2QQ-16943-14024

3 vaccinations 6 coded responses 37 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 765 / TX
Registered: 2021-03-31

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

2021-03-31
Registered in v-safe
2021-03-31
Dose 1 — Moderna
2021-03-31
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains

Adult check-in
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Throat irritation — Feeling: Fair · Joint pains, Fatigue or tiredness

Free text: Raspy throat

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

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-07
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-05-04
Dose 2 — Moderna
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-11
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2021-05-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-01
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-08
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-15
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-03
Survey response — 3 months, dose 2
MedDRA: Costochondritis, Intestinal obstruction — Feeling: Fair · Be unable to do your normal daily activities

Free text: Costochronditis Bowel obstruction

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-19
Dose 3 — Moderna
2021-11-20
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-22
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-23
Survey response — days 1–6 daily, dose 3
MedDRA: Office visit — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Going for lab work ASAP after Dr consult

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-11-24
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-26
Survey response — day 7, dose 3
MedDRA: Paranasal sinus hypersecretion, Rhinorrhoea — Feeling: Fair · Headache

Free text: Runny nose and sinus drainage

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Health check-in — day 14, dose 3
Feeling: Fair

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

Adult check-in
2021-12-20
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-26
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-31
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-14
Call 1 — Could Not Reach Participant
2022-01-19
Call successful
Not applicable - Accidental Reporting
2022-02-22
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-05-22
Survey response — 6 months, dose 3
MedDRA: Hypersensitivity, Thyroid mass, Urinary tract infection — 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

Free text: Had a severe allergic reaction, a UTI, and a new thyroid nodule that is considered high risk. I have a biopsy scheduled 5 June.

MedDRA releases: 2024-11 · check-in free text available
2022-05-22
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 · 1 call case(s)
2022-05-23
Call successful
Not applicable - Accidental Reporting
2022-11-19
Survey response — 12 months, dose 3
MedDRA: Arthralgia, Cough, Diarrhoea, Headache, Muscle strain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Oct 30, 2022 tested positive for COVID. Lasted almost 10 days. Symptoms: high fever of 102.6, diarrhea for 4-5 days, headache, joint pain, congestion, and coughing fits that pulled muscles in the chest wall.

MedDRA releases: 2024-11 · check-in free text available
2022-11-19
Report sent to call center — 12 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 · 1 call case(s)
2022-11-21
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Moderna
2	2021-05-04	Moderna
3	2021-11-19	Moderna	No

Call center

3 call center cases

2 successful · 1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-03

Systemic reaction (other): Raspy throat

Release 9 — 3 months, dose 2

2021-08-03

Symptoms: Costochronditis Bowel obstruction

Release 10 — days 1–6 daily, dose 3

2021-11-23

Systemic reaction (other): Going for lab work ASAP after Dr consult

Release 10 — day 7, dose 3

2021-11-26

Systemic reaction (other): Runny nose and sinus drainage

Release 11 — 6 months, dose 3

2022-05-22

Symptoms: Had a severe allergic reaction, a UTI, and a new thyroid nodule that is considered high risk. I have a biopsy scheduled 5 June.

Release 12 — 12 months, dose 3

2022-11-19

Symptoms: Oct 30, 2022 tested positive for COVID. Lasted almost 10 days. Symptoms: high fever of 102.6, diarrhea for 4-5 days, headache, joint pain, congestion, and coughing fits that pulled muscles in the chest wall.

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	Arthralgia	·	·	✓
SD	Costochondritis	✓	·	✓
SD	Cough	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Headache	·	·	✓
SD	Hypersensitivity	·	·	✓
SD	Intestinal obstruction	✓	·	✓
SD	Muscle strain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Thyroid mass	·	·	✓
SD	Urinary tract infection	·	·	✓
SRO	Office visit	·	·	✓
SRO	Paranasal sinus hypersecretion	·	·	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Throat irritation	✓	✓	✓

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