SVB-56721-29182

4 vaccinations 10 coded responses 48 check-ins 10 free-text entries 4 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 809 / CO
Registered: 2021-01-07

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

2021-01-07
Registered in v-safe
2021-01-07
Dose 1 — Moderna
2021-01-07
Survey response — day 0, dose 1
MedDRA: Injection site warmth — Feeling: Good · Site: Pain

Free text: injection site is hot to the touch

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Survey response — days 1–6 daily, dose 1
MedDRA: Malaise — Feeling: Fair · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Malaise

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain upper — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Abdominal pain right upper quadrant last night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-10
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-11
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness

Free text: Sore throat and congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Survey response — days 1–6 daily, dose 1
MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Headache

Free text: Congestion and runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-16
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-28
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-04
Dose 2 — Moderna
2021-02-04
Health check-in — day 0, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Lung disorder, Stridor — Feeling: Poor · Site: Pain, Redness · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Mild cough almost lungs spasming. Stridor like breathing episodes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — days 1–6 daily, dose 2
MedDRA: Bronchospasm — Feeling: Fair · Site: Pain, Redness, Itching · Fatigue or tiredness

Free text: Lung spasming but not quite a cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-23
Dose 3 — Moderna
2021-11-23
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-11-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-11-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache

Adult check-in
2021-11-30
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-07
Survey response — day 14, dose 3
MedDRA: False labour — Feeling: Good

Free text: Pregnant and had false labor at 24 weeks. 1.5 weeks after booster.

MedDRA releases: 2024-11 · check-in free text available
2021-12-14
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-21
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-28
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-04
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-22
Survey response — 3 months, dose 3
MedDRA: Hypertension, Medical observation, Pregnancy — 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 · Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: Chronic hypertension in 3rd trimester · Healthcare visit (other): Observation and pre-eclampsia testing

MedDRA releases: 2024-11 · check-in free text available
2022-02-22
Report sent to call center — 3 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

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-02-25
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-05-24
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-21
Dose 4 — Moderna
2022-11-22
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-11-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2022-11-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Itching · None

Adult check-in
2022-11-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-28
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-12-07
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-12-19
Survey response — day 28, dose 4
MedDRA: Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Sinus infection

MedDRA releases: 2024-11 · check-in free text available
2022-12-19
Report sent to call center — day 28, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-12-20
Call 1 — Left Voicemail
2023-01-02
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Moderna
2	2021-02-04	Moderna
3	2021-11-23	Moderna	No
4	2022-11-21	Moderna	No

Call center

4 call center cases

1 successful · 1 unsuccessful · 2 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-07

Systemic reaction (other): injection site is hot to the touch

Release 1 — days 1–6 daily, dose 1

2021-01-08

Systemic reaction (other): Malaise

2021-01-09

Systemic reaction (other): Abdominal pain right upper quadrant last night

2021-01-11

Systemic reaction (other): Sore throat and congestion

2021-01-12

Systemic reaction (other): Congestion and runny nose

Release 3 — days 1–6 daily, dose 2

2021-02-05

Systemic reaction (other): Mild cough almost lungs spasming. Stridor like breathing episodes.

2021-02-06

Systemic reaction (other): Lung spasming but not quite a cough

Release 10 — day 14, dose 3

2021-12-07

Symptoms: Pregnant and had false labor at 24 weeks. 1.5 weeks after booster.

Release 11 — 3 months, dose 3

2022-02-22

Symptoms: Chronic hypertension in 3rd trimester

Healthcare visit (other): Observation and pre-eclampsia testing

Release 12 — day 28, dose 4

2022-12-19

Symptoms: Sinus infection

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	Medical observation	·	·	✓
SD	False labour	·	·	✓
SD	Hypertension	·	·	✓
SD	Pregnancy	·	·	✓
SD	Sinusitis	·	·	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Bronchospasm	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Lung disorder	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Stridor	✓	✓	✓

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