TYD-29677-10801

3 vaccinations 6 coded responses 33 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 662 / KS
Registered: 2020-12-28

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

2020-12-28
Registered in v-safe
2020-12-28
Dose 1 — Moderna
2020-12-28
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-04
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Survey response — day 14, dose 1
MedDRA: Burning sensation, Erythema, Peripheral swelling, Pruritus, Urticaria — Feeling: Good

Free text: Day 8 - single hive (redness, itching, swelling) to injection arm. Itching and burning to back Day 9 - hive gone, area of redness and swelling larger

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-25
Dose 2 — Moderna
2021-02-08
Survey response — day 14, dose 2
MedDRA: Chills, Injection site bruising, Injection site pain, Injection site swelling, Pain, Pyrexia — Feeling: Good

Free text: Fever, chills, body aches, site pain, site selling, site bruising

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-27
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-01-28
Dose 3 — Moderna
2022-01-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-01-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache

Adult check-in
2022-01-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2022-02-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-02-02
Survey response — days 1–6 daily, dose 3
MedDRA: Back pain, Chest pain — Feeling: Fair

Free text: chest/back ache

MedDRA releases: 2024-11 · check-in free text available
2022-02-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-02-04
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-02-11
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-02-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-03-04
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-03-11
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-05-01
Survey response — 3 months, dose 3
MedDRA: Rhinorrhoea — Feeling: Fair

Free text: Runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-07-29
Survey response — 6 months, dose 3
MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school

Free text: Covid-19 positive

MedDRA releases: 2024-11 · check-in free text available
2023-01-30
Survey response — 12 months, dose 3
MedDRA: Endometriosis, Office visit, Ovarian cyst, Surgery — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-01-30
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-31
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Moderna
2	2021-01-25	Moderna
3	2022-01-28	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 1 — day 14, dose 1

2021-01-13

Symptoms: Day 8 - single hive (redness, itching, swelling) to injection arm. Itching and burning to back Day 9 - hive gone, area of redness and swelling larger

Release 3 — day 14, dose 2

2021-02-08

Symptoms: Fever, chills, body aches, site pain, site selling, site bruising

Release 11 — days 1–6 daily, dose 3

2022-02-02

Systemic reaction (other): chest/back ache

Release 11 — 3 months, dose 3

2022-05-01

Symptoms: Runny nose

Release 12 — 6 months, dose 3

2022-07-29

Symptoms: Covid-19 positive

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	Office visit	·	·	✓
HCVO	Surgery	·	·	✓
SD	Burning sensation	✓	✓	✓
SD	Chills	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Endometriosis	·	·	✓
SD	Erythema	✓	✓	✓
SD	Injection site bruising	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Ovarian cyst	·	·	✓
SD	Pain	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Urticaria	✓	✓	✓
SRO	Back pain	·	·	✓
SRO	Chest pain	·	·	✓

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