24W-25035-69192

5 vaccinations 15 coded responses 43 check-ins 15 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 100 / NY
Registered: 2021-03-07

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

2021-03-07
Registered in v-safe
2021-03-07
Dose 1 — Moderna
2021-03-07
Health check-in — day 0, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · 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
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Medical counselling, Urinary tract infection — Feeling: Poor · Site: Pain · Fever · Chills, Fatigue or tiredness, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Systemic reaction (other): I have had recurrent utis since Covid last Apr and this seems like it may be another bout of that. I was pretty much over my shot reactions · Healthcare visit (other): Will call my pcp

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Antibiotic therapy, Urinary tract infection — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Taking antibiotic for uti and feeling much better but not 100% over it yet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Survey response — day 7, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Joint pains · Be unable to do your normal daily activities

Free text: I have a torn meniscus which predates vaccine so always have pain in that joint and its worse tiday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — day 14, dose 1
MedDRA: Arthralgia, Unevaluable event — Feeling: Poor · 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: My knee is very painful. I had an mri Thursday but dont have results yet. · Healthcare visit (other): MRI

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-28
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-04
Dose 2 — Moderna
2021-04-04
Survey response — day 0, dose 2
MedDRA: Meniscus injury, Pain — Feeling: Good

Free text: I continue to have severe pain from torn meniscus

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

Free text: Knee meniscus tear much more painful today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Of course still have preexisting nerve pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Meniscus injury — Feeling: Good · Site: Itching

Free text: Ongoing meniscus tear

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Good

Free text: Continuing knee problem from before

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — day 7, dose 2
MedDRA: Adverse reaction — Feeling: Good

Free text: Same knee problem

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-02
Survey response — day 28, dose 2
MedDRA: Toothache — Feeling: Fair

Free text: All four molars ache intermittently since second shot. Its a clear pattern now. Upper right and lower left are the worst.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Survey response — day 35, dose 2
MedDRA: Office visit, Toothache — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: The two teeth that hurt most now have broken off bitstooth or fillingand I am going to the dentist Tuesday. The pain in all four molars started after my second shot. · Healthcare visit (other): Dentist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-16
Survey response — day 42, dose 2
MedDRA: Dental restoration failure, Inflammation, Office visit, Pre-existing disease, Stress, Tooth fracture, Toothache — 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

Free text: Symptoms: I found out my tooth pain was from one broken in half tooth and one filling that fell out. Dentist says very common post Covid and both inflammation and stress related · Healthcare visit (other): Dentist visit and xrays

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-04
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-03
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-13
Dose 3 — Moderna
2021-10-29
Survey response — day 14, dose 3
MedDRA: Chills, Nausea, Pain, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: After booster I had 24 hours of chills, fever, aches abd quesibess

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Health check-in — day 21, dose 3
Feeling: Good

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

Adult check-in
2021-11-19
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-24
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-06
Call 2 — Left Voicemail
2022-01-12
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-13
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-09
Dose 4 — Moderna
2022-05-18
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-23
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-30
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-06
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-13
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-20
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-08
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-16
Dose 5 — Pfizer-BioNTech
2022-10-21
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-28
Survey response — day 42, dose 5
MedDRA: Medical counselling, Urinary tract infection — 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, Hospitalization

Free text: Symptoms: UTI · Healthcare visit (other): Phone call and got prescribed antibiotics

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Report sent to call center — day 42, dose 5
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 · Hospitalization · 1 call case(s)
2022-10-31
Call 1 — Left Voicemail
2022-10-31
Call 1 — Left Voicemail
2022-10-31
Call 1 — Left Voicemail
2022-10-31
Call 1 — Left Voicemail
2022-10-31
Call 1 — Left Voicemail
2022-12-16
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-17
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-07	Moderna
2	2021-04-04	Moderna
3	2021-10-13	Moderna	No
4	2022-05-09	Moderna	No
5	2022-09-16	Pfizer-BioNTech	No

Call center

5 call center cases

5 unsuccessful

4 waits over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-10

Systemic reaction (other): I have had recurrent utis since Covid last Apr and this seems like it may be another bout of that. I was pretty much over my shot reactions

Healthcare visit (other): Will call my pcp

2021-03-11

Systemic reaction (other): Taking antibiotic for uti and feeling much better but not 100% over it yet

Release 5 — day 7, dose 1

2021-03-14

Systemic reaction (other): I have a torn meniscus which predates vaccine so always have pain in that joint and its worse tiday.

Release 6 — day 14, dose 1

2021-03-21

Symptoms: My knee is very painful. I had an mri Thursday but dont have results yet.

Healthcare visit (other): MRI

Release 6 — day 0, dose 2

2021-04-04

Systemic reaction (other): I continue to have severe pain from torn meniscus

Release 6 — days 1–6 daily, dose 2

2021-04-05

Systemic reaction (other): Knee meniscus tear much more painful today

Release 7 — days 1–6 daily, dose 2

2021-04-07

Systemic reaction (other): Of course still have preexisting nerve pain

2021-04-08

Systemic reaction (other): Ongoing meniscus tear

2021-04-10

Systemic reaction (other): Continuing knee problem from before

Release 7 — day 7, dose 2

2021-04-11

Systemic reaction (other): Same knee problem

Release 8 — day 28, dose 2

2021-05-02

Symptoms: All four molars ache intermittently since second shot. Its a clear pattern now. Upper right and lower left are the worst.

Release 8 — day 35, dose 2

2021-05-09

Symptoms: The two teeth that hurt most now have broken off bitstooth or fillingand I am going to the dentist Tuesday. The pain in all four molars started after my second shot.

Healthcare visit (other): Dentist

Release 8 — day 42, dose 2

2021-05-16

Symptoms: I found out my tooth pain was from one broken in half tooth and one filling that fell out. Dentist says very common post Covid and both inflammation and stress related

Healthcare visit (other): Dentist visit and xrays

Release 10 — day 14, dose 3

2021-10-29

Symptoms: After booster I had 24 hours of chills, fever, aches abd quesibess

Release 12 — day 42, dose 5

2022-10-28

Symptoms: UTI

Healthcare visit (other): Phone call and got prescribed antibiotics

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	Medical counselling	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Chills	·	·	✓
SD	Dental restoration failure	✓	✓	✓
SD	Inflammation	✓	✓	✓
SD	Nausea	·	·	✓
SD	Office visit	✓	✓	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Stress	✓	✓	✓
SD	Tooth fracture	✓	✓	✓
SD	Toothache	✓	✓	✓
SD	Urinary tract infection	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Antibiotic therapy	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Meniscus injury	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Urinary tract infection	✓	✓	✓

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