6YF-57684-32688

3 vaccinations 7 coded responses 38 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 034 / NH
Registered: 2021-04-20

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

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

2021-04-20
Registered in v-safe
2021-04-20
Dose 1 — Moderna
2021-04-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-22
Survey response — days 1–6 daily, dose 1
MedDRA: Flushing, Immediate post-injection reaction — Feeling: Fair · Site: Pain · Chills

Free text: Day of vaccine. 30 minutes after vaccine face and neck flushed. Flush subsided almost completely by about 10 hours later.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-05-04
Survey response — day 14, dose 1
MedDRA: Limb discomfort, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: Yesterday, exacerbation of MS symptom that first appeared in 1994 following having the flu. Stood up, it was like left leg was no longer there. Today leg is heavy and not moving correctly.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-18
Dose 2 — Moderna
2021-05-18
Survey response — day 0, dose 2
MedDRA: Flushing — Feeling: Good

Free text: Neck and face flush.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Health check-in — days 1–6 daily, dose 2
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

Adult check-in
2021-05-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-21
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Immunisation reaction, Peripheral swelling, Self-medication — Feeling: Fair · Site: Redness, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Arm swelling and redness started at about 48 hours after vaccine. It looks like picture of covid arm. seems to be resolving with Advil and antihistamine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness · Fatigue or tiredness

Adult check-in
2021-05-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-25
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-06-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-29
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-17
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-24
Dose 3 — Moderna
2021-08-24
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-08-25
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: dizziness

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-08-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-08-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-08-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-08-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-08-31
Health check-in — day 7, dose 3
Feeling: Fair · None

Adult check-in
2021-09-07
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-09-14
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-09-21
Survey response — day 28, dose 3
MedDRA: Balance disorder, Dizziness, Vertigo — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Severe Vertigo for about 2 days followed by light headed and off balance which continues.

MedDRA releases: 2024-11 · check-in free text available
2021-09-28
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-05
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-11-25
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-02-27
Survey response — 6 months, dose 3
MedDRA: Abdominal pain — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Unexplained abdominal pain

MedDRA releases: 2024-11 · check-in free text available
2022-02-27
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-03-04
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-20	Moderna
2	2021-05-18	Moderna
3	2021-08-24	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-22

Systemic reaction (other): Day of vaccine. 30 minutes after vaccine face and neck flushed. Flush subsided almost completely by about 10 hours later.

Release 8 — day 14, dose 1

2021-05-04

Symptoms: Yesterday, exacerbation of MS symptom that first appeared in 1994 following having the flu. Stood up, it was like left leg was no longer there. Today leg is heavy and not moving correctly.

Release 8 — day 0, dose 2

2021-05-18

Systemic reaction (other): Neck and face flush.

Release 8 — days 1–6 daily, dose 2

2021-05-21

Systemic reaction (other): Arm swelling and redness started at about 48 hours after vaccine. It looks like picture of covid arm. seems to be resolving with Advil and antihistamine.

Release 9 — days 1–6 daily, dose 3

2021-08-25

Systemic reaction (other): dizziness

Release 9 — day 28, dose 3

2021-09-21

Symptoms: Severe Vertigo for about 2 days followed by light headed and off balance which continues.

Release 11 — 6 months, dose 3

2022-02-27

Symptoms: Unexplained abdominal pain

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	·	·	✓
SD	Balance disorder	·	·	✓
SD	Dizziness	·	·	✓
SD	Limb discomfort	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Vertigo	·	·	✓
SRO	Dizziness	✓	·	✓
SRO	Erythema	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Immunisation reaction	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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