6EN-31856-38779

2 vaccinations 7 coded responses 26 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 967 / HI
Registered: 2021-04-13

Relationship: Self
Race: Multiracial
Ethnicity: N/A

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-13
Registered in v-safe
2021-04-13
Dose 1 — Moderna
2021-04-13
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling hot, Hyperhidrosis, Ocular hyperaemia, Periorbital pain — Feeling: Good · Site: Pain, Swelling · Chills · Be unable to do your normal daily activities

Free text: Bloodshot eyes, pain under left eye, Sweating, feeling warm but not feverish

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Chills, Fatigue or tiredness

Adult check-in
2021-04-16
Survey response — days 1–6 daily, dose 1
MedDRA: Swelling, Tenderness — Feeling: Good · Site: Pain, Swelling

Free text: Mild swelling/ tenderness in my cheeks where I had dermal fillers

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 1
MedDRA: Hyperhidrosis — Feeling: Good

Free text: Sweating, no fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 1
MedDRA: Night sweats — Feeling: Good

Free text: Sweating at night , no fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-05-13
Dose 2 — Moderna
2021-05-13
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-05-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Chills

Adult check-in
2021-05-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Chills

Adult check-in
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-20
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-03
Survey response — day 21, dose 2
MedDRA: Diarrhoea — Feeling: Good · Be unable to do your normal daily activities

Free text: 4 days of explosive diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-12
Survey response — 3 months, dose 2
MedDRA: Asthenia, Chills, Cold sweat, Dizziness, Muscular weakness, Myalgia, Nausea, Oropharyngeal pain, Pain, Productive cough, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Nausea, dizziness, sore throat, forcefully coughing up phlegm, low grade fever, muscle/ body weakness and aches, feelings of needing to vomit, chills, cold sweats.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-11
Survey response — 6 months, dose 2
MedDRA: Breast mass, Office visit, Tendon rupture — 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 · Emergency room or emergency department visit

Free text: Symptoms: Breast lumps that were not on a prior mammogram and a partially torn quadriceps tendon that occurred without any trauma to my leg or reasonable explanation. · Healthcare visit (other): Breast doctors

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

Emergency room or emergency department visit · 1 call case(s)
2021-11-12
Call 1 — Left Voicemail
2022-05-13
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-13	Moderna
2	2021-05-13	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-14

Systemic reaction (other): Bloodshot eyes, pain under left eye, Sweating, feeling warm but not feverish

2021-04-16

Systemic reaction (other): Mild swelling/ tenderness in my cheeks where I had dermal fillers

2021-04-17

Systemic reaction (other): Sweating, no fever

2021-04-19

Systemic reaction (other): Sweating at night , no fever

Release 8 — day 21, dose 2

2021-06-03

Symptoms: 4 days of explosive diarrhea

Release 9 — 3 months, dose 2

2021-08-12

Symptoms: Nausea, dizziness, sore throat, forcefully coughing up phlegm, low grade fever, muscle/ body weakness and aches, feelings of needing to vomit, chills, cold sweats.

Release 10 — 6 months, dose 2

2021-11-11

Symptoms: Breast lumps that were not on a prior mammogram and a partially torn quadriceps tendon that occurred without any trauma to my leg or reasonable explanation.

Healthcare visit (other): Breast doctors

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	Asthenia	✓	·	✓
SD	Breast mass	·	·	✓
SD	Chills	✓	·	✓
SD	Cold sweat	✓	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	✓	·	✓
SD	Muscular weakness	✓	·	✓
SD	Myalgia	✓	·	✓
SD	Nausea	✓	·	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pain	✓	·	✓
SD	Productive cough	✓	·	✓
SD	Pyrexia	✓	·	✓
SD	Tendon rupture	·	·	✓
SRO	Feeling hot	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Night sweats	✓	✓	✓
SRO	Ocular hyperaemia	✓	✓	✓
SRO	Periorbital pain	✓	✓	✓
SRO	Swelling	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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