2M7-26466-64161

4 vaccinations 11 coded responses 24 check-ins 11 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 444 / OH
Registered: 2021-01-07

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

2021-01-07
Registered in v-safe
2021-01-07
Dose 1 — Moderna
2021-01-07
Survey response — day 0, dose 1
MedDRA: Self-medication — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities

Free text: Had to take Acetaminophen 650mg-ER + 325mg IR and Ondansetron 4mg ODT and Ondansetron

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Report sent to call center — day 0, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-09
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches

Free text: I have Fibromyalgia.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-10
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Muscle or body aches

Free text: I have Fibromyalgia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Muscle or body aches

Free text: I have Fibromyalgia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Survey response — days 1–6 daily, dose 1
MedDRA: Fibromyalgia, Injection site pain, Pre-existing disease — Feeling: Good · Muscle or body aches

Free text: I have Fibromyalgia. The injection site is still a tad tender but only upon much pressure. It is just a little different than the other arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-01-30
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-03
Dose 2 — Moderna
2021-02-14
Survey response — day 7, dose 2
MedDRA: Arthralgia — Feeling: Good · Joint pains

Free text: Left Shoulder pain from sleeping wrong.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-05
Survey response — day 28, dose 2
MedDRA: Joint injury, Medical counselling, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: My right knee needed a shot of cortisone as i must have tripped on the carpet and stoved it one too many times. · Healthcare visit (other): In-person doctor visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-30
Call 1 — Left Voicemail
2021-08-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-06
Dose 3 — Moderna
2022-06-22
Dose 4 — Moderna
2022-06-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness

Adult check-in
2022-06-29
Survey response — day 7, dose 4
MedDRA: Chest discomfort, Cough — Feeling: Good

Free text: I had stopped my Breztri Inhaler for a couple weeks. But had to start it up again last night due to cough and chest tightness. Now there is none of that after 2 doses.

MedDRA releases: 2024-11 · check-in free text available
2022-07-06
Survey response — day 14, dose 4
MedDRA: Cough, Nasopharyngitis, Unevaluable event — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional

Free text: Symptoms: I have a full blown cold and my cough is back · Healthcare visit (other): Appointment is tomorrow with family physician

MedDRA releases: 2024-11 · check-in free text available
2022-07-06
Report sent to call center — day 14, dose 4
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2022-07-07
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-07
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-17
Survey response — day 21, dose 4
MedDRA: Cough, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cough. Fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-07-20
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-07-27
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-08-03
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-09-22
Survey response — 3 months, dose 4
MedDRA: Increased appetite, Office visit, Overwork, Wheezing — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Wheezing. On doxycycline 100mg Bid and Decadron 10mg daily #10 tabs. Lots of nasal and oral inhalers. Long Covid? Chronic sinusitis? A virus? Bacteria? Feel a lot better on the Dex. Hate being on it. Increased appetite. I work too much. · Healthcare visit (other): Drive up visit to family doc

MedDRA releases: 2024-11 · check-in free text available
2022-09-22
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

1 call case(s)
2022-09-22
Call 1 — Left Voicemail
2023-06-25
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Moderna
2	2021-02-03	Moderna
3	2021-11-06	Moderna	No
4	2022-06-22	Moderna	No

Call center

4 call center cases

2 successful · 1 unsuccessful · 1 priority 2/3 (triaged and no follow up)

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-07

Systemic reaction (other): Had to take Acetaminophen 650mg-ER + 325mg IR and Ondansetron 4mg ODT and Ondansetron

Release 1 — days 1–6 daily, dose 1

2021-01-09

Systemic reaction (other): I have Fibromyalgia.

2021-01-10

Systemic reaction (other): I have Fibromyalgia

2021-01-11

Systemic reaction (other): I have Fibromyalgia

2021-01-12

Systemic reaction (other): I have Fibromyalgia. The injection site is still a tad tender but only upon much pressure. It is just a little different than the other arm.

Release 4 — day 7, dose 2

2021-02-14

Systemic reaction (other): Left Shoulder pain from sleeping wrong.

Release 5 — day 28, dose 2

2021-03-05

Symptoms: My right knee needed a shot of cortisone as i must have tripped on the carpet and stoved it one too many times.

Healthcare visit (other): In-person doctor visit

Release 12 — day 7, dose 4

2022-06-29

Systemic reaction (other): I had stopped my Breztri Inhaler for a couple weeks. But had to start it up again last night due to cough and chest tightness. Now there is none of that after 2 doses.

Release 12 — day 14, dose 4

2022-07-06

Symptoms: I have a full blown cold and my cough is back

Healthcare visit (other): Appointment is tomorrow with family physician

Release 12 — day 21, dose 4

2022-07-17

Symptoms: Cough. Fatigue.

Release 12 — 3 months, dose 4

2022-09-22

Symptoms: Wheezing. On doxycycline 100mg Bid and Decadron 10mg daily #10 tabs. Lots of nasal and oral inhalers. Long Covid? Chronic sinusitis? A virus? Bacteria? Feel a lot better on the Dex. Hate being on it. Increased appetite. I work too much.

Healthcare visit (other): Drive up visit to family doc

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	✓	✓	✓
HCVO	Unevaluable event	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Increased appetite	·	·	✓
SD	Joint injury	✓	✓	✓
SD	Medical counselling	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Overwork	·	·	✓
SD	Wheezing	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Chest discomfort	·	·	✓
SRO	Cough	·	·	✓
SRO	Fibromyalgia	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Unevaluable event	○	○	○

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