6JA-10704-94746

3 vaccinations 7 coded responses 16 check-ins 7 free-text entries 4 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 452 / OH
Registered: 2021-02-05

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

2021-01-26
Dose 1 — Moderna
2021-02-05
Registered in v-safe
2021-02-05
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-09
Survey response — day 14, dose 1
MedDRA: Chills, Oropharyngeal pain, Pyrexia — Feeling: Fair

Free text: I have had a low grade fever/chills on and off and the left side of my throat is sore. Could be unrelated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — day 21, dose 1
MedDRA: Cough, Oropharyngeal pain — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Sore throat with mild and occasional cough. No fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-25
Dose 2 — Moderna
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · Muscle or body aches

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

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

Adult check-in
2021-03-04
Health check-in — day 7, dose 2
Feeling: Good · Fever · Chills, Muscle or body aches

Adult check-in
2021-03-18
Survey response — day 21, dose 2
MedDRA: Abdominal pain, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Abdominal pain; midline to right of umbilicus · Healthcare visit (other): Also had abdominal u/s

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-01
Survey response — day 35, dose 2
MedDRA: Sinusitis — Feeling: Fair

Free text: Sinus infection again.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — 3 months, dose 2
MedDRA: Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Rash on both arms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-28
Survey response — 6 months, dose 2
MedDRA: Rash, Sinus disorder — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I have developed rashes on legs and arms, and have had chronic sinus problems.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-28
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-31
Call 1 — Left Voicemail
2021-12-30
Dose 3 — Moderna
2022-02-28
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-07-02
Survey response — 6 months, dose 3
MedDRA: Arthralgia, COVID-19, Office visit, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I tested positive for COVID at the end of May. Ever since, I have developed schombergs and have horrible joint pain. I have been to the dermatologist for a diagnosis but I'm still waiting for my rheumatologist appointment.

MedDRA releases: 2024-11 · check-in free text available
2022-07-02
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-05
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-26	Moderna
2	2021-02-25	Moderna
3	2021-12-30	Moderna	No

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 3 — day 14, dose 1

2021-02-09

Symptoms: I have had a low grade fever/chills on and off and the left side of my throat is sore. Could be unrelated

Release 4 — day 21, dose 1

2021-02-16

Symptoms: Sore throat with mild and occasional cough. No fever

Release 5 — day 21, dose 2

2021-03-18

Symptoms: Abdominal pain; midline to right of umbilicus

Healthcare visit (other): Also had abdominal u/s

Release 6 — day 35, dose 2

2021-04-01

Symptoms: Sinus infection again.

Release 8 — 3 months, dose 2

2021-05-27

Symptoms: Rash on both arms

Release 9 — 6 months, dose 2

2021-08-28

Symptoms: I have developed rashes on legs and arms, and have had chronic sinus problems.

Release 12 — 6 months, dose 3

2022-07-02

Symptoms: I tested positive for COVID at the end of May. Ever since, I have developed schombergs and have horrible joint pain. I have been to the dermatologist for a diagnosis but I'm still waiting for my rheumatologist appointment.

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	Abdominal pain	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Chills	✓	✓	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Office visit	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Sinus disorder	✓	·	✓
SD	Sinusitis	✓	✓	✓

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