2ET-33320-55323

4 vaccinations 13 coded responses 51 check-ins 13 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 991 / WA
Registered: 2021-02-25

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

2021-02-25
Registered in v-safe
2021-02-25
Dose 1 — Moderna
2021-02-25
Survey response — day 0, dose 1
MedDRA: Pain — Feeling: Good · Joint pains

Free text: It is hard for me to determine my pain since I was in a car accident

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Road traffic accident — Feeling: Good · Site: Pain, Itching · Chills, Muscle or body aches, Fatigue or tiredness

Free text: I was in a car accident 2 weeks ago, unknown if the joint pain is from accident or the shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness

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

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-03-04
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-25
Dose 2 — Moderna
2021-03-25
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Pregnancy — Feeling: Fair · Site: Pain · Chills, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I have an infection going on also wich I got diagnosed two days before shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Lip swelling — Feeling: Good · Site: Pain · Chills

Free text: I forgot to mention on my first and second days my lips became swollen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Chills, Fatigue or tiredness

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Chills

Adult check-in
2021-04-01
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-04-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-22
Survey response — day 28, dose 2
MedDRA: Injection site pruritus, Office visit, Palpitations, Self-medication — Feeling: Good · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: My second week I started getting heart palpations not knowing if it was from the vaccine or not. I took Benadryl for itchiness on injection site. I stopped the Benadryl. · Healthcare visit (other): Dr's office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-24
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-23
Survey response — 6 months, dose 2
MedDRA: Office visit, Sinus disorder, Wheezing — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: I am having sinus problems. With some wheezing. · Healthcare visit (other): Regular doctors appointment.

MedDRA releases: 2024-11 · check-in free text available
2021-09-23
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-27
Call 1 — Could Not Reach Participant
2021-09-30
Call 2 — Requested Callback
2021-09-30
Callback requested for
05:00PM ET
2021-09-30
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-10-26
Dose 3 — Moderna
2021-10-26
Survey response — day 0, dose 3
MedDRA: Lip swelling, Self-medication — Feeling: Fair

Free text: Lips swelling, took Benadryl.

MedDRA releases: 2024-11 · check-in free text available
2021-10-27
Survey response — days 1–6 daily, dose 3
MedDRA: COVID-19, Emergency care — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Systemic reaction (other): Went to ER for side effects from COVID-19 · Healthcare visit (other): Had reaction to covid 19

MedDRA releases: 2024-11 · check-in free text available
2021-10-27
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-10-28
Call 1 — Could Not Reach Participant
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Emergency care — Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Follow follow up from Emergency Room visit.

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Report sent to call center — days 1–6 daily, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Chills, Headache · Be unable to do your normal daily activities

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-11-01
Call 1 — Could Not Reach Participant
2021-11-02
Health check-in — day 7, dose 3
Feeling: Good · Chills, Muscle or body aches

Adult check-in
2021-11-04
Call 2 — Could Not Reach Participant
2021-11-09
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-16
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-23
Survey response — day 28, dose 3
MedDRA: Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activities

Free text: I am still having congestion.

MedDRA releases: 2024-11 · check-in free text available
2021-11-30
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-07
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-25
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-10
Dose 4 — Pfizer-BioNTech
2022-05-14
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Chills, Fatigue or tiredness

Adult check-in
2022-05-15
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Nausea

Adult check-in
2022-05-16
Survey response — days 1–6 daily, dose 4
MedDRA: Confusional state — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Confusion

MedDRA releases: 2024-11 · check-in free text available
2022-05-17
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-24
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-31
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-07
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-14
Survey response — day 35, dose 4
MedDRA: Unevaluable event — Feeling: Fair

Free text: I was on a plane and train last week

MedDRA releases: 2024-11 · check-in free text available
2022-06-21
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-09
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-08
Survey response — 6 months, dose 4
MedDRA: Fatigue, Pain — Feeling: Good · Be unable to do your normal daily activities

Free text: I had 3 weeks ago a covid shot from pzier I was achy and quie tired. Since then I have gotten better.

MedDRA releases: 2024-11 · check-in free text available
2023-05-10
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-25	Moderna
2	2021-03-25	Moderna
3	2021-10-26	Moderna	No
4	2022-05-10	Pfizer-BioNTech	No

Call center

4 call center cases

2 successful · 2 unsuccessful

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-25

Systemic reaction (other): It is hard for me to determine my pain since I was in a car accident

Release 4 — days 1–6 daily, dose 1

2021-02-26

Systemic reaction (other): I was in a car accident 2 weeks ago, unknown if the joint pain is from accident or the shot

Release 6 — days 1–6 daily, dose 2

2021-03-28

Systemic reaction (other): I have an infection going on also wich I got diagnosed two days before shot.

2021-03-29

Systemic reaction (other): I forgot to mention on my first and second days my lips became swollen.

Release 7 — day 28, dose 2

2021-04-22

Symptoms: My second week I started getting heart palpations not knowing if it was from the vaccine or not. I took Benadryl for itchiness on injection site. I stopped the Benadryl.

Healthcare visit (other): Dr's office

Release 9 — 6 months, dose 2

2021-09-23

Symptoms: I am having sinus problems. With some wheezing.

Healthcare visit (other): Regular doctors appointment.

Release 10 — day 0, dose 3

2021-10-26

Systemic reaction (other): Lips swelling, took Benadryl.

Release 10 — days 1–6 daily, dose 3

2021-10-27

Systemic reaction (other): Went to ER for side effects from COVID-19

Healthcare visit (other): Had reaction to covid 19

2021-10-29

Healthcare visit (other): Follow follow up from Emergency Room visit.

Release 10 — day 28, dose 3

2021-11-23

Symptoms: I am still having congestion.

Release 11 — days 1–6 daily, dose 4

2022-05-16

Systemic reaction (other): Confusion

Release 12 — day 35, dose 4

2022-06-14

Symptoms: I was on a plane and train last week

Release 12 — 6 months, dose 4

2022-11-08

Symptoms: I had 3 weeks ago a covid shot from pzier I was achy and quie tired. Since then I have gotten better.

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	COVID-19	·	·	✓
HCVO	Emergency care	·	·	✓
HCVO	Office visit	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Injection site pruritus	✓	✓	✓
SD	Pain	·	·	✓
SD	Palpitations	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Self-medication	✓	✓	✓
SD	Sinus disorder	·	·	✓
SD	Unevaluable event	·	·	✓
SD	Wheezing	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Confusional state	·	·	✓
SRO	COVID-19	·	·	✓
SRO	Emergency care	·	·	✓
SRO	Lip swelling	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pregnancy	✓	✓	✓
SRO	Road traffic accident	✓	✓	✓
SRO	Self-medication	·	·	✓

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