GD5-40460-80158

4 vaccinations 7 coded responses 54 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 925 / CA
Registered: 2021-01-18

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

BB9-10854-47238 Child or adolescent in my care · Male · 2022-09-10

Timeline

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

2021-01-18
Registered in v-safe
2021-01-18
Dose 1 — Moderna
2021-01-18
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · None

Adult check-in
2021-01-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness · None

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · None

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Swollen lymph nodes in under arm on arm of vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-01
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-08
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-15
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-02-18
Dose 2 — Moderna
2021-02-18
Health check-in — day 0, dose 2
Feeling: Fair · Diarrhea

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Nausea, Diarrhea · Be unable to work

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-02-25
Health check-in — day 7, dose 2
Feeling: Fair · None

Adult check-in
2021-03-04
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-12
Survey response — day 21, dose 2
MedDRA: Acne, Eye swelling — Feeling: Fair

Free text: Acne on left side of face and swollen eye on left side. Same side shot was done.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — day 28, dose 2
MedDRA: Eye swelling, Hordeolum — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Swelling of both eyes with styes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

no matching call case
2021-03-25
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-19
Survey response — 6 months, dose 2
MedDRA: Pregnancy — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pregnancy

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-12-29
Dose 3 — Moderna
2021-12-29
Health check-in — day 0, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-12-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-12-31
Survey response — days 1–6 daily, dose 3
MedDRA: Paraesthesia — Feeling: Fair · Site: Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Tingling in face/cheeks

MedDRA releases: 2024-11 · check-in free text available
2022-01-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-01-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-01-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-04
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-01-05
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-01-12
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-01-19
Survey response — day 21, dose 3
MedDRA: Cough, Ear pain, Headache, Oropharyngeal pain, Sinus congestion — Feeling: Poor · 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: Earaches, swollen sinuses, sore throat, cough, headache

MedDRA releases: 2024-11 · check-in free text available
2022-01-19
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-22
Call 1 — Left Voicemail
2022-01-26
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-02-02
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-02-09
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-03-30
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-29
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-09-09
Dose 4 — Moderna
Co-administered: Flu
2022-09-10
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-09-11
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-12
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2022-09-13
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-09-14
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache

Adult check-in
2022-09-16
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-09-23
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-09-30
Survey response — day 21, dose 4
MedDRA: Nephrolithiasis — Feeling: Fair

Free text: Kidney stones

MedDRA releases: 2024-11 · check-in free text available
2022-10-07
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-14
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-10-21
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-12-09
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-10
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-18	Moderna
2	2021-02-18	Moderna
3	2021-12-29	Moderna	No
4	2022-09-09	Moderna	Flu

Call center

1 call center case

1 unsuccessful

1 check-in flagged for a call with no call center case on record

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-24

Systemic reaction (other): Swollen lymph nodes in under arm on arm of vaccine

Release 5 — day 21, dose 2

2021-03-12

Symptoms: Acne on left side of face and swollen eye on left side. Same side shot was done.

Release 5 — day 28, dose 2

2021-03-18

Symptoms: Swelling of both eyes with styes

Release 9 — 6 months, dose 2

2021-08-19

Symptoms: Pregnancy

Release 10 — days 1–6 daily, dose 3

2021-12-31

Systemic reaction (other): Tingling in face/cheeks

Release 10 — day 21, dose 3

2022-01-19

Symptoms: Earaches, swollen sinuses, sore throat, cough, headache

Release 12 — day 21, dose 4

2022-09-30

Symptoms: Kidney stones

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	Acne	✓	✓	✓
SD	Cough	·	·	✓
SD	Ear pain	·	·	✓
SD	Eye swelling	✓	✓	✓
SD	Headache	·	·	✓
SD	Hordeolum	✓	✓	✓
SD	Nephrolithiasis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pregnancy	✓	·	✓
SD	Sinus congestion	·	·	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Paraesthesia	·	·	✓

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