6VH-15879-80186

4 vaccinations 8 coded responses 34 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 919 / CA
Registered: 2021-04-14

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

2021-03-17
Dose 1 — Moderna
2021-04-14
Registered in v-safe
2021-04-14
Dose 2 — Moderna
2021-04-14
Survey response — day 0, dose 2
MedDRA: Pain in extremity, Pruritus — Feeling: Fair · Site: Pain, Itching

Free text: Just got vaccine 2 hours ago, arm sore, same side of body itchy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling cold — Feeling: Poor · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness

Free text: Freezing, could not get warm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-04-23
Survey response — day 7, dose 2
MedDRA: Blister — Feeling: Good

Free text: Blisters on top of right shoulder

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-10-14
Survey response — 6 months, dose 2
MedDRA: Lower respiratory tract infection, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Fair

Free text: Severe cold in head and upper chest, but tested negative for covid. Stayed home out of precaution.

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
Dose 3 — Moderna
2021-12-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-12-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-12-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-12-04
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site pain — Feeling: Good · Site: Pain

Free text: Injection site is more tender than sore

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-12-06
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-12-13
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-21
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-06
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-12
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-01
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-23
Dose 4 — Moderna
2022-06-24
Survey response — days 1–6 daily, dose 4
MedDRA: Paraesthesia — Feeling: Poor · Site: Pain, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Tingling on the left side of the body, Same side that the injection was on

MedDRA releases: 2024-11 · check-in free text available
2022-06-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-06-30
Health check-in — day 7, dose 4
Feeling: Good · Site: Pain · Headache

Adult check-in
2022-07-07
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-07-14
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-07-21
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-07-30
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-08-06
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-09-22
Survey response — 3 months, dose 4
MedDRA: Squamous cell carcinoma — Feeling: Good

Free text: Squamous cell carcinoma

MedDRA releases: 2024-11 · check-in free text available
2022-12-22
Survey response — 6 months, dose 4
MedDRA: Animal bite, Office visit, Pre-existing disease, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Racoon bite, rabies vaccine August 2022 Radiation due to squamous cell carcinoma Sept/Oct 2022. Positive covid test 12/12/2022 · Healthcare visit (other): Outpatient oncology clinic

MedDRA releases: 2024-11 · check-in free text available
2022-12-22
Report sent to call center — 6 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-23
Call 1 — Left Voicemail
2023-06-26
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Moderna
2	2021-04-14	Moderna
3	2021-11-29	Moderna	No
4	2022-06-23	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — day 0, dose 2

2021-04-14

Systemic reaction (other): Just got vaccine 2 hours ago, arm sore, same side of body itchy

Release 7 — days 1–6 daily, dose 2

2021-04-16

Systemic reaction (other): Freezing, could not get warm.

Release 7 — day 7, dose 2

2021-04-23

Systemic reaction (other): Blisters on top of right shoulder

Release 10 — 6 months, dose 2

2021-10-14

Symptoms: Severe cold in head and upper chest, but tested negative for covid. Stayed home out of precaution.

Release 10 — days 1–6 daily, dose 3

2021-12-04

Systemic reaction (other): Injection site is more tender than sore

Release 12 — days 1–6 daily, dose 4

2022-06-24

Systemic reaction (other): Tingling on the left side of the body, Same side that the injection was on

Release 12 — 3 months, dose 4

2022-09-22

Symptoms: Squamous cell carcinoma

Release 12 — 6 months, dose 4

2022-12-22

Symptoms: Racoon bite, rabies vaccine August 2022 Radiation due to squamous cell carcinoma Sept/Oct 2022. Positive covid test 12/12/2022

Healthcare visit (other): Outpatient oncology clinic

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	Animal bite	·	·	✓
SD	Lower respiratory tract infection	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Squamous cell carcinoma	·	·	✓
SRO	Blister	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Injection site pain	·	·	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paraesthesia	·	·	✓
SRO	Pruritus	✓	✓	✓

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