6HV-19874-39423

2 vaccinations 6 coded responses 20 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 316 / GA
Registered: 2021-01-19

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-18
Dose 1 — Moderna
2021-01-19
Registered in v-safe
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Free text: Runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — day 7, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-01
Survey response — day 14, dose 1
MedDRA: Abdominal pain upper, Diarrhoea — Feeling: Good

Free text: Stomach cramps with diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-15
Dose 2 — Moderna
2021-02-15
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-19
Survey response — days 1–6 daily, dose 2
MedDRA: Neck mass, Pain — Feeling: Good

Free text: Small lump on that (right) side of my neck: aches when I turn my neck or reach a certain direction. I'm not sure if it's related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Neck mass — Feeling: Good · Site: Itching

Free text: The lump is still there on right side of my neck.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Joint pains

Adult check-in
2021-03-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-29
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-18
Survey response — 6 months, dose 2
MedDRA: Chemotherapy, Lung neoplasm malignant, Surgery — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Hospitalization

Free text: Symptoms: Lung cancer · Healthcare visit (other): Surgery & chemotherapy

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-18
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

1 call case(s)
2021-08-25
Call 1 — Left Voicemail
2022-02-17
Survey response — 12 months, dose 2
MedDRA: Adverse drug reaction, Chemotherapy, Lung neoplasm malignant, Surgery, 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: Had lung cancer and surgery last February. Had chemo through August, and still on an oral non-chemo med, so I have side effects (not bad though) · Healthcare visit (other): Due to CHEMO--NOT COVID

MedDRA releases: 2024-11 · check-in free text available
2022-02-17
Report sent to call center — 12 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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-02-18
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-18	Moderna
2	2021-02-15	Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-19

Systemic reaction (other): Runny nose

Release 3 — day 14, dose 1

2021-02-01

Symptoms: Stomach cramps with diarrhea

Release 4 — days 1–6 daily, dose 2

2021-02-19

Systemic reaction (other): Small lump on that (right) side of my neck: aches when I turn my neck or reach a certain direction. I'm not sure if it's related.

2021-02-20

Systemic reaction (other): The lump is still there on right side of my neck.

Release 9 — 6 months, dose 2

2021-08-18

Symptoms: Lung cancer

Healthcare visit (other): Surgery & chemotherapy

Release 11 — 12 months, dose 2

2022-02-17

Symptoms: Had lung cancer and surgery last February. Had chemo through August, and still on an oral non-chemo med, so I have side effects (not bad though)

Healthcare visit (other): Due to CHEMO--NOT COVID

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	Chemotherapy	✓	·	✓
HCVO	Surgery	✓	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Adverse drug reaction	·	·	✓
SD	Chemotherapy	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Lung neoplasm malignant	✓	·	✓
SD	Surgery	·	·	✓
SRO	Neck mass	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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