6VC-21581-18034

2 vaccinations 10 coded responses 22 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 980 / WA
Registered: 2021-01-22

Relationship: Self
Race: American Indian or Alaska Native
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-21
Dose 1 — Moderna
2021-01-22
Registered in v-safe
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Throat irritation — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches

Free text: Mucus in the throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Joint pains

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills

Adult check-in
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Night sweats — Feeling: Fair · Fever · Joint pains

Free text: Sweating at night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches

Adult check-in
2021-01-28
Health check-in — day 7, dose 1
Feeling: Fair · Joint pains

Adult check-in
2021-02-04
Survey response — day 14, dose 1
MedDRA: Sinus arrest, Sinus disorder — Feeling: Fair

Free text: Sinus trouble,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — day 21, dose 1
MedDRA: Abdominal discomfort — Feeling: Poor · Be unable to do your normal daily activities

Free text: Stomach problems hurts when I eat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Dose 2 — Moderna
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · 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
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal, Hyperhidrosis — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Brain not working, didnt put filter in coffee pot, took out the wrong seam on my project, also woke up this morning soaked in sweat.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-25
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-13
Survey response — day 21, dose 2
MedDRA: Sinus headache — Feeling: Fair

Free text: Feels like sinus headache which is what I had when I was positive for covid.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — day 28, dose 2
MedDRA: Cough, Rhinorrhoea — Feeling: Fair

Free text: Cough, runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — day 35, dose 2
MedDRA: Arthralgia, Breast pain, Crying, Fatigue, Oropharyngeal pain — 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, Emergency room or emergency department visit

Free text: Tired, sore throat, crying for no reason, right upper breast pain, knuckle pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-01
Survey response — day 42, dose 2
MedDRA: Pruritus, Urticaria — Feeling: Poor · Be unable to work

Free text: Hives, irchy scalp

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-19
Survey response — 6 months, dose 2
MedDRA: Fatigue, Headache, Influenza like illness, Pain, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities

Free text: Felt luke I had bv the flu, body aches, headaches, tired had covid check came back negative.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-12-27
Call 1 — Could Not Reach Participant
2021-12-30
Call 2 — Left Voicemail
2022-02-23
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Moderna
2	2021-02-18	Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-22

Systemic reaction (other): Mucus in the throat

2021-01-26

Systemic reaction (other): Sweating at night

Release 3 — day 14, dose 1

2021-02-04

Symptoms: Sinus trouble,

Release 4 — day 21, dose 1

2021-02-11

Symptoms: Stomach problems hurts when I eat

Release 4 — days 1–6 daily, dose 2

2021-02-20

Systemic reaction (other): Brain not working, didnt put filter in coffee pot, took out the wrong seam on my project, also woke up this morning soaked in sweat.

Release 5 — day 21, dose 2

2021-03-13

Symptoms: Feels like sinus headache which is what I had when I was positive for covid.

Release 5 — day 28, dose 2

2021-03-18

Symptoms: Cough, runny nose

Release 6 — day 35, dose 2

2021-03-27

Symptoms: Tired, sore throat, crying for no reason, right upper breast pain, knuckle pain

Release 6 — day 42, dose 2

2021-04-01

Symptoms: Hives, irchy scalp

Release 9 — 6 months, dose 2

2021-08-19

Symptoms: Felt luke I had bv the flu, body aches, headaches, tired had covid check came back negative.

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 discomfort	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Breast pain	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Crying	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	·	✓
SD	Influenza like illness	✓	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	·	✓
SD	Pruritus	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	·	✓
SD	Sinus arrest	○	✓	○
SD	Sinus disorder	✓	·	✓
SD	Sinus headache	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Night sweats	✓	✓	✓
SRO	Throat irritation	✓	✓	✓

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