6MF-25338-71578

1 vaccination 7 coded responses 12 check-ins 7 free-text entries 7 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 984 / WA
Registered: 2021-01-22

Relationship: Self
Race: Other
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-22
Registered in v-safe
2021-01-22
Dose 1 — Moderna
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Nasopharyngitis — Feeling: Good · Site: Redness, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My SYMPTOMS are similar to catching a cold yet able to proceed normal like!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Rash, Self-medication, Telemedicine — Feeling: Poor · Site: Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Moderate rash... face, neck, chest · Healthcare visit (other): Previous plan(b)(6) turned to tele appt. Taking Benadryl

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Generalised oedema, Unevaluable event — Feeling: Poor · Site: Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): Took Benadryl & Zyrtec as usual; swelling all over unusually. Goin to (b)(6) · Healthcare visit (other): Going to(b)(6), WA

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-28
Survey response — days 1–6 daily, dose 1
MedDRA: Rash — Feeling: Poor · Site: Redness, Swelling · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Sever rash, arm, face, neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-29
Health check-in — day 7, dose 1
Feeling: Poor · Site: Redness, Itching · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-01-29
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-06
Survey response — day 14, dose 1
MedDRA: Erythema, Rash, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Red rash on face torso & arms! · Healthcare visit (other): Gave me meds 6pack

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-12
Survey response — day 21, dose 1
MedDRA: Abdominal discomfort, Headache, Lethargy, Limb discomfort, Medical counselling, Rash, Swelling — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Symptoms: I have sick stomach, rash, swelling, headache, lethargic, sores on limbs & body! · Healthcare visit (other): Medical prescription multiple appointments.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Report sent to call center — day 21, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-21
Survey response — day 28, dose 1
MedDRA: Medical counselling, Office visit, Rash — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Symptoms: Huge rash all over, issued Dr. Perscribed topical medicine and prescribed a strict topical treatment regime. Attended multiple Dr. Appt.. My doctors said DO NOT TAKE 2nd Shot. I can only have a non-mRNA vaccine per my Dr. · Healthcare visit (other): Several Dr.appt series.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Report sent to call center — day 28, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-14
Call 1 — Left Voicemail
2021-06-03
Call 1 — Left Voicemail
2021-07-25
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2022-01-24
Health check-in — 12 months, dose 1
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna

Call center

7 call center cases

7 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-24

Systemic reaction (other): My SYMPTOMS are similar to catching a cold yet able to proceed normal like!

2021-01-26

Systemic reaction (other): Moderate rash... face, neck, chest

Healthcare visit (other): Previous plan(b)(6) turned to tele appt. Taking Benadryl

redacted (b)(6)

2021-01-27

Systemic reaction (other): Took Benadryl & Zyrtec as usual; swelling all over unusually. Goin to (b)(6)

Healthcare visit (other): Going to(b)(6), WA

redacted (b)(6)

2021-01-28

Systemic reaction (other): Sever rash, arm, face, neck

Release 3 — day 14, dose 1

2021-02-06

Symptoms: Red rash on face torso & arms!

Healthcare visit (other): Gave me meds 6pack

Release 4 — day 21, dose 1

2021-02-12

Symptoms: I have sick stomach, rash, swelling, headache, lethargic, sores on limbs & body!

Healthcare visit (other): Medical prescription multiple appointments.

Release 4 — day 28, dose 1

2021-02-21

Symptoms: Huge rash all over, issued Dr. Perscribed topical medicine and prescribed a strict topical treatment regime. Attended multiple Dr. Appt.. My doctors said DO NOT TAKE 2nd Shot. I can only have a non-mRNA vaccine per my Dr.

Healthcare visit (other): Several Dr.appt series.

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	Medical counselling	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Self-medication	✓	✓	✓
HCVO	Telemedicine	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Abdominal discomfort	✓	✓	✓
SD	Erythema	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Lethargy	✓	✓	✓
SD	Limb discomfort	✓	✓	✓
SD	Medical counselling	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Swelling	✓	✓	✓
SRO	Generalised oedema	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Rash	✓	✓	✓

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