2RZ-14478-00913

3 vaccinations 11 coded responses 23 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 940 / CA
Registered: 2021-03-06

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

2021-02-04
Dose 1 — Moderna
2021-03-04
Dose 2 — Moderna
2021-03-06
Registered in v-safe
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Swelling face — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, 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: Swelling in face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-09
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Redness · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: My usual temperature is 97.6 so 98.7 feels like fever to me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling hot, Feeling of body temperature change — Feeling: Good · Site: Redness · Fever · Headache, Fatigue or tiredness

Free text: My temperature is 97.6 normally so 98.8 feels like fever.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — day 7, dose 2
MedDRA: Unevaluable event — Feeling: Good · Fever

Free text: My normal temperature is 97.6 so 98.8 feels like fever to me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — day 14, dose 2
MedDRA: Dizziness, Fatigue, Headache, Poor quality sleep, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Persistent headache, extreme fatigue, afternoon low grade fever daily , fitful sleep, dizziness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — day 21, dose 2
MedDRA: Chills, Fatigue, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue, severe chills, low grade fever.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — day 28, dose 2
MedDRA: Chills, Fatigue, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue has reached a point where I cant do my normal activities, chills have increased and low grade fever continues. I am taking vitamin C hoping to flush this out of my system.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — day 35, dose 2
MedDRA: Dizziness, Fatigue, Headache, Malaise — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue and persistent headache. New is dizziness and general feeling ill.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — day 42, dose 2
MedDRA: Chills, Fatigue, Sleep disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Chills at night wake me up and I still have fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-13
Call 1 — Could Not Reach Participant
2022-02-17
Call 2 — Could Not Reach Participant
2022-03-04
Survey response — 12 months, dose 2
MedDRA: Asthenia, Chills, Cough, Headache, Malaise, Pyrexia, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: The chills have returned, my energy level has diminished and I am experiencing symptoms as if I have COVID-19: coughing, fever and headache yet I test negative for COVID-19. I do not plan on taking a booster.

MedDRA releases: 2024-11 · check-in free text available
2022-04-19
Dose 3 — Pfizer-BioNTech
2022-04-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2022-04-26
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain · Fever · Headache

Adult check-in
2022-05-05
Survey response — day 14, dose 3
MedDRA: Chills, Nausea, Pyrexia — Feeling: Good

Free text: Chills, nausea and evening fever

MedDRA releases: 2024-11 · check-in free text available
2022-05-17
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-05-26
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-05-31
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-07-19
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-10-18
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2023-04-19
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Moderna
2	2021-03-04	Moderna
3	2022-04-19	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-06

Systemic reaction (other): Swelling in face

2021-03-09

Systemic reaction (other): My usual temperature is 97.6 so 98.7 feels like fever to me.

2021-03-10

Systemic reaction (other): My temperature is 97.6 normally so 98.8 feels like fever.

Release 5 — day 7, dose 2

2021-03-11

Systemic reaction (other): My normal temperature is 97.6 so 98.8 feels like fever to me.

Release 5 — day 14, dose 2

2021-03-18

Symptoms: Persistent headache, extreme fatigue, afternoon low grade fever daily , fitful sleep, dizziness.

Release 6 — day 21, dose 2

2021-03-25

Symptoms: Fatigue, severe chills, low grade fever.

Release 6 — day 28, dose 2

2021-04-01

Symptoms: Fatigue has reached a point where I cant do my normal activities, chills have increased and low grade fever continues. I am taking vitamin C hoping to flush this out of my system.

Release 7 — day 35, dose 2

2021-04-08

Symptoms: Fatigue and persistent headache. New is dizziness and general feeling ill.

Release 7 — day 42, dose 2

2021-04-15

Symptoms: Chills at night wake me up and I still have fatigue.

Release 11 — 12 months, dose 2

2022-03-04

Symptoms: The chills have returned, my energy level has diminished and I am experiencing symptoms as if I have COVID-19: coughing, fever and headache yet I test negative for COVID-19. I do not plan on taking a booster.

Release 11 — day 14, dose 3

2022-05-05

Symptoms: Chills, nausea and evening fever

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	Asthenia	·	·	✓
SD	Chills	✓	✓	✓
SD	Cough	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Nausea	·	·	✓
SD	Poor quality sleep	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sleep disorder	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Feeling of body temperature change	✓	✓	✓
SRO	Swelling face	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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