6KB-84956-01475

2 vaccinations 8 coded responses 14 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 21-25
ZIP prefix: 787 / TX
Registered: 2021-01-19

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
2021-01-19
Registered in v-safe
2021-01-19
Survey response — day 14, dose 1
MedDRA: Abdominal pain upper, Chills, Diarrhoea, Fatigue, Lymph node pain, Lymphadenopathy, Pain in extremity — Feeling: Good

Free text: This is my 1st check in so: I felt arm soreness days 2-4 after vaccine. Days 6-11 experienced swollen/tender axillary lymph node on left arm, chills, diarrhea and stomach cramps, and fatigue. Lymph node is still slightly swollen now but nothing else.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-01-25
Dose 2 — Moderna
2021-01-26
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Feeling abnormal, Vertigo — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Dizziness, mental fog, head spinning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Chills, Fatigue or tiredness

Adult check-in
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Oral herpes — Feeling: Good · Site: Pain, Itching · Fatigue or tiredness

Free text: Starting to have outbreak of cold sores around mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-02-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-15
Survey response — day 21, dose 2
MedDRA: Heart rate increased, Urticaria — Feeling: Fair

Free text: Hives elevated heart rate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — day 35, dose 2
MedDRA: Heart rate increased — Feeling: Fair

Free text: Faster heart rate, daily body temperature in general has been slightly raised (from 97.5 to 98.2 on average)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — day 42, dose 2
MedDRA: Epiglottis ulcer, Oropharyngeal pain, Productive cough — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Throat pain, productive cough, ulcer of the epiglottis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-26
Survey response — 3 months, dose 2
MedDRA: Abdominal pain upper, Cough, Diarrhoea — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Diarrhea, stomach pain, cough (went through 2 rounds of antibiotics)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Report sent to call center — 3 months, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-28
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-04
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-01-25	Moderna

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-19

Symptoms: This is my 1st check in so: I felt arm soreness days 2-4 after vaccine. Days 6-11 experienced swollen/tender axillary lymph node on left arm, chills, diarrhea and stomach cramps, and fatigue. Lymph node is still slightly swollen now but nothing else. cut off by CDC

Release 2 — days 1–6 daily, dose 2

2021-01-26

Systemic reaction (other): Dizziness

2021-01-27

Systemic reaction (other): Dizziness, mental fog, head spinning

Release 3 — days 1–6 daily, dose 2

2021-01-30

Systemic reaction (other): Starting to have outbreak of cold sores around mouth

Release 4 — day 21, dose 2

2021-02-15

Symptoms: Hives elevated heart rate

Release 4 — day 35, dose 2

2021-03-01

Symptoms: Faster heart rate, daily body temperature in general has been slightly raised (from 97.5 to 98.2 on average)

Release 5 — day 42, dose 2

2021-03-08

Symptoms: Throat pain, productive cough, ulcer of the epiglottis

Release 8 — 3 months, dose 2

2021-04-26

Symptoms: Diarrhea, stomach pain, cough (went through 2 rounds of antibiotics)

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
SD	Abdominal pain upper	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Epiglottis ulcer	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Lymph node pain	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Productive cough	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Oral herpes	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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