6SH-28902-67826

4 vaccinations 6 coded responses 48 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 890 / NV
Registered: 2021-04-02

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

2021-01-05
Call 1 — Left Voicemail
2021-04-02
Registered in v-safe
2021-04-05
Dose 1 — Moderna
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-19
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site pain, Injection site pruritus — Feeling: Fair

Free text: About 6 days ago, the area on my arm around my vaccine injection site started itching, became painful to the touch, and turned deep pink. Within 3 days, the symptoms subsided and the color faded. Then, yesterday it came back, over a larger area.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-03
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-05-04
Dose 2 — Moderna
2021-05-04
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Syncope — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · 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: Fainted after getting up out of bed this morning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-05-11
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-05-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-04
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-20
Dose 3 — Moderna
2021-11-20
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-11-21
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Light headedness, dizziness

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-11-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-11-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-27
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain, Redness, Itching · Fatigue or tiredness

Adult check-in
2021-12-04
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-11
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-21
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-25
Survey response — day 35, dose 3
MedDRA: Headache, Oropharyngeal pain — Feeling: Good

Free text: Sore throat and headache

MedDRA releases: 2024-11 · check-in free text available
2022-01-01
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-19
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-21
Survey response — 6 months, dose 3
MedDRA: Rash, Rash pruritic — Feeling: Good

Free text: Itchy rash on hands (I don't think it's related to my vaccine at all, but who knows.)

MedDRA releases: 2024-11 · check-in free text available
2022-09-12
Dose 4 — Moderna
2022-09-12
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-13
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-09-14
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-09-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache

Adult check-in
2022-09-19
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-09-26
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-03
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-10
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-17
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-24
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-12
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-13
Survey response — 6 months, dose 4
MedDRA: Rash, Swelling — Feeling: Good

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-05	Moderna
2	2021-05-04	Moderna
3	2021-11-20	Moderna	No
4	2022-09-12	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — day 14, dose 1

2021-04-19

Symptoms: About 6 days ago, the area on my arm around my vaccine injection site started itching, became painful to the touch, and turned deep pink. Within 3 days, the symptoms subsided and the color faded. Then, yesterday it came back, over a larger area.

Release 8 — days 1–6 daily, dose 2

2021-05-05

Systemic reaction (other): Fainted after getting up out of bed this morning

Release 10 — days 1–6 daily, dose 3

2021-11-21

Systemic reaction (other): Light headedness, dizziness

Release 10 — day 35, dose 3

2021-12-25

Symptoms: Sore throat and headache

Release 11 — 6 months, dose 3

2022-05-21

Symptoms: Itchy rash on hands (I don't think it's related to my vaccine at all, but who knows.)

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	Headache	·	·	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Rash	·	·	✓
SD	Rash pruritic	·	·	✓
SD	Swelling	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Syncope	✓	✓	✓

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