2F2-12218-35233

4 vaccinations 12 coded responses 34 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 986 / WA
Registered: 2021-02-11

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

2021-02-09
Dose 1 — Moderna
2021-02-11
Registered in v-safe
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-02-12
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising, Injection site pain, Myalgia — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Injection site is only painful due to bruising. Have some mild muscle aches but likely from walking and working clearing snow.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-02
Survey response — day 21, dose 1
MedDRA: Dyspepsia — Feeling: Good

Free text: Extreme heartburn. I suspect dietary indiscretion, not vaccine related!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Dose 2 — Moderna
2021-03-09
Survey response — day 0, dose 2
MedDRA: Injection site pain, Injection site pruritus — Feeling: Good · Site: Itching

Free text: Recd vaccine less than 2 hours ago. After initial burning and itching at injection site, I have since felt fine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Diarrhoea, Pyrexia, Self-medication, Sleep disorder — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: My normal temp is 96.8. Had one bout of diarrhea same eve has vaccine #2 was received. Chills woke me several times. Fever late morning. Feel better after eating, aspirin, and taking shower.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 2
MedDRA: Body temperature fluctuation, Chills, Hyperhidrosis — Feeling: Fair · Site: Pain · Fever · Chills, Headache

Free text: My normal temp is 96.8 so my fever is only slight. Chills only persisted about 2 hours in the morning, tho followed by drenching sweats, and then body temp fluctuations seemed resolved. Walked my dogs 3 miles after that resolution.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-16
Survey response — day 7, dose 2
MedDRA: Circadian rhythm sleep disorder, Fatigue, Loss of personal independence in daily activities, Poor quality sleep, Pre-existing disease — Feeling: Good · Fatigue or tiredness

Free text: I am certain I am fatigued because I have been pushing my spring cleaning and a day or 2 of poor sleep easily affects my circadian rhythm -- I often struggle with my CPAP, worrisome thoughts, etc.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-08
Survey response — day 28, dose 2
MedDRA: Pre-existing disease — Feeling: Good

Free text: Seasonal allergies have begun. Not vaccine related!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-07
Survey response — 6 months, dose 2
MedDRA: Condition aggravated, Dyspnoea, Hypersensitivity, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: Some new episodes of chronic conditions. Enviro allergies, regional haze, CPAP adjustments likely contributing factors to some SOB, more need for albuterol. Have had very little contact with people so don't think any symptoms COVID related; am wary.

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Dose 3 — Moderna
2022-03-09
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-28
Dose 4 — Moderna
2022-04-29
Survey response — days 1–6 daily, dose 4
MedDRA: Abdominal discomfort, Feeling cold, Oropharyngeal pain, Stress — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Muscle or body aches, Diarrhea

Free text: Its been a busy and stressful week. GI upset may be attributable to that. Its also quite chilly and a have a mild sore throat -- could be the heavy pollen in the air.

MedDRA releases: 2024-11 · check-in free text available
2022-04-30
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fever · None

Adult check-in
2022-05-01
Survey response — days 1–6 daily, dose 4
MedDRA: Muscle injury, Tooth disorder — Feeling: Good · Site: Pain

Free text: Basically NONE. I am taking antiiflammatories x2 qd for dental work and deep muscle injury. May be masking more vax symptoms, but my injuries/ conditions overlapped timewise!

MedDRA releases: 2024-11 · check-in free text available
2022-05-02
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Swelling, Itching · None

Adult check-in
2022-05-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-06
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-12
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-19
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-26
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-06-02
Survey response — day 35, dose 4
MedDRA: Irritable bowel syndrome, Office visit, Pre-existing disease, Pyrexia, SARS-CoV-2 test negative — 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

Free text: Am retired, struggling with IBS, seasonal allergies and a low grade fever but home-tested negative twice for Co COVID. Dr consulted re: IBS, meds begun. I was very cautious at pharmacy; the staff is too as tourist season here ensues.

