HQL-33239-77085

3 vaccinations 11 coded responses 23 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 200 / DC
Registered: 2021-04-07

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

2021-04-05
Dose 1 — Moderna
2021-04-07
Registered in v-safe
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Poor · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Dry throat, Oropharyngeal pain — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Sore/dry throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-11
Survey response — days 1–6 daily, dose 1
MedDRA: Swelling of eyelid — Feeling: Good · Fatigue or tiredness

Free text: Swollen eyelid

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — day 7, dose 1
MedDRA: Swelling of eyelid — Feeling: Good

Free text: Swollen eyelid

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — day 14, dose 1
MedDRA: Injection site rash, Injection site swelling — Feeling: Good

Free text: Rash on my shoulder around the injection site- appeared on day 9 (Wed. April 14th) with slight swelling there as well.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-03
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-05-07
Dose 2 — Moderna
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Itching · Fatigue or tiredness · Be unable to work

Adult check-in
2021-05-11
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Good · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Diarrhea

Adult check-in
2021-05-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-16
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-28
Survey response — day 21, dose 2
MedDRA: Pruritus — Feeling: Good

Free text: Itchy left side of face and arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Survey response — day 28, dose 2
MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activities

Free text: Headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-06
Survey response — 3 months, dose 2
MedDRA: Cough, Fatigue, Headache, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school

Free text: Congestion, headache, cough, fatigue

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-06
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-15
Dose 3 — Moderna
2022-05-18
Survey response — 6 months, dose 3
MedDRA: Anaemia, Blood pressure increased, Delivery — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Childbirth High blood pressure Anemia

MedDRA releases: 2024-11 · check-in free text available
2022-05-18
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-05-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-20
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-05	Moderna
2	2021-05-07	Moderna
3	2021-11-15	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-07

Systemic reaction (other): Shortness of breath

2021-04-08

Systemic reaction (other): Sore/dry throat

2021-04-09

Systemic reaction (other): Shortness of breath

2021-04-11

Systemic reaction (other): Swollen eyelid

Release 7 — day 7, dose 1

2021-04-12

Systemic reaction (other): Swollen eyelid

Release 7 — day 14, dose 1

2021-04-19

Symptoms: Rash on my shoulder around the injection site- appeared on day 9 (Wed. April 14th) with slight swelling there as well.

Release 8 — days 1–6 daily, dose 2

2021-05-11

Systemic reaction (other): Tinnitus

Release 8 — day 21, dose 2

2021-05-28

Symptoms: Itchy left side of face and arm

Release 8 — day 28, dose 2

2021-06-04

Symptoms: Headaches

Release 9 — 3 months, dose 2

2021-08-06

Symptoms: Congestion, headache, cough, fatigue

Release 11 — 6 months, dose 3

2022-05-18

Symptoms: Childbirth High blood pressure Anemia

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	Anaemia	·	·	✓
SD	Blood pressure increased	·	·	✓
SD	Cough	✓	·	✓
SD	Delivery	·	·	✓
SD	Fatigue	✓	·	✓
SD	Headache	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Respiratory tract congestion	✓	·	✓
SRO	Dry throat	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Swelling of eyelid	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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