2MJ-13714-89798

4 vaccinations 8 coded responses 50 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 787 / TX
Registered: 2020-12-29

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

2020-12-29
Registered in v-safe
2020-12-29
Dose 1 — Moderna
2020-12-29
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

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

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-01-06
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Survey response — day 14, dose 1
MedDRA: Blood glucose abnormal, Urinary tract infection — Feeling: Good · Be unable to do your normal daily activities

Free text: I developed a urinary tract infection six days ago, began taking Cipro for 10 days (my usual course of treatment). Blood glucose levels and infusion rate normalized yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-19
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-01-26
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-01-27
Dose 2 — Moderna
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Chills, Headache, Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Nausea, Diarrhea

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Diarrhea

Adult check-in
2021-02-03
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2021-02-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 28, dose 2
Feeling: Fair

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

Adult check-in
2021-03-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-08-31
Dose 3 — Moderna
2021-08-31
Health check-in — day 0, dose 3
Feeling: Fair · Site: Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-09-01
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school

Adult check-in
2021-09-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-09-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-09-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-09-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-09-07
Survey response — day 7, dose 3
MedDRA: Skin disorder — Feeling: Good · Site: Itching

Free text: Skin condition

MedDRA releases: 2024-11 · check-in free text available
2021-09-14
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-09-21
Survey response — day 21, dose 3
MedDRA: Injection site pain — Feeling: Good

Free text: Aching residual pain in upper left arm where injection was.

MedDRA releases: 2024-11 · check-in free text available
2021-09-28
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-05
Survey response — day 35, dose 3
MedDRA: Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Urinary tract infection

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Report sent to call center — day 35, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-07
Call 1 — Left Voicemail
2021-10-12
Survey response — day 42, dose 3
MedDRA: Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: UTI

MedDRA releases: 2024-11 · check-in free text available
2021-10-12
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-11
Call 1 — Left Voicemail
2021-11-30
Survey response — 3 months, dose 3
MedDRA: Sinusitis, Upper respiratory tract infection, Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: UTI, upper respiratory infection, sinusitis

MedDRA releases: 2024-11 · check-in free text available
2021-11-30
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-13
Call 1 — Left Voicemail
2022-03-01
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-28
Dose 4 — Moderna
2022-10-31
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness, Nausea

Adult check-in
2022-11-01
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2022-11-02
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness, Nausea

Adult check-in
2022-11-03
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness, Nausea

Adult check-in
2022-11-04
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-11-11
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-18
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-25
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-12-02
Survey response — day 35, dose 4
MedDRA: Cough, Fatigue, Headache, Myalgia, Viral infection — Feeling: Good · Be unable to do your normal daily activities

Free text: Viral symptoms: head and muscle aches, fatigue, slight cough

MedDRA releases: 2024-11 · check-in free text available
2022-12-11
Survey response — day 42, dose 4
MedDRA: Cough, Fatigue, Headache, Pain, Rhinorrhoea — Feeling: Good

Free text: Briefly: Fatigue, headache, runny nose, soreness, slight cough

MedDRA releases: 2024-11 · check-in free text available
2023-01-29
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-30
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Moderna
2	2021-01-27	Moderna
3	2021-08-31	Moderna	No
4	2022-10-28	Moderna	No

Call center

4 call center cases

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

See the call center timeline

Free text

Release 1 — day 14, dose 1

2021-01-12

Symptoms: I developed a urinary tract infection six days ago, began taking Cipro for 10 days (my usual course of treatment). Blood glucose levels and infusion rate normalized yesterday.

Release 9 — day 7, dose 3

2021-09-07

Systemic reaction (other): Skin condition

Release 9 — day 21, dose 3

2021-09-21

Symptoms: Aching residual pain in upper left arm where injection was.

Release 10 — day 35, dose 3

2021-10-05

Symptoms: Urinary tract infection

Release 10 — day 42, dose 3

2021-10-12

Symptoms: UTI

Release 10 — 3 months, dose 3

2021-11-30

Symptoms: UTI, upper respiratory infection, sinusitis

Release 12 — day 35, dose 4

2022-12-02

Symptoms: Viral symptoms: head and muscle aches, fatigue, slight cough

Release 12 — day 42, dose 4

2022-12-11

Symptoms: Briefly: Fatigue, headache, runny nose, soreness, slight cough

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	Blood glucose abnormal	✓	✓	✓
SD	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Injection site pain	·	·	✓
SD	Myalgia	·	·	✓
SD	Pain	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinusitis	·	·	✓
SD	Upper respiratory tract infection	·	·	✓
SD	Urinary tract infection	✓	✓	✓
SD	Viral infection	·	·	✓
SRO	Skin disorder	·	·	✓

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