6LY-76683-83032

4 vaccinations 6 coded responses 26 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 330 / FL
Registered: 2021-04-01

Relationship: Self
Race: American Indian or Alaska Native
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-04-01
Registered in v-safe
2021-04-01
Dose 1 — Moderna
2021-04-01
Health check-in — day 0, dose 1
Feeling: Fair · None

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-08
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-15
Survey response — day 14, dose 1
MedDRA: Arthralgia, Eye pain, Eyelid margin crusting, Feeling cold, Headache, Musculoskeletal stiffness, Nausea, Oropharyngeal pain, Pain, Swelling face, Swelling of eyelid, Throat irritation — Feeling: Poor · Be unable to do your normal daily activities

Free text: Sore, scratchy throat. Nausea, severe headache, body is stiff, joints ache, I hurt all over, both eyes ache with pain, and have sleep or crustys build-up all day, both eyes feel swollen. I feel cold all the time. Complaints started Tue,04/13/

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-29
Dose 2 — Moderna
2021-05-07
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-05-17
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-20
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-30
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-03
Survey response — day 35, dose 2
MedDRA: Abdominal pain upper, Headache, Malaise — Feeling: Fair · Be unable to do your normal daily activities

Free text: headache/migraine, stomach-ache/abdominal-ache, overall sick-feeling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Survey response — day 42, dose 2
MedDRA: Disturbance in attention, Fatigue, Headache, Pain, Pruritus — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: tired, itchy, headache, achy, unable to focus on a task to completion.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-28
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-05-03
Survey response — 12 months, dose 2
MedDRA: Breast mass, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Lumps in breast · Healthcare visit (other): More tests

MedDRA releases: 2024-11 · check-in free text available
2022-05-03
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-04
Call 1 — Left Voicemail
2022-07-07
Dose 3 — Moderna
2022-12-06
Dose 4 — Moderna
2022-12-10
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fever · Fatigue or tiredness

Adult check-in
2022-12-11
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-12-14
Health check-in — day 7, dose 4
Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-12-20
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-12-27
Survey response — day 21, dose 4
MedDRA: Abdominal pain, Cold sweat — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe abdominal pain, cold sweat lasting longer than 30 min.

MedDRA releases: 2024-11 · check-in free text available
2023-01-04
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2023-01-10
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2023-01-17
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-03-07
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-06-09
Survey response — 6 months, dose 4
MedDRA: Heat stroke — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Moderna
2	2021-04-29	Moderna
3	2022-07-07	Moderna	No
4	2022-12-06	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — day 14, dose 1

2021-04-15

Symptoms: Sore, scratchy throat. Nausea, severe headache, body is stiff, joints ache, I hurt all over, both eyes ache with pain, and have sleep or crustys build-up all day, both eyes feel swollen. I feel cold all the time. Complaints started Tue,04/13/

Release 8 — day 35, dose 2

2021-06-03

Symptoms: headache/migraine, stomach-ache/abdominal-ache, overall sick-feeling

Release 9 — day 42, dose 2

2021-06-10

Symptoms: tired, itchy, headache, achy, unable to focus on a task to completion.

Release 11 — 12 months, dose 2

2022-05-03

Symptoms: Lumps in breast

Healthcare visit (other): More tests

Release 12 — day 21, dose 4

2022-12-27

Symptoms: Severe abdominal pain, cold sweat lasting longer than 30 min.

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	Abdominal pain upper	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Breast mass	·	·	✓
SD	Cold sweat	·	·	✓
SD	Disturbance in attention	✓	✓	✓
SD	Eye pain	✓	✓	✓
SD	Eyelid margin crusting	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling cold	✓	·	✓
SD	Headache	✓	✓	✓
SD	Heat stroke	·	·	✓
SD	Malaise	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Swelling face	○	✓	○
SD	Swelling of eyelid	✓	·	✓
SD	Throat irritation	✓	✓	✓

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