6VT-82790-35202

5 vaccinations 9 coded responses 46 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 439 / OH
Registered: 2021-03-16

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

2021-03-16
Registered in v-safe
2021-03-16
Dose 1 — Moderna
2021-03-16
Health check-in — day 0, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness, Swelling · Headache

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Diarrhea

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-13
Dose 2 — Moderna
2021-04-27
Survey response — day 14, dose 2
MedDRA: Abdominal discomfort, Chills, Malaise, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: The day after my second shot I was sick with chills and aches upset stomach that lasted 2 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-13
Survey response — 3 months, dose 2
MedDRA: Cough, Headache, Vomiting — Feeling: Poor · Be unable to do your normal daily activities

Free text: Coughing, headache and throwing up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-12
Survey response — 6 months, dose 2
MedDRA: Rash, Rash pruritic — Feeling: Good

Free text: I have a horrible rash dr gave me steroid cream and it helped til the cream was gone and now it's horrible again and very itchy

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Dose 3 — Moderna
2021-11-16
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-23
Survey response — day 21, dose 3
MedDRA: Hypoaesthesia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: My right leg became numb

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2021-11-24
Call 2 — Could Not Reach Participant
2021-11-30
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-30
Call 3 — Left Voicemail
2021-12-07
Survey response — day 35, dose 3
MedDRA: Cough, Headache, Oropharyngeal pain, Pain, Pyrexia — Feeling: Poor · 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: Cough, fever, headache, sore throat and aches

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Report sent to call center — day 35, 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)
2021-12-08
Call 2 — Left Voicemail
2021-12-14
Health check-in — day 42, dose 3
Feeling: Fair

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

Adult check-in
2022-04-27
Dose 4 — Moderna
2022-04-27
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-04-28
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-29
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-30
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-03
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Itching · None

Adult check-in
2022-05-06
Health check-in — day 7, dose 4
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-11
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-20
Survey response — day 21, dose 4
MedDRA: Hypoaesthesia, Office visit, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Legs very sore and keep went numb a couple times toes feel asleep went to dr doing tests

MedDRA releases: 2024-11 · check-in free text available
2022-05-27
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-06-01
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-06-09
Survey response — day 42, dose 4
MedDRA: Hypoaesthesia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Numbness in my legs and toes

MedDRA releases: 2024-11 · check-in free text available
2022-06-09
Report sent to call center — day 42, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-10
Call 1 — Left Voicemail
2022-07-27
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-10-12
Dose 5 — Moderna
Co-administered: Flu
2022-10-14
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2022-10-15
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2022-10-16
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2022-10-17
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-18
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches

Adult check-in
2022-10-26
Survey response — day 14, dose 5
MedDRA: Abdominal pain upper, Cough, Headache, Oropharyngeal pain, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Headache, fever and stomach cramps, coughing and sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-11-02
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-11-09
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-18
Survey response — day 35, dose 5
MedDRA: Cough, Headache, Office visit, Oropharyngeal pain, Pyrexia — Feeling: Poor · 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: Sore throat fever, headache and coughing seen my drs nurse today and had a strep test which was negative and I see the dr Monday morning

MedDRA releases: 2024-11 · check-in free text available
2022-11-18
Report sent to call center — day 35, dose 5
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)
2022-11-22
Call 1 — Left Voicemail
2022-11-22
Call 1 — Left Voicemail
2022-11-22
Call 2 — Left Voicemail
2022-11-22
Call 1 — Left Voicemail
2022-11-23
Health check-in — day 42, dose 5
Feeling: Poor

Adult check-in
2023-01-11
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Moderna
2	2021-04-13	Moderna
3	2021-11-02	Moderna	No
4	2022-04-27	Moderna	No
5	2022-10-12	Moderna	Flu

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 8 — day 14, dose 2

2021-04-27

Symptoms: The day after my second shot I was sick with chills and aches upset stomach that lasted 2 days

Release 9 — 3 months, dose 2

2021-07-13

Symptoms: Coughing, headache and throwing up

Release 10 — 6 months, dose 2

2021-10-12

Symptoms: I have a horrible rash dr gave me steroid cream and it helped til the cream was gone and now it's horrible again and very itchy

Release 10 — day 21, dose 3

2021-11-23

Symptoms: My right leg became numb

Release 10 — day 35, dose 3

2021-12-07

Symptoms: Cough, fever, headache, sore throat and aches

Release 11 — day 21, dose 4

2022-05-20

Symptoms: Legs very sore and keep went numb a couple times toes feel asleep went to dr doing tests

Release 12 — day 42, dose 4

2022-06-09

Symptoms: Numbness in my legs and toes

Release 12 — day 14, dose 5

2022-10-26

Symptoms: Headache, fever and stomach cramps, coughing and sore throat

Release 12 — day 35, dose 5

2022-11-18

Symptoms: Sore throat fever, headache and coughing seen my drs nurse today and had a strep test which was negative and I see the dr Monday morning

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	Abdominal pain upper	·	·	✓
SD	Chills	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	·	·	✓
SD	Malaise	✓	✓	✓
SD	Office visit	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rash	·	·	✓
SD	Rash pruritic	·	·	✓
SD	Vomiting	✓	✓	✓

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