6HA-33918-54451

3 vaccinations 9 coded responses 21 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 974 / OR
Registered: 2021-04-01

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-21
Dose 1 — Moderna
2021-04-01
Registered in v-safe
2021-04-01
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

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

Adult check-in
2021-04-11
Survey response — day 21, dose 1
MedDRA: Oral herpes, Pain — Feeling: Fair

Free text: Aches, and cold sores

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Dose 2 — Moderna
2021-04-18
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling hot — Feeling: Fair · Site: Pain · Fever

Free text: Hot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Nausea — Feeling: Good · Headache, Nausea

Free text: Im actually usually nauseated and have a headache, so...

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-25
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-02
Survey response — day 14, dose 2
MedDRA: Headache — Feeling: Poor · Be unable to do your normal daily activities

Free text: I have a terrible headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-16
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-23
Survey response — day 35, dose 2
MedDRA: Eye infection, Nausea, Systemic infection, Vomiting — Feeling: Fair · Be unable to work

Free text: Nausea, vomiting, eye infections, other systemic infections

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Survey response — day 42, dose 2
MedDRA: Conjunctivitis, Nausea, Viral infection, Vomiting — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Weird unexpected viral stuff. Pink-eye, UTI, nausea/vomiting...just odd stuff.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Report sent to call center — day 42, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-18
Survey response — 3 months, dose 2
MedDRA: Axillary mass, Hypersensitivity, Ocular discomfort, Skin discomfort — Feeling: Fair · Be unable to do your normal daily activities

Free text: I had a lump in my armpit, and was told it was vaccine related. Ive become allergic to something that makes my eyes and skin very uncomfortable?

MedDRA releases: 2024-11 · check-in free text available
2021-08-26
Dose 3 — Moderna
2021-10-17
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-26
Survey response — 3 months, dose 3
MedDRA: Nasopharyngitis — Feeling: Good · Be unable to work or attend school

Free text: Had a bad cold- but it wasn't Covid. Yay!

MedDRA releases: 2024-11 · check-in free text available
2022-02-24
Survey response — 6 months, dose 3
MedDRA: COVID-19, Unevaluable event — 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: I had Civid · Healthcare visit (other): Monoclonal antibody therapy

MedDRA releases: 2024-11 · check-in free text available
2022-02-24
Report sent to call center — 6 months, dose 3
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)
2022-02-25
Call 1 — Left Voicemail
2022-08-26
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-21	Moderna
2	2021-04-18	Moderna
3	2021-08-26	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 7 — day 21, dose 1

2021-04-11

Symptoms: Aches, and cold sores

Release 7 — days 1–6 daily, dose 2

2021-04-19

Systemic reaction (other): Hot.

2021-04-20

Systemic reaction (other): Im actually usually nauseated and have a headache, so...

Release 8 — day 14, dose 2

2021-05-02

Symptoms: I have a terrible headache

Release 8 — day 35, dose 2

2021-05-23

Symptoms: Nausea, vomiting, eye infections, other systemic infections

Release 8 — day 42, dose 2

2021-05-31

Symptoms: Weird unexpected viral stuff. Pink-eye, UTI, nausea/vomiting...just odd stuff.

Release 9 — 3 months, dose 2

2021-07-18

Symptoms: I had a lump in my armpit, and was told it was vaccine related. Ive become allergic to something that makes my eyes and skin very uncomfortable?

Release 10 — 3 months, dose 3

2021-11-26

Symptoms: Had a bad cold- but it wasn't Covid. Yay!

Release 11 — 6 months, dose 3

2022-02-24

Symptoms: I had Civid

Healthcare visit (other): Monoclonal antibody therapy

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	Axillary mass	·	·	✓
SD	Conjunctivitis	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Eye infection	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypersensitivity	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	✓	✓	✓
SD	Ocular discomfort	·	·	✓
SD	Oral herpes	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Skin discomfort	·	·	✓
SD	Systemic infection	✓	✓	✓
SD	Viral infection	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Nausea	✓	✓	✓

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