6SM-76650-55397

3 vaccinations 6 coded responses 26 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 970 / OR
Registered: 2021-01-02

Relationship: Self
Race: Native Hawaiian or other Pacific Islander
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-02
Registered in v-safe
2021-01-02
Dose 1 — Moderna
2021-01-02
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good

Free text: My arm was sore last night and is improving today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-09
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-23
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-30
Dose 2 — Moderna
2021-01-30
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Chemotherapy, Pre-existing disease — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I started a new chemo today for recurrence of ovarian cancer.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-20
Survey response — day 21, dose 2
MedDRA: Abdominal pain — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Abdominal pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-27
Survey response — day 28, dose 2
MedDRA: Condition aggravated, Metastatic lymphoma, Ovarian cancer recurrent, Positron emission tomogram abnormal, Pre-existing disease — Feeling: Good

Free text: I had a Pet scan shortly after 1st dose that showed recurrence of ovarian cancer in axillary lymph node as well as another location. Doctor now thinks lymph node is actually just due to covid vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-01
Survey response — 3 months, dose 2
MedDRA: Pre-existing disease, Rash, Respiratory tract congestion, Rhinorrhoea — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Congestion, runny nose, rash. The hear are likely side effects of treatment with doxil & avastin for ovarian cancer recurrence.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-16
Call 1 — Left Voicemail
2021-08-02
Survey response — 6 months, dose 2
MedDRA: Cough, Headache, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair

Free text: Sore throat, cough, congestion, headache

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-03
Dose 3 — Moderna
2022-02-03
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-02	Moderna
2	2021-01-30	Moderna
3	2021-09-03	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-03

Systemic reaction (other): My arm was sore last night and is improving today.

Release 3 — days 1–6 daily, dose 2

2021-02-05

Systemic reaction (other): I started a new chemo today for recurrence of ovarian cancer.

Release 4 — day 21, dose 2

2021-02-20

Symptoms: Abdominal pain

Release 4 — day 28, dose 2

2021-02-27

Symptoms: I had a Pet scan shortly after 1st dose that showed recurrence of ovarian cancer in axillary lymph node as well as another location. Doctor now thinks lymph node is actually just due to covid vaccine.

Release 8 — 3 months, dose 2

2021-05-01

Symptoms: Congestion, runny nose, rash. The hear are likely side effects of treatment with doxil & avastin for ovarian cancer recurrence.

Release 9 — 6 months, dose 2

2021-08-02

Symptoms: Sore throat, cough, congestion, headache

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	✓	✓	✓
SD	Condition aggravated	✓	·	✓
SD	Cough	✓	·	✓
SD	Headache	✓	·	✓
SD	Metastatic lymphoma	✓	✓	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Ovarian cancer recurrent	○	✓	○
SD	Positron emission tomogram abnormal	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SRO	Chemotherapy	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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