6TH-24533-06640

3 vaccinations 8 coded responses 23 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 774 / TX
Registered: 2021-03-05

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-03
Dose 1 — Moderna
2021-03-05
Registered in v-safe
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Headache — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Weakness, headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-10
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-04-10
Dose 2 — Moderna
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-18
Health check-in — day 7, dose 2
Feeling: Good · Headache · Be unable to do your normal daily activities

Adult check-in
2021-04-26
Survey response — day 14, dose 2
MedDRA: Headache — Feeling: Good

Free text: Headaches at night and when I wake up in the morning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — day 21, dose 2
MedDRA: Headache, Pain in extremity — Feeling: Good

Free text: Sometimes headaches and pain in my right leg, calf area.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — day 28, dose 2
MedDRA: Abdominal pain upper, Body temperature increased, Chills — Feeling: Poor · Be unable to do your normal daily activities

Free text: High temperature and shivers, stomach ache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Survey response — day 35, dose 2
MedDRA: Asthenia, Headache — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Headaches weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-11
Survey response — 6 months, dose 2
MedDRA: Gastroenteritis, Mammogram abnormal, Oropharyngeal pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sore throat, gastroenteritis and breast density following a routine mamogram. I am scheduled for a diagnostiic mammogram.

MedDRA releases: 2024-11 · check-in free text available
2021-10-11
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-13
Call 2 — Could Not Reach Participant
2021-10-18
Call 3 — Could Not Reach Participant
2022-04-12
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-27
Dose 3 — Moderna
2022-06-24
Survey response — day 28, dose 3
MedDRA: Breast mass, Breast pain, Breast swelling, Erythema, Office visit, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: There was swelling in my right breast, redness, lumps, great pain and fever. My booster shot was in my right arm. My doctor gave me antibiotics for 10 days and ordered bilateral mamogram and ultrasound.

MedDRA releases: 2024-11 · check-in free text available
2022-06-24
Report sent to call center — day 28, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-27
Call 1 — Requested Callback
2022-06-27
Call 1 — Left Voicemail
2022-06-27
Call 1 — Left Voicemail
2022-07-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-08-29
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Moderna
2	2021-04-10	Moderna
3	2022-05-27	Moderna	No

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-05

Systemic reaction (other): Weakness, headaches

2021-03-06

Systemic reaction (other): Headaches

Release 8 — day 14, dose 2

2021-04-26

Symptoms: Headaches at night and when I wake up in the morning.

Release 8 — day 21, dose 2

2021-05-01

Symptoms: Sometimes headaches and pain in my right leg, calf area.

Release 8 — day 28, dose 2

2021-05-10

Symptoms: High temperature and shivers, stomach ache.

Release 8 — day 35, dose 2

2021-05-15

Symptoms: Headaches weakness

Release 10 — 6 months, dose 2

2021-10-11

Symptoms: Sore throat, gastroenteritis and breast density following a routine mamogram. I am scheduled for a diagnostiic mammogram.

Release 12 — day 28, dose 3

2022-06-24

Symptoms: There was swelling in my right breast, redness, lumps, great pain and fever. My booster shot was in my right arm. My doctor gave me antibiotics for 10 days and ordered bilateral mamogram and ultrasound.

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 upper	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Body temperature increased	✓	✓	✓
SD	Breast mass	·	·	✓
SD	Breast pain	·	·	✓
SD	Breast swelling	·	·	✓
SD	Chills	✓	✓	✓
SD	Erythema	·	·	✓
SD	Gastroenteritis	·	·	✓
SD	Headache	✓	✓	✓
SD	Mammogram abnormal	·	·	✓
SD	Office visit	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pyrexia	·	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Headache	✓	✓	✓

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