2AY-23876-81131

5 vaccinations 7 coded responses 34 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 430 / OH
Registered: 2021-02-04

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

2021-02-04
Registered in v-safe
2021-02-04
Dose 1 — Moderna
2021-02-04
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-02-06
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Site: Redness, Swelling, Itching · Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: Not from the vaccine. From other health problemstenosis and bone Spurs in neck.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · None

Adult check-in
2021-02-11
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site pruritus — Feeling: Good

Free text: Still have red and itching area around injection site. I ignored it a few days after the injection, but it has not gone away. No real problem, just surprised.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-04
Dose 2 — Moderna
2021-03-04
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · Headache

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-03-11
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-25
Survey response — day 21, dose 2
MedDRA: Pain in jaw, Pre-existing disease — Feeling: Good

Free text: Jaw pain (from TMJ and neck bone Spurs?)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — day 28, dose 2
MedDRA: Depressed mood, Fatigue, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Still tired and too depressed to do much, despite depression med.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — day 35, dose 2
MedDRA: Depression, Inflammatory bowel disease, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: What appeared to be bad IBS symptoms, plus continued depression. Doctor treating depression with med change. All labs fine. · Healthcare visit (other): Regular primary doc in person.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-21
Dose 3 — Moderna
2022-03-04
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-03-17
Call 1 — Left Voicemail
2022-05-01
Dose 4 — Moderna
2022-09-19
Dose 5 — Moderna
2022-09-27
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-03
Survey response — day 14, dose 5
MedDRA: Fatigue, Hypersomnia — Feeling: Good · Be unable to do your normal daily activities

Free text: Fatigue, and more fatigue after flue shot 1eeek later. Slept a lot.

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

Adult check-in
2022-10-17
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-24
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-31
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-19
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2023-03-20
Survey response — 6 months, dose 5
MedDRA: Office visit, Sacroiliitis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-03-20
Report sent to call center — 6 months, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-03-21
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Moderna
2	2021-03-04	Moderna
3	2021-10-21	Moderna	No
4	2022-05-01	Moderna	No
5	2022-09-19	Moderna	No

Call center

2 call center cases

1 successful · 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

2021-02-06

Systemic reaction (other): Not from the vaccine. From other health problemstenosis and bone Spurs in neck.

Release 4 — day 14, dose 1

2021-02-18

Symptoms: Still have red and itching area around injection site. I ignored it a few days after the injection, but it has not gone away. No real problem, just surprised.

Release 6 — day 21, dose 2

2021-03-25

Symptoms: Jaw pain (from TMJ and neck bone Spurs?)

Release 6 — day 28, dose 2

2021-04-01

Symptoms: Still tired and too depressed to do much, despite depression med.

Release 7 — day 35, dose 2

2021-04-08

Symptoms: What appeared to be bad IBS symptoms, plus continued depression. Doctor treating depression with med change. All labs fine.

Healthcare visit (other): Regular primary doc in person.

Release 12 — day 14, dose 5

2022-10-03

Symptoms: Fatigue, and more fatigue after flue shot 1eeek later. Slept a lot.

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	Depressed mood	✓	✓	✓
SD	Depression	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Hypersomnia	·	·	✓
SD	Inflammatory bowel disease	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Pain in jaw	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Sacroiliitis	·	·	✓
SRO	Pre-existing disease	✓	✓	✓

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