6T9-27877-75425

4 vaccinations 7 coded responses 48 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 750 / TX
Registered: 2021-01-31

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

2021-01-22
Dose 1 — Moderna
2021-01-31
Registered in v-safe
2021-01-31
Health check-in — day 7, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-02-05
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site swelling — Feeling: Good

Free text: The injection site was red and raised but that has since gone away.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-21
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-24
Dose 2 — Moderna
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Diarrhea

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Nausea

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Diarrhea

Adult check-in
2021-03-03
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness · Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-25
Survey response — 6 months, dose 2
MedDRA: Parosmia — Feeling: Good

Free text: I smell what smells like cigarette smoke a lot. No one around me smokes. Im thinking this may be a side effect. ?!? This was happening before but I never even thought it could be related.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-02
Dose 3 — Moderna
2021-11-02
Health check-in — day 0, dose 3
Feeling: Good · Site: Redness · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Itching · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness, Diarrhea

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Itching · None

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Itching · None

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness · None

Adult check-in
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness · None

Adult check-in
2021-11-11
Survey response — day 7, dose 3
MedDRA: Injection site bruising — Feeling: Good

Free text: Just a bruise where the injection was.

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Survey response — day 14, dose 3
MedDRA: Unevaluable event — Feeling: Good

Free text: The smell of cigarette smoke.

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-30
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-07
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-01
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-05
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-27
Dose 4 — Moderna
2022-05-27
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-05-28
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2022-05-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2022-05-30
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Redness · Abdominal pain

Adult check-in
2022-05-31
Survey response — days 1–6 daily, dose 4
MedDRA: Irritability — Feeling: Fair · Site: Redness · Fatigue or tiredness, Abdominal pain

Free text: Irritable

MedDRA releases: 2024-11 · check-in free text available
2022-06-01
Survey response — days 1–6 daily, dose 4
MedDRA: Irritability — Feeling: Good · Site: Redness · Fatigue or tiredness

Free text: Irritable

MedDRA releases: 2024-11 · check-in free text available
2022-06-02
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Redness · Headache, Fatigue or tiredness

Adult check-in
2022-06-03
Health check-in — day 7, dose 4
Feeling: Good · Site: Redness · Fatigue or tiredness

Adult check-in
2022-06-10
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-17
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-24
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-01
Survey response — day 35, dose 4
MedDRA: Office visit, Rash — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Rash on leg but assuming it has nothing to do with the vaccine · Healthcare visit (other): My doctor

MedDRA releases: 2024-11 · check-in free text available
2022-07-01
Report sent to call center — day 35, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-07-05
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-10
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-26
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-27
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna
2	2021-02-24	Moderna
3	2021-11-02	Moderna	No
4	2022-05-27	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 3 — day 14, dose 1

2021-02-05

Symptoms: The injection site was red and raised but that has since gone away.

Release 9 — 6 months, dose 2

2021-08-25

Symptoms: I smell what smells like cigarette smoke a lot. No one around me smokes. Im thinking this may be a side effect. ?!? This was happening before but I never even thought it could be related.

Release 10 — day 7, dose 3

2021-11-11

Systemic reaction (other): Just a bruise where the injection was.

Release 10 — day 14, dose 3

2021-11-16

Symptoms: The smell of cigarette smoke.

Release 11 — days 1–6 daily, dose 4

2022-05-31

Systemic reaction (other): Irritable

2022-06-01

Systemic reaction (other): Irritable

Release 12 — day 35, dose 4

2022-07-01

Symptoms: Rash on leg but assuming it has nothing to do with the vaccine

Healthcare visit (other): My doctor

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	·	·	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Parosmia	✓	·	✓
SD	Rash	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Injection site bruising	·	·	✓
SRO	Irritability	·	·	✓

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