28Q-86801-28080

5 vaccinations 18 coded responses 59 check-ins 18 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 481 / MI
Registered: 2021-01-27

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

2021-01-27
Registered in v-safe
2021-01-27
Dose 1 — Moderna
2021-01-27
Health check-in — day 0, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Nausea

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Survey response — days 1–6 daily, dose 1
MedDRA: Pancreatitis, Pre-existing disease — Feeling: Good

Free text: I did have a slight flare of pancreatitis.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Nausea

Adult check-in
2021-02-03
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-10
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site pruritus, Pancreatic disorder, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: 8 th day through 12th day...2 red circle, swollen itchy at injection site and surrounding area. Low grad fever and pancrestic flare

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-24
Dose 2 — Moderna
2021-02-24
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Fever · Joint pains, Fatigue or tiredness, Diarrhea

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling · Nausea, Diarrhea

Adult check-in
2021-03-03
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness · Fatigue or tiredness

Adult check-in
2021-03-10
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-26
Survey response — 3 months, dose 2
MedDRA: Blood pressure abnormal, Electrocardiogram change, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Change in my ekectrocardiogram and my cardiolohist is doing an echocardiogram to check for changes in my heart. Also a change in my blood pressure. · Healthcare visit (other): Follow up vusit after heart ultrasound.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-25
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-27
Dose 3 — Moderna
2021-10-27
Survey response — day 0, dose 3
MedDRA: No adverse event — Feeling: Good · Fever

Free text: Nothing today

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Survey response — days 1–6 daily, dose 3
MedDRA: Irritable bowel syndrome, Pre-existing disease — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Abdominal pain · Be unable to do your normal daily activities

Free text: IBS flare

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Pancreatitis — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Free text: Pancreatitis

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fever · Joint pains, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-11-03
Health check-in — day 7, dose 3
Feeling: Fair · Fever · Joint pains, Muscle or body aches, Diarrhea, Abdominal pain

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

Adult check-in
2021-11-17
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-24
Survey response — day 28, dose 3
MedDRA: Injection site discomfort, Pancreatitis, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Discomfort in upper arm where i received the injection. Ongoing issues with pancreatitis since i received the injection. Cannot get past the flare since the injection.

MedDRA releases: 2024-11 · check-in free text available
2021-12-01
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-08
Survey response — day 42, dose 3
MedDRA: Pancreatic disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Continuing pancreatic attacks

MedDRA releases: 2024-11 · check-in free text available
2022-01-26
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-25
Dose 4 — Moderna
2022-04-25
Survey response — day 0, dose 4
MedDRA: Body temperature increased — Feeling: Good · Site: Redness · Fatigue or tiredness

Free text: 99.3 temp

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Survey response — days 1–6 daily, dose 4
MedDRA: Abdominal pain upper — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Pancreatic pain

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Survey response — days 1–6 daily, dose 4
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Pancreatic attack

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Survey response — days 1–6 daily, dose 4
MedDRA: Pancreatic disorder — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Joint pains, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Pancreatic attack

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Survey response — days 1–6 daily, dose 4
MedDRA: Pancreatic disorder — Feeling: Fair · Site: Pain, Redness, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Still bothering my pancreas

MedDRA releases: 2024-11 · check-in free text available
2022-04-30
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Muscle or body aches

Adult check-in
2022-05-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling, Itching · Fever · Fatigue or tiredness, Abdominal pain

Adult check-in
2022-05-02
Survey response — day 7, dose 4
MedDRA: Pancreatic disorder — Feeling: Good · Site: Itching · Abdominal pain

Free text: Pancreas still tender

MedDRA releases: 2024-11 · check-in free text available
2022-05-09
Survey response — day 14, dose 4
MedDRA: Pancreatic disorder — Feeling: Good

Free text: Pancreas still bothering

MedDRA releases: 2024-11 · check-in free text available
2022-05-12
Call 1 — Could Not Reach Participant
2022-05-16
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-18
Call 2 — Left Voicemail
2022-05-23
Survey response — day 28, dose 4
MedDRA: Pancreatic disorder — Feeling: Good

Free text: Pancreatic attack

MedDRA releases: 2024-11 · check-in free text available
2022-05-30
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-06-06
Survey response — day 42, dose 4
MedDRA: Pancreatitis, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increase occurance of psncreatitis

MedDRA releases: 2024-11 · check-in free text available
2022-07-25
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-16
Dose 5 — Moderna
Co-administered: Flu
2022-10-02
Survey response — day 14, dose 5
MedDRA: Pancreatitis — Feeling: Good · Be unable to do your normal daily activities

Free text: Oancreatitis

MedDRA releases: 2024-11 · check-in free text available
2022-10-07
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-10-14
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-21
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-28
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2022-12-18
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	2021-01-27	Moderna
2	2021-02-24	Moderna
3	2021-10-27	Moderna	No
4	2022-04-25	Moderna	No
5	2022-09-16	Moderna	Flu

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-01

Systemic reaction (other): I did have a slight flare of pancreatitis.

Release 4 — day 14, dose 1

2021-02-10

Symptoms: 8 th day through 12th day...2 red circle, swollen itchy at injection site and surrounding area. Low grad fever and pancrestic flare

Release 8 — 3 months, dose 2

2021-05-26

Symptoms: Change in my ekectrocardiogram and my cardiolohist is doing an echocardiogram to check for changes in my heart. Also a change in my blood pressure.

Healthcare visit (other): Follow up vusit after heart ultrasound.

Release 10 — day 0, dose 3

2021-10-27

Systemic reaction (other): Nothing today

Release 10 — days 1–6 daily, dose 3

2021-10-28

Systemic reaction (other): IBS flare

2021-10-29

Systemic reaction (other): Pancreatitis

Release 10 — day 28, dose 3

2021-11-24

Symptoms: Discomfort in upper arm where i received the injection. Ongoing issues with pancreatitis since i received the injection. Cannot get past the flare since the injection.

Release 10 — day 42, dose 3

2021-12-08

Symptoms: Continuing pancreatic attacks

Release 11 — day 0, dose 4

2022-04-25

Systemic reaction (other): 99.3 temp

Release 11 — days 1–6 daily, dose 4

2022-04-26

Systemic reaction (other): Pancreatic pain

2022-04-27

Systemic reaction (other): Pancreatic attack

2022-04-28

Systemic reaction (other): Pancreatic attack

2022-04-29

Systemic reaction (other): Still bothering my pancreas

Release 11 — day 7, dose 4

2022-05-02

Systemic reaction (other): Pancreas still tender

Release 11 — day 14, dose 4

2022-05-09

Symptoms: Pancreas still bothering

Release 11 — day 28, dose 4

2022-05-23

Symptoms: Pancreatic attack

Release 11 — day 42, dose 4

2022-06-06

Symptoms: Increase occurance of psncreatitis

Release 12 — day 14, dose 5

2022-10-02

Symptoms: Oancreatitis

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	Blood pressure abnormal	✓	✓	✓
SD	Electrocardiogram change	✓	✓	✓
SD	Injection site discomfort	·	·	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Pancreatic disorder	✓	✓	✓
SD	Pancreatitis	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	✓	✓	✓
SRO	Abdominal pain upper	·	·	✓
SRO	Body temperature increased	·	·	✓
SRO	Condition aggravated	·	·	✓
SRO	Irritable bowel syndrome	·	·	✓
SRO	No adverse event	·	·	✓
SRO	Pancreatic disorder	·	·	✓
SRO	Pancreatitis	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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