2FP-14344-23670

4 vaccinations 14 coded responses 36 check-ins 14 free-text entries 12 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 275 / NC
Registered: 2021-01-23

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

2021-01-21
Dose 1 — Moderna
2021-01-23
Registered in v-safe
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Nausea, Vomiting · Be unable to do your normal daily activities

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Irritable bowel syndrome, Nausea — Feeling: Fair · Nausea

Free text: I have IBS also so not sure if the nausea came from that or the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — day 7, dose 1
Feeling: Fair · None · Be unable to do your normal daily activities

Adult check-in
2021-02-04
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-11
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-16
Dose 2 — Moderna
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: Irritable bowel syndrome, Pre-existing disease, Unevaluable event — Feeling: Fair · Nausea, Vomiting, Diarrhea · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): I dont believe my symptoms have anything to do with my shot now. I have IBS I think is acting up again. · Healthcare visit (other): Waiting on Dr. to call me back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-23
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-09
Survey response — day 21, dose 2
MedDRA: Blood creatine increased, Pulmonary oedema — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: In hospital. Had fluid on lungs and elevated kidney levels.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-16
Survey response — day 28, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: I just got home from being in the hospital. Fluid in lungs, kidney function high,plus stomach problems. Nothing was caused from my shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-30
Survey response — day 42, dose 2
MedDRA: Hypotension — Feeling: Poor · 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: Blood pressure going to low. Dr. had me quit losartain med.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-17
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-08-18
Call 2 — Could Not Reach Participant
2021-09-05
Dose 3 — Moderna
2021-12-06
Survey response — 3 months, dose 3
MedDRA: Labyrinthitis, Respiratory tract congestion — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Inner ear infection and congestion.

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-07
Call 2 — Could Not Reach Participant
2022-03-08
Survey response — 6 months, dose 3
MedDRA: Fracture, Intervertebral disc compression, Limb reconstructive surgery, Rib fracture, Road traffic accident — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: I was in a car accident. I have broken ribs ,compressed discs in back and a crushed heel that they reconstructed.

MedDRA releases: 2024-11 · check-in free text available
2022-03-08
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-05-14
Dose 4 — Moderna
2022-05-15
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness · Muscle or body aches

Adult check-in
2022-05-16
Survey response — days 1–6 daily, dose 4
MedDRA: Physiotherapy, Pre-existing disease — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): I haveIBS COPD and was in car accidents in Jan. Still in a boot for my broken foot. · Healthcare visit (other): Having physical therapy on my foot. See Dr. In June

MedDRA releases: 2024-11 · check-in free text available
2022-05-16
Report sent to call center — days 1–6 daily, 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

1 call case(s)
2022-05-17
Survey response — days 1–6 daily, dose 4
MedDRA: Physiotherapy, Pre-existing disease — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): IBS back and leg hurt from car accident · Healthcare visit (other): Physical therapy

MedDRA releases: 2024-11 · check-in free text available
2022-05-17
Report sent to call center — days 1–6 daily, 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

1 call case(s)
2022-05-18
Survey response — days 1–6 daily, dose 4
MedDRA: Office visit, Physiotherapy, Pre-existing disease — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): IBS pain in hip and lower back also foot. Caused from car accident · Healthcare visit (other): Physical Therapy neurologist and orthopedic dr.

MedDRA releases: 2024-11 · check-in free text available
2022-05-18
Report sent to call center — days 1–6 daily, 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-18
Call 1 — Could Not Reach Participant
2022-05-18
Call 1 — Left Voicemail
2022-05-18
Call 1 — Could Not Reach Participant
2022-05-18
Call 1 — Could Not Reach Participant
2022-05-18
Call 1 — Could Not Reach Participant
2022-05-18
Call 1 — Could Not Reach Participant
2022-05-18
Call 1 — Could Not Reach Participant
2022-05-18
Call 1 — Could Not Reach Participant
2022-05-19
Survey response — days 1–6 daily, dose 4
MedDRA: Limb crushing injury, Road traffic accident — Feeling: Good · Joint pains, Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Car accident. Only have foot that had crushed bones left to heal.

