23W-13003-33593
3 vaccinations
21 coded responses
32 check-ins
20 free-text entries
11 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 440 / OH
- Registered
- 2021-01-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
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2021-01-25
Registered in v-safe
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2021-01-25
Dose 1 — Moderna
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2021-01-25
Health check-in — day 0, dose 1Feeling: Fair · Chills, Fatigue or tiredness, Nausea, Abdominal painAdult check-in
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2021-01-26
Survey response — days 1–6 daily, dose 1MedDRA: Feeling cold — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to workFree text: I am very cold.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: I had Covid from Thanksgiving into mid December. I ve suffered many health issues since. I feel like I have covid minus the shortness of breath all over again.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Survey response — days 1–6 daily, dose 1MedDRA: Decreased appetite, Migraine — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to workFree text: Very painful continuous migraine.. No appetite.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-29
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain, Migraine, Occupational therapy, Office visit — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Systemic reaction (other): My arm pit hurts where my lymph nodes are located. Migraine is horrible! · Healthcare visit (other): Also notified our Occupational Health afterspeaking with my doctor.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-29
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-30
Survey response — days 1–6 daily, dose 1MedDRA: COVID-19, Dyspnoea, Joint noise, Movement disorder, Myalgia — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painFree text: My muscles burn however covid has kept my health so down especially breathing that today moving is tough. Joints cracking n popping is disturbing!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-01
Health check-in — day 7, dose 1Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal painAdult check-in
- 2021-02-10
- 2021-02-15
- 2021-02-22
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2021-02-25
Dose 2 — Moderna
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2021-02-25
Health check-in — day 0, dose 2Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
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2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus — Feeling: Fair · Site: Pain, Redness, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Struggled all night with itching all over!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Confusional state — Feeling: Fair · Site: Swelling, Itching · Fever · Chills, Headache, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activitiesFree text: Experiencing a bit of confusion.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Epistaxis — Feeling: Fair · Site: Itching · Chills, Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Nose bleeds.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Disorientation, Pruritus — Feeling: Fair · Site: Itching · Chills, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Struggling with disorientation & itching throughout my body.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Survey response — day 7, dose 2MedDRA: Disorientation — Feeling: Fair · Site: Itching · Fever · Chills, Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Still experiencing a sense of disorientation.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Survey response — day 14, dose 2MedDRA: Office visit, Pain in extremity — Feeling: Poor · Get care from a doctor or other healthcare professionalFree text: Symptoms: Having severe pain in both legs with no explanation (scheduled radiology) · Healthcare visit (other): Saw my doctor in personMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-19
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2021-03-25
Survey response — day 28, dose 2MedDRA: Diarrhoea, Disorientation, Fatigue, Muscular weakness, Office visit — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Extreme fatigue, very disorientated, frequent diarrhea, muscle weakness · Healthcare visit (other): PCP visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Report sent to call center — day 28, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-01
Survey response — day 35, dose 2MedDRA: Abdominal pain, Diarrhoea, Fatigue, Migraine, Office visit — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Diarrhea came back.. abdominal pains.. migraines & fatigue. It s been an on ongoing struggle since I had covid late November into middle December. I started to feel better in mid January until the shots. I feel I got the shots way too soon. · Healthcare visit (other): Saw my PCP & will see specislists soon.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Report sent to call center — day 35, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-09
Survey response — day 42, dose 2MedDRA: Abdominal pain, Dehydration, Diarrhoea, Emergency care, Hypertension, Office visit — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Struggling with diarrhea. Went to ER for dehydration & HBP. Abdominal pain. New medications treating bothas M it s chronic. · Healthcare visit (other): PCP & SpecialistsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Report sent to call center — day 42, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-28
Survey response — 3 months, dose 2MedDRA: Condition aggravated, Crohn's disease, Gastrointestinal disorder, Hypertension, Pancreatic disorder, Pre-existing disease — Feeling: Poor · Be unable to work, 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 visitFree text: EPI, HBP, Crohn's my entire digestive system has not been functioning correctly. I ve had extensive tests with inconclusive results.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-28
Report sent to call center — 3 months, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-23
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2021-06-23
Call successfulCompleted over the phone
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2021-06-23
Call successfulCompleted over the phone
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2021-06-23
Call successfulCompleted over the phone
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2021-06-23
Call successfulCompleted over the phone
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2021-06-23
Call successfulCompleted over the phone
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2021-08-26
Survey response — 6 months, dose 2MedDRA: Abdominal pain, Diarrhoea, Fatigue, Office visit, Pre-existing disease — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Unable to recover from diarrhea & extreme fatigue plus severe abdominal pain. I have to have surgery for a problem that did not exist prior to COVID & the Moderna shot. · Healthcare visit (other): Multiple specialists in office visits.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-26
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-09-24
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2021-09-29
Call successfulReported to VAERS during previous contact from GDIT
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2022-01-28
Dose 3 — Pfizer-BioNTech
- 2022-02-27
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2022-02-27
Survey response — 12 months, dose 2MedDRA: Hysterectomy, Surgery, Uterine disorder — 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 · HospitalizationFree text: Symptoms: Had surgery. I had a piece of my Uterus grow back into a full size uterus & had to have a 2nd hysterectomy. · Healthcare visit (other): SurgeryMedDRA releases: 2024-11 · check-in free text available
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2022-02-27
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
- 2022-03-03
- 2022-03-04
- 2022-03-08
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2022-03-11
Survey response — day 42, dose 3MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I had joint pain after my booster & it s getting worse not better. At 1st I thought it was just aches from a shot but it s not getting better.MedDRA releases: 2024-11 · check-in free text available
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2022-04-30
Survey response — 3 months, dose 3MedDRA: Cardiovascular symptom, Fibrin D dimer increased, Unevaluable event — 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, Emergency room or emergency department visitFree text: Symptoms: It felt as though I was having a heart attack. My D dimer is positive & really high! · Healthcare visit (other): Wearing a heart monitor for 30 daysMedDRA releases: 2024-11 · check-in free text available
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2022-04-30
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-05-04
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2022-07-29
Survey response — 6 months, dose 3MedDRA: Arthralgia, Arthropathy, Cardiac disorder, Electrocardiogram abnormal — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: After booster I immediately had joint pain & issues. My heart is struggling but no doctor will admit it. Abnormal EKG & ECGMedDRA releases: 2024-11 · check-in free text available
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2022-07-29
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-08-01
- 2022-08-16
- 2022-08-17
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2022-08-18
Callback requested for12:00PM ET
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2022-08-18
Call successfulParticipant prefers to complete VAERS report online
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2022-08-18
Call successfulParticipant prefers to complete VAERS report online
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2022-08-18
Call successfulParticipant prefers to complete VAERS report online
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2023-01-30
Survey response — 12 months, dose 3MedDRA: Endoscopy abnormal, Gastrointestinal disorder, Unevaluable event — Feeling: Poor · 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, HospitalizationMedDRA releases: 2024-11
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2023-01-30
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
- 2023-01-31
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2023-01-31
Callback requested for06:30PM ET
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Moderna | |
| 2 | 2021-02-25 | Moderna | |
| 3 | 2022-01-28 | Pfizer-BioNTech | No |
Call center
11 call center cases
10 successful · 1 unsuccessful
VAERS report filed, before or during a call: 6
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): I am very cold.
