2LV-22961-35110

4 vaccinations 8 coded responses 24 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 770 / TX
Registered: 2021-02-19

Relationship: Self
Race: Native Hawaiian or other Pacific Islander
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-25
Dose 1 — Moderna
2021-02-19
Registered in v-safe
2021-02-19
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-23
Dose 2 — Moderna
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Blood pressure increased, Heart rate increased — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: Elevated blood pressure and pulse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-09
Survey response — day 14, dose 2
MedDRA: Productive cough — Feeling: Good

Free text: Productive cough last night likely caused by seasonal allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-25
Survey response — 3 months, dose 2
MedDRA: Osteoarthritis, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Discovered osteoarthritis in thumbs has progressed to point of needing to wear braces on hands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-24
Survey response — 6 months, dose 2
MedDRA: Cartilage atrophy, Office visit, Orthosis user, Osteoarthritis, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Escalation of osteoarthritis in thumbs and loss of cartilage in base of thumbs, resulting in treatment with braces in lieu of surgery · Healthcare visit (other): Office visit with hand surgeon

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-24
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-26
Call 1 — Left Voicemail
2021-11-21
Dose 3 — Moderna
2022-02-23
Survey response — 12 months, dose 2
MedDRA: Cough, Fatigue, Headache, Laryngitis, Nasal congestion, Oropharyngeal pain, Pharyngitis streptococcal, SARS-CoV-2 test positive — 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 · Outpatient clinic or urgent care clinic visit

Free text: Strep throat on 1/21 Positive Covid test on 1/28 with sore throat, nasal congestion, fatigue, headache, laryngitis, cough but no fever, symptoms 90% resolved in 5 days

MedDRA releases: 2024-11 · check-in free text available
2022-02-23
Report sent to call center — 12 months, dose 2
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)
2022-02-24
Call 1 — Could Not Reach Participant
2022-03-01
Call 2 — Could Not Reach Participant
2022-04-21
Dose 4 — Moderna
2022-04-27
Survey response — days 1–6 daily, dose 4
MedDRA: Malaise, SARS-CoV-2 test positive — Feeling: Good · Joint pains, Muscle or body aches

Free text: I tested positive for Covid-19 01/22/2022, and have not reported it to vsafe; symptoms were mild

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Health check-in — day 7, dose 4
Feeling: Good · Joint pains, Muscle or body aches

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

Adult check-in
2022-05-12
Survey response — day 21, dose 4
MedDRA: Nausea — Feeling: Good · Be unable to work or attend school

Free text: Nausea

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-26
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-02
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-23
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-23
Survey response — 6 months, dose 4
MedDRA: Joint injury, Office visit, Syncope, Vertigo — 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

Free text: Symptoms: I injured my left knee, and have started tests to determine course of action. I had an episode of vertigo and fainted. · Healthcare visit (other): Saw my rheumatologist in his office

MedDRA releases: 2024-11 · check-in free text available
2022-10-23
Report sent to call center — 6 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

1 call case(s)
2022-10-26
Call 1 — Left Voicemail
2022-10-26
Call 2 — Left Voicemail
2022-10-26
Call 3 — Left Voicemail
2022-10-26
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-25	Moderna
2	2021-02-23	Moderna
3	2021-11-21	Moderna	No
4	2022-04-21	Moderna	No

Call center

4 call center cases

4 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-24

Systemic reaction (other): Elevated blood pressure and pulse

Release 5 — day 14, dose 2

2021-03-09

Symptoms: Productive cough last night likely caused by seasonal allergies

Release 8 — 3 months, dose 2

2021-05-25

Symptoms: Discovered osteoarthritis in thumbs has progressed to point of needing to wear braces on hands

Release 9 — 6 months, dose 2

2021-08-24

Symptoms: Escalation of osteoarthritis in thumbs and loss of cartilage in base of thumbs, resulting in treatment with braces in lieu of surgery

Healthcare visit (other): Office visit with hand surgeon

Release 11 — 12 months, dose 2

2022-02-23

Symptoms: Strep throat on 1/21 Positive Covid test on 1/28 with sore throat, nasal congestion, fatigue, headache, laryngitis, cough but no fever, symptoms 90% resolved in 5 days

Release 11 — days 1–6 daily, dose 4

2022-04-27

Systemic reaction (other): I tested positive for Covid-19 01/22/2022, and have not reported it to vsafe; symptoms were mild

Release 11 — day 21, dose 4

2022-05-12

Symptoms: Nausea

Release 12 — 6 months, dose 4

2022-10-23

Symptoms: I injured my left knee, and have started tests to determine course of action. I had an episode of vertigo and fainted.

Healthcare visit (other): Saw my rheumatologist in his office

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	Office visit	✓	·	✓
SD	Cartilage atrophy	✓	·	✓
SD	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Joint injury	·	·	✓
SD	Laryngitis	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Orthosis user	✓	·	✓
SD	Osteoarthritis	✓	✓	✓
SD	Pharyngitis streptococcal	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Productive cough	✓	✓	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Syncope	·	·	✓
SD	Vertigo	·	·	✓
SRO	Blood pressure increased	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Malaise	·	·	✓
SRO	SARS-CoV-2 test positive	·	·	✓

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