6K9-25486-98908

3 vaccinations 7 coded responses 19 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 983 / WA
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

2021-02-04
Dose 1 — Moderna
2021-02-05
Registered in v-safe
2021-02-05
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain, Muscle spasms — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: 8/10 injection site pain, spasms in legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-07
Survey response — days 1–6 daily, dose 1
MedDRA: Hunger — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Extra hungry since injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-11
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-18
Survey response — day 14, dose 1
MedDRA: Injection site induration, Lymphadenopathy — Feeling: Good

Free text: Hard at injection site and underarm lymph nodes swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — day 21, dose 1
MedDRA: Dyspnoea, Haemoptysis, Lung disorder, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Lung issues- SOB, difficulty breathing, started coughing lightly blood- tinged white mucus last night and this morning. No temp - have allergies but has been down to freezing each night for 2 wks and have never had this reaction

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Dose 2 — Moderna
2021-08-05
Survey response — 6 months, dose 1
MedDRA: Hypersensitivity — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: New allergies

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-05
Report sent to call center — 6 months, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-26
Dose 3 — Moderna
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-02
Survey response — day 7, dose 3
MedDRA: Blood pressure increased, Fatigue, Headache, Office visit — Feeling: Good · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Going to PCP @4 for elevated BP, fatigue & headaches

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Report sent to call center — day 7, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-04
Call 1 — Left Voicemail
2021-11-09
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-16
Survey response — day 21, dose 3
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Tiredness, fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Moderna
2	2021-03-04	Moderna	No
3	2021-10-26	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-05

Systemic reaction (other): 8/10 injection site pain, spasms in legs

2021-02-07

Systemic reaction (other): Extra hungry since injection

Release 4 — day 14, dose 1

2021-02-18

Symptoms: Hard at injection site and underarm lymph nodes swollen

Release 4 — day 21, dose 1

2021-02-26

Symptoms: Lung issues- SOB, difficulty breathing, started coughing lightly blood- tinged white mucus last night and this morning. No temp - have allergies but has been down to freezing each night for 2 wks and have never had this reaction

Release 9 — 6 months, dose 1

2021-08-05

Symptoms: New allergies

Release 10 — day 7, dose 3

2021-11-02

Healthcare visit (other): Going to PCP @4 for elevated BP, fatigue & headaches

Release 10 — day 21, dose 3

2021-11-16

Symptoms: Tiredness, fatigue

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	Blood pressure increased	·	·	✓
HCVO	Fatigue	·	·	✓
HCVO	Headache	·	·	✓
HCVO	Office visit	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Haemoptysis	✓	✓	✓
SD	Hypersensitivity	✓	·	✓
SD	Injection site induration	✓	✓	✓
SD	Lung disorder	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Hunger	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓

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