UD7-88396-71881

4 vaccinations 7 coded responses 42 check-ins 7 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 982 / WA
Registered: 2021-01-05

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-01-05
Registered in v-safe
2021-01-05
Dose 1 — Moderna
2021-01-05
Health check-in — day 0, dose 1
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-05
Report sent to call center — day 0, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-20
Survey response — day 14, dose 1
MedDRA: Cough, Fatigue, Headache, Nausea, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Developed a dry cough in the last week and a half with off and on symptoms of chest congestion, off and on runny nose, headache, fatigue and nausea.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-20
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-29
Dose 2 — Moderna
2021-01-29
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Gingival pain — Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Ear pain, gums

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-04
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Diarrhea

Free text: Cough and congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — day 7, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-02-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-26
Survey response — day 28, dose 2
MedDRA: Cough, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Chronic non productive coughing · Healthcare visit (other): Office visit with doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-05
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-03-26
Call 1 — Left Voicemail
2021-04-30
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-07-30
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-16
Dose 3 — Moderna
2021-12-16
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-21
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-29
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-15
Survey response — 3 months, dose 3
MedDRA: COVID-19, Quarantine — 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

Free text: Symptoms: Got COVID on 1/5/22 · Healthcare visit (other): Stayed at home, isolated and rested for 3 weeks

MedDRA releases: 2024-11 · check-in free text available
2022-02-15
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

1 call case(s)
2022-02-17
Call 1 — Left Voicemail
2022-05-17
Survey response — 6 months, dose 3
MedDRA: Influenza like illness, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Had a cold/flu-like symptoms for 5-6 days but no positive COVID test using an at-home test.

MedDRA releases: 2024-11 · check-in free text available
2022-09-24
Dose 4 — Moderna
Co-administered: Flu
2022-09-26
Survey response — days 1–6 daily, dose 4
MedDRA: Palpitations — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Racing heart beat with any activity

MedDRA releases: 2024-11 · check-in free text available
2022-09-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2022-09-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache, Abdominal pain

Adult check-in
2022-09-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-30
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-03
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-08
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-15
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-22
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-10-29
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-05
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2023-03-26
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-05	Moderna
2	2021-01-29	Moderna
3	2021-11-16	Moderna	No
4	2022-09-24	Moderna	Flu

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-20

Symptoms: Developed a dry cough in the last week and a half with off and on symptoms of chest congestion, off and on runny nose, headache, fatigue and nausea.

Release 3 — days 1–6 daily, dose 2

2021-02-02

Systemic reaction (other): Ear pain, gums

2021-02-04

Systemic reaction (other): Cough and congestion

Release 4 — day 28, dose 2

2021-02-26

Symptoms: Chronic non productive coughing

Healthcare visit (other): Office visit with doctor

Release 11 — 3 months, dose 3

2022-02-15

Symptoms: Got COVID on 1/5/22

Healthcare visit (other): Stayed at home, isolated and rested for 3 weeks

Release 11 — 6 months, dose 3

2022-05-17

Symptoms: Had a cold/flu-like symptoms for 5-6 days but no positive COVID test using an at-home test.

Release 12 — days 1–6 daily, dose 4

2022-09-26

Systemic reaction (other): Racing heart beat with any activity

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	Quarantine	·	·	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Influenza like illness	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Gingival pain	✓	✓	✓
SRO	Palpitations	·	·	✓
SRO	Respiratory tract congestion	✓	✓	✓

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