24H-23471-29203

4 vaccinations 8 coded responses 20 check-ins 8 free-text entries 5 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 306 / GA
Registered: 2021-03-19

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

2021-03-19
Registered in v-safe
2021-03-19
Dose 1 — Moderna
2021-03-19
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Survey response — day 7, dose 1
MedDRA: Blood glucose increased — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: My blood sugar has been very high since Monday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — day 14, dose 1
MedDRA: Pre-existing disease — Feeling: Good

Free text: Hay fever, possibly a sinus infection

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

Adult check-in
2021-04-16
Dose 2 — Moderna
2021-04-23
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-30
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-29
Survey response — day 42, dose 2
MedDRA: Abdominal discomfort, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Stomach issues like sour stomach and had. · Healthcare visit (other): Office visit with gastrointestinal doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-15
Survey response — 6 months, dose 2
MedDRA: Fall, Pre-existing disease, Vertigo — Feeling: Fair

Free text: Vertigo. I've fallen 4 times in the last week. I'm changing antidepressants from exfeor to Wellbutrin. Seasonal allergies.

MedDRA releases: 2024-11 · check-in free text available
2021-12-23
Dose 3 — Moderna
2022-04-17
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-04-27
Call 1 — Left Voicemail
2022-05-02
Call 2 — Left Voicemail
2022-05-26
Dose 4 — Moderna
2022-06-24
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-06-30
Survey response — day 35, dose 4
MedDRA: Cardiac failure, Ear infection, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Heart failure and ear infection · Healthcare visit (other): Doctor visit

MedDRA releases: 2024-11 · check-in free text available
2022-06-30
Report sent to call center — day 35, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-07-01
Call 3 — Left Voicemail
2022-07-01
Call 1 — Left Voicemail
2022-07-07
Survey response — day 42, dose 4
MedDRA: Colitis, Sinusitis — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Sinus infection and colitis

MedDRA releases: 2024-11 · check-in free text available
2022-07-07
Report sent to call center — day 42, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-07-08
Call 2 — Left Voicemail
2022-07-08
Call 1 — Left Voicemail
2022-08-25
Survey response — 3 months, dose 4
MedDRA: COVID-19 — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Covid that the symptoms are still present >3 weeks ago. Went to (b)(6) And got Paxlovid pills. I took them all. Two weeks later I drove back home to GA.

MedDRA releases: 2024-11 · check-in free text available
2022-08-25
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-08-26
Call 3 — Left Voicemail
2022-08-26
Call 2 — Left Voicemail
2022-08-26
Call 1 — Left Voicemail
2022-11-24
Survey response — 6 months, dose 4
MedDRA: COVID-19, Dyspnoea, Herpes zoster reactivation — Feeling: Fair · 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 visit

Free text: My August covid infection reactivated a 1986 shingles infection. Still having more breathing trouble than before August.

MedDRA releases: 2024-11 · check-in free text available
2022-11-24
Report sent to call center — 6 months, dose 4
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 visit · 1 call case(s)
2022-11-25
Call X — Left Voicemail
2022-11-25
Call X — Left Voicemail
2022-11-25
Call 3 — Left Voicemail
2022-11-25
Call 2 — Left Voicemail
2022-11-25
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-19	Moderna
2	2021-04-16	Moderna
3	2021-12-23	Moderna	No
4	2022-05-26	Moderna	No

Call center

5 call center cases

5 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — day 7, dose 1

2021-03-27

Systemic reaction (other): My blood sugar has been very high since Monday.

Release 6 — day 14, dose 1

2021-04-02

Symptoms: Hay fever, possibly a sinus infection

Release 8 — day 42, dose 2

2021-05-29

Symptoms: Stomach issues like sour stomach and had.

Healthcare visit (other): Office visit with gastrointestinal doctor

Release 10 — 6 months, dose 2

2021-10-15

Symptoms: Vertigo. I've fallen 4 times in the last week. I'm changing antidepressants from exfeor to Wellbutrin. Seasonal allergies.

Release 12 — day 35, dose 4

2022-06-30

Symptoms: Heart failure and ear infection

Healthcare visit (other): Doctor visit

Release 12 — day 42, dose 4

2022-07-07

Symptoms: Sinus infection and colitis

Release 12 — 3 months, dose 4

2022-08-25

Symptoms: Covid that the symptoms are still present >3 weeks ago. Went to (b)(6) And got Paxlovid pills. I took them all. Two weeks later I drove back home to GA.

redacted (b)(6)

Release 12 — 6 months, dose 4

2022-11-24

Symptoms: My August covid infection reactivated a 1986 shingles infection. Still having more breathing trouble than before August.

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	✓	✓	✓
SD	Abdominal discomfort	✓	✓	✓
SD	Cardiac failure	·	·	✓
SD	Colitis	·	·	✓
SD	COVID-19	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Ear infection	·	·	✓
SD	Fall	·	·	✓
SD	Herpes zoster reactivation	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Sinusitis	·	·	✓
SD	Vertigo	·	·	✓
SRO	Blood glucose increased	✓	✓	✓

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