Q23-48521-02431

5 vaccinations 5 coded responses 28 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 980 / WA
Registered: 2021-04-03

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

2021-03-24
Dose 1 — Moderna
2021-04-03
Registered in v-safe
2021-04-03
Health check-in — day 7, dose 1
Feeling: Good · Site: Redness, Swelling, Itching · Abdominal pain

Adult check-in
2021-04-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-18
Survey response — day 21, dose 1
MedDRA: Pruritus — Feeling: Good

Free text: Itchy all over

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Dose 2 — Moderna
2021-04-21
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · None

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Abdominal pain

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-04-28
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

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

Adult check-in
2021-05-12
Survey response — day 21, dose 2
MedDRA: Pruritus, Sleep disorder — Feeling: Fair

Free text: Itching all over, still! It is everywhere (arms, legs, head) and is so uncomfortable it keeps me up at night.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Survey response — day 28, dose 2
MedDRA: Pruritus — Feeling: Good

Free text: Itching all over

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-04
Survey response — day 42, dose 2
MedDRA: Pruritus — Feeling: Good

Free text: Itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-03
Dose 3 — Moderna
2022-04-21
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-06-01
Dose 4 — Moderna
2022-06-20
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-22
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-29
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-08
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-13
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-31
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-29
Dose 5 — Moderna
2022-11-30
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-12-29
Survey response — 3 months, dose 5
MedDRA: Asthenia, COVID-19, Chills, Emergency care, Influenza like illness, Nasopharyngitis, Oropharyngeal pain, Pain, Respiratory disorder, Respiratory tract congestion — Feeling: Good · 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

Free text: Symptoms: COVID - flu like symptoms: aches, chills, weakness, cold like symptoms: congestion and sore throat · Healthcare visit (other): We had to take my infant son to the emergency room for breathing issues related to COVID

MedDRA releases: 2024-11 · check-in free text available
2022-12-29
Report sent to call center — 3 months, dose 5
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 · 1 call case(s)
2022-12-30
Call 1 — Left Voicemail
2023-04-01
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Moderna
2	2021-04-21	Moderna
3	2021-12-03	Moderna	No
4	2022-06-01	Moderna	No
5	2022-09-29	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — day 21, dose 1

2021-04-18

Symptoms: Itchy all over

Release 8 — day 21, dose 2

2021-05-12

Symptoms: Itching all over, still! It is everywhere (arms, legs, head) and is so uncomfortable it keeps me up at night.

Release 8 — day 28, dose 2

2021-05-21

Symptoms: Itching all over

Release 8 — day 42, dose 2

2021-06-04

Symptoms: Itching

Release 12 — 3 months, dose 5

2022-12-29

Symptoms: COVID - flu like symptoms: aches, chills, weakness, cold like symptoms: congestion and sore throat

Healthcare visit (other): We had to take my infant son to the emergency room for breathing issues related to COVID

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	COVID-19	·	·	✓
HCVO	Emergency care	·	·	✓
HCVO	Respiratory disorder	·	·	✓
SD	Asthenia	·	·	✓
SD	Chills	·	·	✓
SD	COVID-19	·	·	✓
SD	Influenza like illness	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pruritus	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sleep disorder	✓	✓	✓

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