UQ8-89322-62152

4 vaccinations 7 coded responses 37 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 024 / MA
Registered: 2021-04-01

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

2021-04-01
Registered in v-safe
2021-04-05
Dose 1 — Moderna
2021-04-05
Health check-in — day 0, dose 1
Feeling: Good · Fever · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — day 7, dose 1
Feeling: Fair · Site: Redness, Itching · None

Adult check-in
2021-04-20
Survey response — day 14, dose 1
MedDRA: Injection site pain, Injection site pruritus, Injection site rash — Feeling: Good

Free text: Rash at site of vaccine. A little tender and itchy, about the size of a silver dollar coin.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-03
Dose 2 — Moderna
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, 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

Adult check-in
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Diarrhea

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness, Diarrhea

Adult check-in
2021-05-12
Survey response — day 7, dose 2
MedDRA: Dizziness — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-08-04
Survey response — 3 months, dose 2
MedDRA: Headache, Oropharyngeal pain, Paranasal sinus discomfort — Feeling: Fair

Free text: Sore throat, headache, sinus lrsssure

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-01
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-07
Dose 3 — Moderna
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-09
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Swollen lymph node in left armpit (same side as shot)

MedDRA releases: 2024-11 · check-in free text available
2021-11-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-11
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizzy

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Diarrhea

Free text: Dizzy

MedDRA releases: 2024-11 · check-in free text available
2021-11-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-11-14
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-21
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-05
Health check-in — day 28, dose 3
Feeling: Good

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

Adult check-in
2021-12-19
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-08
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-08
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-13
Dose 4 — Moderna
2022-10-06
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-10-11
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-18
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-10-25
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-12-13
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-14
Survey response — 6 months, dose 4
MedDRA: Cough, Influenza, Pregnancy — 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

MedDRA releases: 2024-11
2023-03-14
Report sent to call center — 6 months, dose 4
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 · 1 call case(s)
2023-03-15
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-05	Moderna
2	2021-05-03	Moderna
3	2021-11-07	Moderna	No
4	2022-09-13	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — day 14, dose 1

2021-04-20

Symptoms: Rash at site of vaccine. A little tender and itchy, about the size of a silver dollar coin.

Release 8 — day 7, dose 2

2021-05-12

Systemic reaction (other): Dizzy

Release 9 — 3 months, dose 2

2021-08-04

Symptoms: Sore throat, headache, sinus lrsssure

Release 10 — days 1–6 daily, dose 3

2021-11-09

Systemic reaction (other): Swollen lymph node in left armpit (same side as shot)

2021-11-11

Systemic reaction (other): Dizzy

2021-11-12

Systemic reaction (other): Dizzy

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	Cough	·	·	✓
SD	Headache	✓	·	✓
SD	Influenza	·	·	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Paranasal sinus discomfort	✓	·	✓
SD	Pregnancy	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓

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