose 3

2021-12-10

Symptoms: Eustacian tubes are clogged

Release 11 — 3 months, dose 3

2022-01-28

Symptoms: Nasal congestion

Release 11 — 6 months, dose 3

2022-04-29

Symptoms: Sore throat, cough, nasal congestion

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
SD	Cough	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Eustachian tube obstruction	·	·	✓
SD	Injection site pruritus	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Skin exfoliation	✓	✓	✓
SD	Throat irritation	✓	·	✓
SD	Upper-airway cough syndrome	✓	·	✓
SRO	Injection site warmth	·	·	✓
SRO	Nasal congestion	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Upper-airway cough syndrome	·	·	✓

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