6HD-23063-38790

4 vaccinations 14 coded responses 34 check-ins 14 free-text entries 4 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 064 / CT
Registered: 2021-01-04

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

2020-12-30
Dose 1 — Moderna
2021-01-04
Registered in v-safe
2021-01-04
Survey response — days 1–6 daily, dose 1
MedDRA: Petechiae — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: petechiae both feet (dorsal), right ankle & right abdomen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-06
Survey response — day 7, dose 1
MedDRA: Petechiae — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Petechiae both feet, right ankle, right lower leg & abdomen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-23
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-27
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-01-30
Dose 2 — Moderna
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Petechiae — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Petechiae that formed after 1st dose still present but does not appear worse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Petechiae — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Ongoing petechiae but no increase in area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-02-06
Survey response — day 7, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Headache, Joint pains, Fatigue or tiredness

Free text: Increased petechiae bilateral feet & bilateral lower legs. Will consult with hematologist on Monday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-21
Survey response — day 21, dose 2
MedDRA: Fatigue, Pyrexia, SARS-CoV-2 test, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Low grade fever Monday night. Very tired since then. Negative covid test done on Friday late afternoon. · Healthcare visit (other): Went fir covid test

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-06
Survey response — day 35, dose 2
MedDRA: Office visit, Palpitations, Petechiae — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Racing irregular heartrate periodically. Continued presence of petechiae · Healthcare visit (other): Visit to primary care with referral to Cardiologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-03
Call 1 — Could Not Reach Participant
2021-06-08
Call 2 — Could Not Reach Participant
2021-07-31
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-28
Dose 3 — Moderna
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph node left armpit

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Petechiae — Feeling: Good · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Fresh petechiae top of feet & ankles

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy, Petechiae — Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Petechiae both feet & ankles, tender & mildly enlarged lymph node left armpit

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy, Petechiae — Feeling: Good · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Petechiae both feet & ankles, swollen lymph node left armpit

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy, Petechiae — Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Petechiae both feet and ankles, swollen lymph node left armpit

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Survey response — day 7, dose 3
MedDRA: Petechiae, Skin discolouration — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: No new petechiae on feet & ankles just marks from where it was

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Health check-in — day 21, dose 3
Feeling: Good

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

Adult check-in
2021-12-04
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-09
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-27
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-28
Survey response — 6 months, dose 3
MedDRA: Gastrooesophageal reflux disease, Office visit, Vomiting — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Horrible reflux, episodes of vomiting · Healthcare visit (other): GI consult, scheduled endoscopy & colonoscopy

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-29
Call 1 — Could Not Reach Participant
2022-05-04
Call 2 — Could Not Reach Participant
2022-10-03
Dose 4 — Moderna
2022-10-28
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2022-10-28
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-02
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-07
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-14
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-02
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-03
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-01-30	Moderna
3	2021-10-28	Moderna	No
4	2022-10-03	Moderna	No

Call center

4 call center cases

3 unsuccessful · 1 priority 2/3 (triaged and no follow up)

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-04

Systemic reaction (other): petechiae both feet (dorsal), right ankle & right abdomen

Release 1 — day 7, dose 1

2021-01-06

Systemic reaction (other): Petechiae both feet, right ankle, right lower leg & abdomen

Release 3 — days 1–6 daily, dose 2

2021-01-31

Systemic reaction (other): Petechiae that formed after 1st dose still present but does not appear worse

2021-02-02

Systemic reaction (other): Ongoing petechiae but no increase in area

Release 3 — day 7, dose 2

2021-02-06

Systemic reaction (other): Increased petechiae bilateral feet & bilateral lower legs. Will consult with hematologist on Monday

Release 4 — day 21, dose 2

2021-02-21

Symptoms: Low grade fever Monday night. Very tired since then. Negative covid test done on Friday late afternoon.

Healthcare visit (other): Went fir covid test

Release 5 — day 35, dose 2

2021-03-06

Symptoms: Racing irregular heartrate periodically. Continued presence of petechiae

Healthcare visit (other): Visit to primary care with referral to Cardiologist

Release 10 — days 1–6 daily, dose 3

2021-10-30

Systemic reaction (other): Swollen lymph node left armpit

2021-10-31

Systemic reaction (other): Fresh petechiae top of feet & ankles

2021-11-01

Systemic reaction (other): Petechiae both feet & ankles, tender & mildly enlarged lymph node left armpit

2021-11-02

Systemic reaction (other): Petechiae both feet & ankles, swollen lymph node left armpit

2021-11-03

Systemic reaction (other): Petechiae both feet and ankles, swollen lymph node left armpit

Release 10 — day 7, dose 3

2021-11-04

Systemic reaction (other): No new petechiae on feet & ankles just marks from where it was

Release 11 — 6 months, dose 3

2022-04-28

Symptoms: Horrible reflux, episodes of vomiting

Healthcare visit (other): GI consult, scheduled endoscopy & colonoscopy

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	SARS-CoV-2 test	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gastrooesophageal reflux disease	·	·	✓
SD	Palpitations	✓	✓	✓
SD	Petechiae	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Vomiting	·	·	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Petechiae	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Skin discolouration	·	·	✓

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