Systemic reaction (other): I had Covid from Thanksgiving into mid December. I ve suffered many health issues since. I feel like I have covid minus the shortness of breath all over again.
Systemic reaction (other): Very painful continuous migraine.. No appetite.
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): My arm pit hurts where my lymph nodes are located. Migraine is horrible!
Healthcare visit (other): Also notified our Occupational Health afterspeaking with my doctor.
Systemic reaction (other): My muscles burn however covid has kept my health so down especially breathing that today moving is tough. Joints cracking n popping is disturbing!
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Struggled all night with itching all over!
Systemic reaction (other): Experiencing a bit of confusion.
Systemic reaction (other): Nose bleeds.
Systemic reaction (other): Struggling with disorientation & itching throughout my body.
Release 5 — day 7, dose 2
Systemic reaction (other): Still experiencing a sense of disorientation.
Release 5 — day 14, dose 2
Symptoms: Having severe pain in both legs with no explanation (scheduled radiology)
Healthcare visit (other): Saw my doctor in person
Release 6 — day 28, dose 2
Symptoms: Extreme fatigue, very disorientated, frequent diarrhea, muscle weakness
Healthcare visit (other): PCP visit
Release 6 — day 35, dose 2
Symptoms: Diarrhea came back.. abdominal pains.. migraines & fatigue. It s been an on ongoing struggle since I had covid late November into middle December. I started to feel better in mid January until the shots. I feel I got the shots way too soon.
Healthcare visit (other): Saw my PCP & will see specislists soon.
Release 7 — day 42, dose 2
Symptoms: Struggling with diarrhea. Went to ER for dehydration & HBP. Abdominal pain. New medications treating bothas M it s chronic.
Healthcare visit (other): PCP & Specialists
Release 8 — 3 months, dose 2
Symptoms: EPI, HBP, Crohn's my entire digestive system has not been functioning correctly. I ve had extensive tests with inconclusive results.
Release 9 — 6 months, dose 2
Symptoms: Unable to recover from diarrhea & extreme fatigue plus severe abdominal pain. I have to have surgery for a problem that did not exist prior to COVID & the Moderna shot.
Healthcare visit (other): Multiple specialists in office visits.
Release 11 — 12 months, dose 2
Symptoms: Had surgery. I had a piece of my Uterus grow back into a full size uterus & had to have a 2nd hysterectomy.
Healthcare visit (other): Surgery
Release 11 — day 42, dose 3
Symptoms: I had joint pain after my booster & it s getting worse not better. At 1st I thought it was just aches from a shot but it s not getting better.
Release 11 — 3 months, dose 3
Symptoms: It felt as though I was having a heart attack. My D dimer is positive & really high!
Healthcare visit (other): Wearing a heart monitor for 30 days
Release 12 — 6 months, dose 3
Symptoms: After booster I immediately had joint pain & issues. My heart is struggling but no doctor will admit it. Abnormal EKG & ECG
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 | Occupational therapy | ✓ | ✓ | ○ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| HCVO | Surgery | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Arthropathy | · | · | ✓ |
| SD | Cardiac disorder | · | · | ✓ |
| SD | Cardiovascular symptom | · | · | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Crohn's disease | ✓ | ✓ | ✓ |
| SD | Dehydration | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Disorientation | ✓ | ✓ | ✓ |
| SD | Electrocardiogram abnormal | · | · | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Endoscopy abnormal | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Fibrin D dimer increased | · | · | ✓ |
| SD | Gastrointestinal disorder | ✓ | ✓ | ✓ |
| SD | Hypertension | ✓ | ✓ | ✓ |
| SD | Hysterectomy | · | · | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Muscular weakness | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pancreatic disorder | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Uterine disorder | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Confusional state | ✓ | ✓ | ✓ |
| SRO | COVID-19 | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Disorientation | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Epistaxis | ✓ | ✓ | ✓ |
| SRO | Feeling cold | ✓ | ✓ | ✓ |
| SRO | Joint noise | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Movement disorder | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release