6TX-10704-11423

3 vaccinations 5 coded responses 16 check-ins 5 free-text entries 5 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 954 / CA
Registered: 2021-04-07

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

2021-03-30
Dose 1 — Moderna
2021-04-07
Registered in v-safe
2021-04-07
Survey response — day 7, dose 1
MedDRA: Office visit — Feeling: Poor · 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

Free text: In person medical appointment

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-13
Survey response — day 14, dose 1
MedDRA: Chest pain, Eyelid oedema, Office visit, Swelling face, Ultrasound scan, Unevaluable event — Feeling: Fair · Be unable to work, 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: Symptoms: All my facial filler swelled and I saw my Doctor. Cheeks and under eyes were swollen. I have photos. I also had new pain in my upper right quadrant and had an ultrasound. Shows a polyp. · Healthcare visit (other): Appointment in-person

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Report sent to call center — day 14, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-27
Dose 2 — Moderna
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Dermal filler reaction — Feeling: Good · Site: Swelling

Free text: Derma face filler swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Swelling, Swelling face, Vaccine positive rechallenge — Feeling: Fair · Site: Swelling · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Swelling of entire face. Same as after first shot. · Healthcare visit (other): Had to get Steroids due Moderna causing swelling.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
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)
2021-05-04
Health check-in — day 7, dose 2
Feeling: Good · Site: Swelling · None · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-05-04
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-29
Survey response — 3 months, dose 2
MedDRA: Adrenal neoplasm, Gallbladder disorder, Gallbladder neoplasm, Hiatus hernia, Pain — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Moderna shot 2 caused 1st gall bladder attack- good news is I wouldnt have known I have a tumor in gall bladder and adrenal gland and have a hiatal hernia- I didnt have pain until gall bladder.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-29
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-09
Call 1 — Left Voicemail
2021-10-28
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-01-07
Dose 3 — Moderna
2022-07-10
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-30	Moderna
2	2021-04-27	Moderna
3	2022-01-07	Moderna	No

Call center

5 call center cases

5 unsuccessful

See the call center timeline

Free text

Release 7 — day 7, dose 1

2021-04-07

Healthcare visit (other): In person medical appointment

Release 7 — day 14, dose 1

2021-04-13

Symptoms: All my facial filler swelled and I saw my Doctor. Cheeks and under eyes were swollen. I have photos. I also had new pain in my upper right quadrant and had an ultrasound. Shows a polyp.

Healthcare visit (other): Appointment in-person

Release 8 — days 1–6 daily, dose 2

2021-05-01

Systemic reaction (other): Derma face filler swelling

2021-05-02

Systemic reaction (other): Swelling of entire face. Same as after first shot.

Healthcare visit (other): Had to get Steroids due Moderna causing swelling.

Release 9 — 3 months, dose 2

2021-07-29

Symptoms: Moderna shot 2 caused 1st gall bladder attack- good news is I wouldnt have known I have a tumor in gall bladder and adrenal gland and have a hiatal hernia- I didnt have pain until gall bladder.

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	Swelling	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Adrenal neoplasm	✓	·	✓
SD	Chest pain	✓	✓	✓
SD	Eyelid oedema	✓	✓	✓
SD	Gallbladder disorder	✓	·	✓
SD	Gallbladder neoplasm	✓	·	✓
SD	Hiatus hernia	✓	·	✓
SD	Office visit	✓	✓	✓
SD	Pain	✓	·	✓
SD	Swelling face	✓	✓	✓
SD	Ultrasound scan	✓	✓	✓
SRO	Dermal filler reaction	✓	✓	✓
SRO	Swelling face	✓	✓	✓
SRO	Vaccine positive rechallenge	✓	✓	✓

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