2BL-30595-07143

4 vaccinations 11 coded responses 18 check-ins 10 free-text entries 9 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 064 / CT
Registered: 2021-02-16

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

2021-01-18
Dose 1 — Moderna
2021-02-15
Dose 2 — Moderna
2021-02-16
Registered in v-safe
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Feeling cold, Peripheral coldness — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Developing cough; Cannot get warm, especially hands and feet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Dizziness — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness, reduced appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness, Abdominal pain · 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: Blood in urine, UTI or bladder infection?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-22
Survey response — day 7, dose 2
MedDRA: Cystitis, Urinary tract infection — Feeling: Fair · Chills, Headache, Fatigue or tiredness · Be unable to work, 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: Bladder infection and UTI

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Report sent to call center — day 7, dose 2
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)
2021-03-01
Survey response — day 14, dose 2
MedDRA: Chills, Ear infection, Fatigue, Headache, Medical counselling, Muscular weakness, Musculoskeletal stiffness, Pain, Urinary tract infection — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Ear infection, stiff neck, chills, UTI, extreme fatigue, pain and muscle weakness, especially in vaccine arm, headache. · Healthcare visit (other): Referral to specialist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Report sent to call center — day 14, dose 2
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)
2021-03-10
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-22
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-29
Survey response — day 42, dose 2
MedDRA: Emergency care, Facial paralysis — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: One side of face drooping, temporary paralysis. Getting evaluated at ED for Bells Palsy or neuro issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Report sent to call center — day 42, dose 2
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)
2021-05-17
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-17
Call 2 — Could Not Reach Participant
2021-08-17
Call 2 — Could Not Reach Participant
2021-08-17
Call 2 — Could Not Reach Participant
2021-08-17
Call 2 — Could Not Reach Participant
2021-09-22
Dose 3 — Moderna
2021-10-26
Survey response — day 28, dose 3
MedDRA: Arthralgia — Feeling: Fair · 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

Free text: Right hip pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Report sent to call center — day 28, dose 3
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 · 1 call case(s)
2021-10-27
Survey response — day 35, dose 3
MedDRA: Arthralgia, Back pain — Feeling: Fair · 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

Free text: Right hip and lower back pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-27
Report sent to call center — day 35, dose 3
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 · 1 call case(s)
2021-10-27
Call 3 — Could Not Reach Participant
2021-10-28
Call 3 — Could Not Reach Participant
2021-11-01
Call X — Could Not Reach Participant
2021-11-02
Call X — Could Not Reach Participant
2021-11-05
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-25
Survey response — 6 months, dose 3
MedDRA: Arthralgia, Back pain, Surgery — 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, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: Pain in lower back and hip · Healthcare visit (other): Surgery

MedDRA releases: 2024-11 · check-in free text available
2022-03-25
Report sent to call center — 6 months, dose 3
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 · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-03-28
Call 1 — Left Voicemail
2022-05-17
Dose 4 — Moderna
2022-09-22
Survey response — 12 months, dose 3
MedDRA: SARS-CoV-2 test positive — Feeling: Fair · 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, Outpatient clinic or urgent care clinic visit

Free text: Tested Covid + June 6, 2022

MedDRA releases: 2024-11 · check-in free text available
2022-09-22
Report sent to call center — 12 months, dose 3
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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-23
Call 3 — Left Voicemail
2022-09-23
Call 3 — Left Voicemail
2022-09-23
Call 3 — Left Voicemail
2022-09-23
Call 3 — Left Voicemail
2022-09-23
Call 2 — Left Voicemail
2022-09-23
Call 2 — Left Voicemail
2022-09-23
Call 3 — Left Voicemail
2022-09-23
Call 2 — Left Voicemail
2022-11-15
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-05-19
Survey response — 12 months, dose 4
MedDRA: Gastrointestinal infection, Upper respiratory tract infection — Feeling: Fair · 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, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

MedDRA releases: 2024-11
2023-05-19
Report sent to call center — 12 months, dose 4
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 · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2023-05-22
Call 1 — Left Voicemail
2023-05-22
Call 1 — Left Voicemail
2023-05-22
Call 1 — Left Voicemail
2023-05-22
Call 1 — Left Voicemail
2023-05-22
Call 1 — Left Voicemail
2023-05-22
Call 1 — Left Voicemail
2023-05-22
Call 2 — Left Voicemail
2023-05-22
Call 1 — Left Voicemail
2023-05-22
Call 1 — Left Voicemail
2023-05-22
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-05-22
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-05-22
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-05-22
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-05-22
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-05-22
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-05-22
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-05-22
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-05-22
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	2021-01-18	Moderna
2	2021-02-15	Moderna
3	2021-09-22	Moderna	No
4	2022-05-17	Moderna	No

Call center

9 call center cases

9 successful

4 waits over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-16

Systemic reaction (other): Developing cough; Cannot get warm, especially hands and feet

2021-02-17

Systemic reaction (other): Dizziness, reduced appetite

2021-02-21

Systemic reaction (other): Blood in urine, UTI or bladder infection?

Release 4 — day 7, dose 2

2021-02-22

Systemic reaction (other): Bladder infection and UTI

Release 4 — day 14, dose 2

2021-03-01

Symptoms: Ear infection, stiff neck, chills, UTI, extreme fatigue, pain and muscle weakness, especially in vaccine arm, headache.

Healthcare visit (other): Referral to specialist

Release 6 — day 42, dose 2

2021-03-29

Symptoms: One side of face drooping, temporary paralysis. Getting evaluated at ED for Bells Palsy or neuro issues

Release 10 — day 28, dose 3

2021-10-26

Symptoms: Right hip pain

Release 10 — day 35, dose 3

2021-10-27

Symptoms: Right hip and lower back pain

Release 11 — 6 months, dose 3

2022-03-25

Symptoms: Pain in lower back and hip

Healthcare visit (other): Surgery

Release 12 — 12 months, dose 3

2022-09-22

Symptoms: Tested Covid + June 6, 2022

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	Surgery	·	·	✓
SD	Arthralgia	·	·	✓
SD	Back pain	·	·	✓
SD	Chills	✓	✓	✓
SD	Ear infection	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Facial paralysis	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gastrointestinal infection	·	·	✓
SD	Headache	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Pain	✓	✓	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Upper respiratory tract infection	·	·	✓
SD	Urinary tract infection	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Cystitis	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Peripheral coldness	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓
SRO	Urinary tract infection	✓	✓	✓

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