MedDRA releases: 2024-11 · check-in free text available
2022-06-02
Report sent to call center — day 35, dose 4
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)
2022-06-03
Call 1 — Could Not Reach Participant
2022-06-08
Call 2 — Could Not Reach Participant
2022-06-09
Survey response — day 42, dose 4
MedDRA: Eye pruritus, Pre-existing disease, Rosacea — Feeling: Good · Be unable to do your normal daily activities

Free text: Likely my seasonal allergies? (Itchy eyes!) but no fever or sore throat, etc Rosecea has worsened.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-09	Moderna
2	2021-03-09	Moderna
3	2021-10-26	Moderna	No
4	2022-04-28	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-12

Systemic reaction (other): Injection site is only painful due to bruising. Have some mild muscle aches but likely from walking and working clearing snow.

Release 4 — day 21, dose 1

2021-03-02

Symptoms: Extreme heartburn. I suspect dietary indiscretion, not vaccine related!

Release 5 — day 0, dose 2

2021-03-09

Systemic reaction (other): Recd vaccine less than 2 hours ago. After initial burning and itching at injection site, I have since felt fine.

Release 5 — days 1–6 daily, dose 2

2021-03-10

Systemic reaction (other): My normal temp is 96.8. Had one bout of diarrhea same eve has vaccine #2 was received. Chills woke me several times. Fever late morning. Feel better after eating, aspirin, and taking shower.

2021-03-11

Systemic reaction (other): My normal temp is 96.8 so my fever is only slight. Chills only persisted about 2 hours in the morning, tho followed by drenching sweats, and then body temp fluctuations seemed resolved. Walked my dogs 3 miles after that resolution.

Release 5 — day 7, dose 2

2021-03-16

Systemic reaction (other): I am certain I am fatigued because I have been pushing my spring cleaning and a day or 2 of poor sleep easily affects my circadian rhythm -- I often struggle with my CPAP, worrisome thoughts, etc.

Release 7 — day 28, dose 2

2021-04-08

Symptoms: Seasonal allergies have begun. Not vaccine related!

Release 9 — 6 months, dose 2

2021-09-07

Symptoms: Some new episodes of chronic conditions. Enviro allergies, regional haze, CPAP adjustments likely contributing factors to some SOB, more need for albuterol. Have had very little contact with people so don't think any symptoms COVID related; am wary. cut off by CDC

Release 11 — days 1–6 daily, dose 4

2022-04-29

Systemic reaction (other): Its been a busy and stressful week. GI upset may be attributable to that. Its also quite chilly and a have a mild sore throat -- could be the heavy pollen in the air.

2022-05-01

Systemic reaction (other): Basically NONE. I am taking antiiflammatories x2 qd for dental work and deep muscle injury. May be masking more vax symptoms, but my injuries/ conditions overlapped timewise!

Release 11 — day 35, dose 4

2022-06-02

Symptoms: Am retired, struggling with IBS, seasonal allergies and a low grade fever but home-tested negative twice for Co COVID. Dr consulted re: IBS, meds begun. I was very cautious at pharmacy; the staff is too as tourist season here ensues.

Release 12 — day 42, dose 4

2022-06-09

Symptoms: Likely my seasonal allergies? (Itchy eyes!) but no fever or sore throat, etc Rosecea has worsened.

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	Condition aggravated	·	·	✓
SD	Dyspepsia	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Eye pruritus	·	·	✓
SD	Hypersensitivity	·	·	✓
SD	Irritable bowel syndrome	·	·	✓
SD	Office visit	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Rosacea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Abdominal discomfort	·	·	✓
SRO	Body temperature fluctuation	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Circadian rhythm sleep disorder	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling cold	·	·	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	Loss of personal independence in daily activities	✓	✓	✓
SRO	Muscle injury	·	·	✓
SRO	Myalgia	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Poor quality sleep	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓
SRO	Stress	·	·	✓
SRO	Tooth disorder	·	·	✓

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