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Report sent to call center — days 1–6 daily, 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-19
Call 1 — Could Not Reach Participant
2022-05-20
Survey response — days 1–6 daily, dose 4
MedDRA: Chronic obstructive pulmonary disease, Irritable bowel syndrome, Limb crushing injury, Road traffic accident, Unevaluable event — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): Iwas in a car accident in Jan crushed foot continuing to heal. IBS and COPD · Healthcare visit (other): Therapy on foot.

MedDRA releases: 2024-11 · check-in free text available
2022-05-20
Report sent to call center — days 1–6 daily, 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-21
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-23
Call 1 — Could Not Reach Participant
2022-05-28
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-05
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-11
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-18
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-25
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-13
Survey response — 3 months, dose 4
MedDRA: Bronchitis, Irritable bowel syndrome, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I had bronchitis. Also IBS flare ups.

MedDRA releases: 2024-11 · check-in free text available
2022-08-13
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Moderna
2	2021-02-16	Moderna
3	2021-09-05	Moderna	No
4	2022-05-14	Moderna	No

Call center

12 call center cases

12 unsuccessful

4 waits over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-23

Systemic reaction (other): No

2021-01-27

Systemic reaction (other): I have IBS also so not sure if the nausea came from that or the vaccine.

Release 4 — days 1–6 daily, dose 2

2021-02-22

Systemic reaction (other): I dont believe my symptoms have anything to do with my shot now. I have IBS I think is acting up again.

Healthcare visit (other): Waiting on Dr. to call me back

Release 5 — day 21, dose 2

2021-03-09

Symptoms: In hospital. Had fluid on lungs and elevated kidney levels.

Release 5 — day 28, dose 2

2021-03-16

Symptoms: I just got home from being in the hospital. Fluid in lungs, kidney function high,plus stomach problems. Nothing was caused from my shot.

Release 6 — day 42, dose 2

2021-03-30

Symptoms: Blood pressure going to low. Dr. had me quit losartain med.

Release 10 — 3 months, dose 3

2021-12-06

Symptoms: Inner ear infection and congestion.

Release 11 — 6 months, dose 3

2022-03-08

Symptoms: I was in a car accident. I have broken ribs ,compressed discs in back and a crushed heel that they reconstructed.

Release 11 — days 1–6 daily, dose 4

2022-05-16

Systemic reaction (other): I haveIBS COPD and was in car accidents in Jan. Still in a boot for my broken foot.

Healthcare visit (other): Having physical therapy on my foot. See Dr. In June

2022-05-17

Systemic reaction (other): IBS back and leg hurt from car accident

Healthcare visit (other): Physical therapy

2022-05-18

Systemic reaction (other): IBS pain in hip and lower back also foot. Caused from car accident

Healthcare visit (other): Physical Therapy neurologist and orthopedic dr.

2022-05-19

Healthcare visit (other): Car accident. Only have foot that had crushed bones left to heal.

2022-05-20

Systemic reaction (other): Iwas in a car accident in Jan crushed foot continuing to heal. IBS and COPD

Healthcare visit (other): Therapy on foot.

Release 12 — 3 months, dose 4

2022-08-13

Symptoms: I had bronchitis. Also IBS flare ups.

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	Limb crushing injury	·	·	✓
HCVO	Office visit	·	·	✓
HCVO	Physiotherapy	·	·	✓
HCVO	Road traffic accident	·	·	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Blood creatine increased	✓	✓	✓
SD	Bronchitis	·	·	✓
SD	Fracture	·	·	✓
SD	Hypotension	✓	✓	✓
SD	Intervertebral disc compression	·	·	✓
SD	Irritable bowel syndrome	·	·	✓
SD	Labyrinthitis	·	·	✓
SD	Limb reconstructive surgery	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pulmonary oedema	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rib fracture	·	·	✓
SD	Road traffic accident	·	·	✓
SRO	Chronic obstructive pulmonary disease	·	·	✓
SRO	Irritable bowel syndrome	✓	✓	✓
SRO	Limb crushing injury	·	·	✓
SRO	Nausea	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Road traffic accident	·	·	✓

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