28W-25333-11709

5 vaccinations 8 coded responses 48 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 989 / WA
Registered: 2021-01-12

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-11
Dose 1 — Moderna
2021-01-12
Registered in v-safe
2021-01-12
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-13
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Mobility decreased, Musculoskeletal chest pain, Painful respiration — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work

Free text: Hurts to take deep breath, ribs hurt, feels like band around my chest constricting movement.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2021-01-14
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Still tightness around chest/ribs. Not as severe as yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Chest pain, Musculoskeletal chest pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Continuing circumference rib pain, some sternum pain along with, shoulders as well.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Musculoskeletal chest pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Continuing rib pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Muscle tightness — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Lessening of tje chest/rib tightness. Still there but not as harsh.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-08
Dose 2 — Moderna
2021-02-15
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-22
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-01
Survey response — day 21, dose 2
MedDRA: Headache, Post-traumatic pain, Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Headache from vaccine has caused headaches from previous head injury to become more intense and painful.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-03
Dose 3 — Pfizer-BioNTech
2022-02-08
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-02-08
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-09
Dose 4 — Moderna
2022-05-10
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-05-10
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-05-11
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-05-12
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-13
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-14
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-15
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-16
Health check-in — day 7, dose 4
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

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: Fair

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
2022-08-10
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-12
Dose 5 — Pfizer-BioNTech
2022-10-12
Survey response — day 0, dose 5
MedDRA: Body temperature increased — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Slight temperature

MedDRA releases: 2024-11 · check-in free text available
2022-10-13
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-10-14
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-15
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-16
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-10-17
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-18
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-10-19
Health check-in — day 7, dose 5
Feeling: Good · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-26
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-11-02
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-11-09
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-16
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-23
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-11
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-12
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-11	Moderna
2	2021-02-08	Moderna
3	2021-11-03	Pfizer-BioNTech	No
4	2022-05-09	Moderna	No
5	2022-10-12	Pfizer-BioNTech	No

Call center

4 call center cases

4 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-12

Systemic reaction (other): Dizziness

2021-01-13

Systemic reaction (other): Hurts to take deep breath, ribs hurt, feels like band around my chest constricting movement.

Release 2 — days 1–6 daily, dose 1

2021-01-14

Systemic reaction (other): Still tightness around chest/ribs. Not as severe as yesterday.

2021-01-15

Systemic reaction (other): Continuing circumference rib pain, some sternum pain along with, shoulders as well.

2021-01-16

Systemic reaction (other): Continuing rib pain

2021-01-17

Systemic reaction (other): Lessening of tje chest/rib tightness. Still there but not as harsh.

Release 4 — day 21, dose 2

2021-03-01

Symptoms: Headache from vaccine has caused headaches from previous head injury to become more intense and painful.

Release 12 — day 0, dose 5

2022-10-12

Systemic reaction (other): Slight temperature

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
SD	Headache	✓	✓	✓
SD	Post-traumatic pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Body temperature increased	·	·	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Muscle tightness	·	·	✓
SRO	Musculoskeletal chest pain	✓	✓	✓
SRO	Painful respiration	✓	✓	✓

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