6SB-23356-52243

2 vaccinations 7 coded responses 20 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 043 / ME
Registered: 2020-12-23

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

2020-12-23
Registered in v-safe
2020-12-23
Dose 1 — Moderna
2020-12-24
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite — Feeling: Fair · Site: Pain, Redness · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Not really hungry

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Diarrhea

Adult check-in
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-29
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Fair · Nausea, Abdominal pain

Free text: Just mild symptoms that come and go.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Survey response — day 7, dose 1
MedDRA: Condition aggravated, Frequent bowel movements, Pre-existing disease — Feeling: Fair · Site: Redness, Itching

Free text: Increase stooling. Seems ehave effected my IBS

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Survey response — day 14, dose 1
MedDRA: Chills, Injection site erythema, Injection site pain, Injection site rash, Pain, Pyrexia — Feeling: Good

Free text: Injection site worsen with redness, rash and tenderness. Had a low grade fever, chills and body aches every evening up to last night. Feeling better today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-20
Dose 2 — Moderna
2021-01-22
Survey response — days 1–6 daily, dose 2
MedDRA: Body temperature increased, Decreased appetite, Impaired work ability — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Not hungry, out of work yesterday due to temp of 102, and the above

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-27
Survey response — day 7, dose 2
MedDRA: Rhinorrhoea — Feeling: Good

Free text: Running nose today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-21
Survey response — 6 months, dose 2
MedDRA: Amenorrhoea, Office visit, Surgery, Uterine haemorrhage — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: Had surgery for a uterine bleed. I had not had a period for some time prior to this. · Healthcare visit (other): Out patient surgery

MedDRA releases: 2024-11 · check-in free text available
2021-07-21
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-07-27
Call 1 — Could Not Reach Participant
2021-07-29
Call 2 — Could Not Reach Participant
2021-07-29
Callback requested for
08:00AM ET

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-23	Moderna
2	2021-01-20	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-24

Systemic reaction (other): Not really hungry

2020-12-29

Systemic reaction (other): Just mild symptoms that come and go.

Release 1 — day 7, dose 1

2020-12-30

Systemic reaction (other): Increase stooling. Seems ehave effected my IBS

Release 1 — day 14, dose 1

2021-01-06

Symptoms: Injection site worsen with redness, rash and tenderness. Had a low grade fever, chills and body aches every evening up to last night. Feeling better today.

Release 2 — days 1–6 daily, dose 2

2021-01-22

Systemic reaction (other): Not hungry, out of work yesterday due to temp of 102, and the above

Release 2 — day 7, dose 2

2021-01-27

Systemic reaction (other): Running nose today

Release 9 — 6 months, dose 2

2021-07-21

Symptoms: Had surgery for a uterine bleed. I had not had a period for some time prior to this.

Healthcare visit (other): Out patient surgery

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	Office visit	·	·	✓
HCVO	Surgery	·	·	✓
SD	Amenorrhoea	·	·	✓
SD	Chills	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Surgery	·	·	✓
SD	Uterine haemorrhage	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Body temperature increased	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Frequent bowel movements	✓	✓	✓
SRO	Impaired work ability	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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