22F-80467-28074

4 vaccinations 18 coded responses 27 check-ins 17 free-text entries 3 call cases

Sex: —
Age at first dose: 51-55
ZIP prefix: 981 / WA
Registered: 2021-04-04

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

2021-04-03
Dose 1 — Moderna
2021-04-04
Registered in v-safe
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: These are probably not from the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Not related to vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Not vaccine related; diagnosed CFS/ME 25+ years ago, always like this.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Not vaccine, I am diagnosed ME/CFS.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 1
MedDRA: Eye pain, Ocular hyperaemia, Periorbital swelling — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Again, probably not side effects. My left eye is also red & puffy; I believe pollen allergies are to blame, but now you know.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — day 7, dose 1
MedDRA: Periorbital swelling — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still normal for me, except puffy left eye, which is responding to hot compresses.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — day 14, dose 1
MedDRA: Injection site discolouration, Injection site erythema, Injection site pruritus, Injection site rash — Feeling: Good

Free text: On 4/11/2021 the injection site developed a 3-inch red, itchy rash which lasted for 2 days, then discolored to brown and faded away.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-05-01
Dose 2 — Moderna
2021-05-01
Survey response — day 0, dose 2
MedDRA: Unevaluable event — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Not related to vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: About like 1990s dPT vaccine, also received text so, possible data breach your end?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness postural — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: A little dizziness when standing too fast.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus, Unevaluable event — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Itching on hands & legs. Also more text spam from 62626 that started simultaneous with your texts.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-06
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Probably not related to vaccine, pre-existing condition.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Survey response — day 7, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Probably not from the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-30
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-05
Survey response — day 35, dose 2
MedDRA: Cough, Diarrhoea, Fatigue, Hypersomnia, Nasal congestion, Nasopharyngitis, Nausea, Pain, Sneezing, Somnolence, Taste disorder, Vomiting — Feeling: Poor · Be unable to do your normal daily activities

Free text: I have not left the apartment since being vaccinated. My husband only gets contactless deliveries. My cold started 6/1 with sneezing, stuffyness, nausea, achy, cough, diarrhea, changes in taste, exhaustion, sleeping 20+hrs/day, vomiting. Over now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-14
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-31
Survey response — 3 months, dose 2
MedDRA: Cholecystectomy, Cholelithiasis, Emergency care, Immunisation reaction, Laparoscopic surgery — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Hospitalization

Free text: Symptoms: Gallstones 7/15/21, gallbladder removed 7/26/2021. Also had strong reaction to 2nd Shingles vaccination last month. No Covid or Flu, checked twice in hospital. · Healthcare visit (other): ERCP and Laparoscopic Cholecystectomy

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-31
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-12
Call 1 — Left Voicemail
2021-10-31
Survey response — 6 months, dose 2
MedDRA: Cholecystectomy, Cholelithiasis, Emergency care — 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, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Gallstones & Emergency gallbladder removal - unrelated to vaccine, had issues since 1998 or earlier. However, vaccine-related, got Flu shot & no side effects, possible Covid vaccine confers Flu immunity as well?

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Report sent to call center — 6 months, dose 2
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 · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2021-11-02
Call 1 — Left Voicemail
2022-05-01
Survey response — 12 months, dose 2
MedDRA: Emergency care, Hypersensitivity, Limb injury, Office visit, Pre-existing disease, Suture insertion — 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

Free text: Symptoms: Cut my finger,needed stitches. Also allergies are bad, but not as bad as previous years when we had forest fire smoke. Getting COVID-19 booster next week. · Healthcare visit (other): Saw EMT, turned away by PCPhysician, then saw other provider's Urgent Care

MedDRA releases: 2024-11 · check-in free text available
2022-05-01
Report sent to call center — 12 months, dose 2
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)
2022-05-02
Call 1 — Left Voicemail
2022-05-04
Dose 3 — Moderna
2022-12-30
Dose 4 — Moderna
Co-administered: Flu
2023-02-09
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2023-02-10
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-03-31
Survey response — 3 months, dose 4
MedDRA: Allergy to metals, Drug hypersensitivity, Food allergy, Hypersensitivity, Perfume sensitivity, Rubber sensitivity — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-03	Moderna
2	2021-05-01	Moderna
3	2022-05-04	Moderna	No
4	2022-12-30	Moderna	Flu

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-05

Systemic reaction (other): These are probably not from the vaccine.

