2HZ-28723-22867

4 vaccinations 6 coded responses 38 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 208 / MD
Registered: 2021-02-14

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

2021-02-10
Dose 1 — Moderna
2021-02-14
Registered in v-safe
2021-02-14
Survey response — days 1–6 daily, dose 1
MedDRA: Corneal abrasion, Fatigue, Heart rate increased — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: 2/11-2/12 extreme fatigue 2/12 severe R corneal abrasion no h/o trauma 2/11-12/14= increased heart rate (90s)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-26
Health check-in — day 14, dose 1
Feeling: Fair

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

Adult check-in
2021-03-10
Dose 2 — Moderna
2021-03-11
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Poor · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Severe sore throat this morning. Better as the day wears on

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: Fair · Site: Pain, Swelling · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Diarrhea

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

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Diarrhea

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-18
Survey response — day 7, dose 2
MedDRA: Fatigue, Mobility decreased, Pain in extremity — Feeling: Good

Free text: I wanted to report after my 1st shot (3/10/21) I had an immediate sore and immobile arm and immediate fatigue where I didnt move from bed for 2days and siding regain normal energy for 7 days. I would rate those symptoms as severe. It is in stark contrast to the much milder symptoms after the 2nd vaccine 3/10/21. 1st vaccine was 2/10/21.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-09
Survey response — 3 months, dose 2
MedDRA: Dermatitis contact — Feeling: Good · 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: Severe poison ivy/contact dermatitis of the face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-08
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-09
Dose 3 — Pfizer-BioNTech
2021-11-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-11-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-16
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-20
Call 2 — Left Voicemail
2021-11-22
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-11-23
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-30
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-07
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-14
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-21
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-08
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-05
Dose 4 — Pfizer-BioNTech
2022-04-19
Survey response — day 14, dose 4
MedDRA: Osteoarthritis — Feeling: Good · Be unable to do your normal daily activities

Free text: Osteoarthritis of back

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-03
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-10
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-17
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-05
Survey response — 3 months, dose 4
MedDRA: COVID-19, Fatigue, Headache, Oropharyngeal 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: COVID. Main symptoms: headache, sore throat, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-07-05
Report sent to call center — 3 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 · 1 call case(s)
2022-07-06
Call 1 — Left Voicemail
2022-07-06
Call 1 — Left Voicemail
2022-07-06
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-05
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-05
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-10	Moderna
2	2021-03-10	Moderna
3	2021-11-09	Pfizer-BioNTech	No
4	2022-04-05	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-14

Systemic reaction (other): 2/11-2/12 extreme fatigue 2/12 severe R corneal abrasion no h/o trauma 2/11-12/14= increased heart rate (90s)

Release 5 — days 1–6 daily, dose 2

2021-03-11

Systemic reaction (other): Severe sore throat this morning. Better as the day wears on

Release 5 — day 7, dose 2

2021-03-18

Systemic reaction (other): I wanted to report after my 1st shot (3/10/21) I had an immediate sore and immobile arm and immediate fatigue where I didnt move from bed for 2days and siding regain normal energy for 7 days. I would rate those symptoms as severe. It is in stark contrast to the much milder symptoms after the 2nd vaccine 3/10/21. 1st vaccine was 2/10/21.

Release 9 — 3 months, dose 2

2021-06-09

Symptoms: Severe poison ivy/contact dermatitis of the face

Release 11 — day 14, dose 4

2022-04-19

Symptoms: Osteoarthritis of back

Release 12 — 3 months, dose 4

2022-07-05

Symptoms: COVID. Main symptoms: headache, sore throat, fatigue

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	COVID-19	·	·	✓
SD	Dermatitis contact	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Osteoarthritis	·	·	✓
SRO	Corneal abrasion	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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