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): Not related to vaccine

2021-04-07

Systemic reaction (other): Not vaccine related; diagnosed CFS/ME 25+ years ago, always like this.

2021-04-08

Systemic reaction (other): Not vaccine, I am diagnosed ME/CFS.

2021-04-09

Systemic reaction (other): Again, probably not side effects. My left eye is also red & puffy; I believe pollen allergies are to blame, but now you know.

Release 7 — day 7, dose 1

2021-04-10

Systemic reaction (other): Still normal for me, except puffy left eye, which is responding to hot compresses.

Release 7 — day 14, dose 1

2021-04-17

Symptoms: On 4/11/2021 the injection site developed a 3-inch red, itchy rash which lasted for 2 days, then discolored to brown and faded away.

Release 8 — day 0, dose 2

2021-05-01

Systemic reaction (other): Not related to vaccine.

Release 8 — days 1–6 daily, dose 2

2021-05-02

Systemic reaction (other): About like 1990s dPT vaccine, also received text so, possible data breach your end?

2021-05-03

Systemic reaction (other): A little dizziness when standing too fast.

2021-05-04

Systemic reaction (other): Itching on hands & legs. Also more text spam from 62626 that started simultaneous with your texts.

2021-05-06

Systemic reaction (other): Probably not related to vaccine, pre-existing condition.

Release 8 — day 7, dose 2

2021-05-09

Systemic reaction (other): Probably not from the vaccine.

Release 8 — day 35, dose 2

2021-06-05

Symptoms: I have not left the apartment since being vaccinated. My husband only gets contactless deliveries. My cold started 6/1 with sneezing, stuffyness, nausea, achy, cough, diarrhea, changes in taste, exhaustion, sleeping 20+hrs/day, vomiting. Over now.

Release 9 — 3 months, dose 2

2021-07-31

Symptoms: Gallstones 7/15/21, gallbladder removed 7/26/2021. Also had strong reaction to 2nd Shingles vaccination last month. No Covid or Flu, checked twice in hospital.

Healthcare visit (other): ERCP and Laparoscopic Cholecystectomy

Release 10 — 6 months, dose 2

2021-10-31

Symptoms: Gallstones & Emergency gallbladder removal - unrelated to vaccine, had issues since 1998 or earlier. However, vaccine-related, got Flu shot & no side effects, possible Covid vaccine confers Flu immunity as well?

Release 11 — 12 months, dose 2

2022-05-01

Symptoms: Cut my finger,needed stitches. Also allergies are bad, but not as bad as previous years when we had forest fire smoke. Getting COVID-19 booster next week.

Healthcare visit (other): Saw EMT, turned away by PCPhysician, then saw other provider's Urgent Care

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	Cholecystectomy	✓	·	✓
HCVO	Emergency care	·	·	✓
HCVO	Laparoscopic surgery	✓	·	✓
HCVO	Office visit	·	·	✓
SD	Allergy to metals	·	·	✓
SD	Cholecystectomy	✓	·	✓
SD	Cholelithiasis	✓	·	✓
SD	Cough	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Drug hypersensitivity	·	·	✓
SD	Emergency care	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Food allergy	·	·	✓
SD	Hypersensitivity	·	·	✓
SD	Hypersomnia	✓	✓	○
SD	Immunisation reaction	✓	·	✓
SD	Injection site discolouration	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Limb injury	·	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Perfume sensitivity	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rubber sensitivity	·	·	✓
SD	Sneezing	✓	✓	✓
SD	Somnolence	·	·	✓
SD	Suture insertion	·	·	✓
SD	Taste disorder	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Dizziness postural	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Ocular hyperaemia	✓	✓	✓
SRO	Periorbital swelling	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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