2VY-21131-65605

5 vaccinations 15 coded responses 43 check-ins 15 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 100 / NY
Registered: 2021-02-10

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

2021-02-05
Dose 1 — Moderna
2021-02-10
Registered in v-safe
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-02-12
Health check-in — day 7, dose 1
Feeling: Fair · None

Adult check-in
2021-02-19
Survey response — day 14, dose 1
MedDRA: Cough, Headache, Rhinorrhoea, Sneezing — Feeling: Poor

Free text: Sneezing, headache, runny nose & a slight cough.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — day 21, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities

Free text: I used to have access to a gym and a trainer. I have been so sedentary during this quarantine, that I have lost a lot of strength and the triple mask+climbing stairs leaves me breathless. Im feeling a little breathless today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Dose 2 — Moderna
2021-03-12
Survey response — day 7, dose 2
MedDRA: Unevaluable event — Feeling: Good · Headache

Free text: Happiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-05
Survey response — 3 months, dose 2
MedDRA: Back pain, Blood potassium decreased, Blood test, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: My potassium level is very low. Also have lower back pain. · Healthcare visit (other): Blood tests & Dr visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Dose 3 — Moderna
Co-administered: Flu
2021-12-21
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-03-05
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-03-31
Dose 4 — Moderna
2022-03-31
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2022-04-01
Survey response — days 1–6 daily, dose 4
MedDRA: Nasal congestion, Sneezing — Feeling: Poor · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sneezing and nasal congestion

MedDRA releases: 2024-11 · check-in free text available
2022-04-02
Survey response — days 1–6 daily, dose 4
MedDRA: Rhinorrhoea, Sneezing — Feeling: Fair · Site: Pain

Free text: Sneezing, runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-04-03
Survey response — days 1–6 daily, dose 4
MedDRA: Rhinorrhoea — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-04-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-04-05
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-07
Survey response — day 7, dose 4
MedDRA: Dyspnoea, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: Covid long hauler shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2022-04-14
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-21
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-04-28
Health check-in — day 28, dose 4
Feeling: Good

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

Adult check-in
2022-05-12
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-06-30
Survey response — 3 months, dose 4
MedDRA: Office visit, Pneumonia bacterial, SARS-CoV-2 test negative, Viral infection — Feeling: Good · 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: Symptoms: I had a violent viral infection followed by a severe bacterial infection both in my lungs. I used 3 Covid tests. All negative. Then went to (b)(6). The sent one test to a lab and did a quick test. All came back negative! · Healthcare visit (other): Visited my own PCP.

MedDRA releases: 2024-11 · check-in free text available
2022-06-30
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-01
Call 1 — Left Voicemail
2022-07-01
Call 1 — Left Voicemail
2022-07-08
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-29
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-10-03
Dose 5 — Moderna
Co-administered: Pneumonia
2022-10-03
Health check-in — day 0, dose 5
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-04
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-05
Survey response — days 1–6 daily, dose 5
MedDRA: Hypersomnia — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I slept for almost 24 hours

MedDRA releases: 2024-11 · check-in free text available
2022-10-06
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-07
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-08
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-09
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-10
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-18
Survey response — day 14, dose 5
MedDRA: Back pain — Feeling: Fair

Free text: My back has started to hurt.

MedDRA releases: 2024-11 · check-in free text available
2022-10-24
Survey response — day 21, dose 5
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Sore throat, possible infected tonsils.

MedDRA releases: 2024-11 · check-in free text available
2022-10-31
Survey response — day 28, dose 5
MedDRA: Fall, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have fallen twice and I have suffered from debilitating fatigue. I attended a 3-day symposium it took 3 days in bed to recover.

MedDRA releases: 2024-11 · check-in free text available
2022-11-07
Survey response — day 35, dose 5
MedDRA: Back pain, Pain — Feeling: Good

Free text: General body aches, especially my back.

MedDRA releases: 2024-11 · check-in free text available
2022-11-14
Survey response — day 42, dose 5
MedDRA: Asthenia, Depression, Fatigue, Post-acute COVID-19 syndrome — Feeling: Poor · Be unable to do your normal daily activities

Free text: Still battling long Covid weakness, depression and fatigue from the very beginning of the Pandemic when there were no tests and no help.

MedDRA releases: 2024-11 · check-in free text available
2023-01-02
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2023-04-03
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-05	Moderna
2	2021-03-05	Moderna
3	2021-10-29	Moderna	Flu
4	2022-03-31	Moderna	No
5	2022-10-03	Moderna	Pneumonia

Call center

2 call center cases

2 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 14, dose 1

2021-02-19

Symptoms: Sneezing, headache, runny nose & a slight cough.

Release 4 — day 21, dose 1

2021-02-26

Symptoms: I used to have access to a gym and a trainer. I have been so sedentary during this quarantine, that I have lost a lot of strength and the triple mask+climbing stairs leaves me breathless. Im feeling a little breathless today.

Release 5 — day 7, dose 2

2021-03-12

Systemic reaction (other): Happiness

Release 8 — 3 months, dose 2

2021-06-05

Symptoms: My potassium level is very low. Also have lower back pain.

Healthcare visit (other): Blood tests & Dr visit

Release 11 — days 1–6 daily, dose 4

2022-04-01

Systemic reaction (other): Sneezing and nasal congestion

2022-04-02

Systemic reaction (other): Sneezing, runny nose

2022-04-03

Systemic reaction (other): Runny nose

Release 11 — day 7, dose 4

2022-04-07

Systemic reaction (other): Covid long hauler shortness of breath

Release 12 — 3 months, dose 4

2022-06-30

Symptoms: I had a violent viral infection followed by a severe bacterial infection both in my lungs. I used 3 Covid tests. All negative. Then went to (b)(6). The sent one test to a lab and did a quick test. All came back negative!

Healthcare visit (other): Visited my own PCP.

redacted (b)(6)

Release 12 — days 1–6 daily, dose 5

2022-10-05

Systemic reaction (other): I slept for almost 24 hours

Release 12 — day 14, dose 5

2022-10-18

Symptoms: My back has started to hurt.

Release 12 — day 21, dose 5

2022-10-24

Symptoms: Sore throat, possible infected tonsils.

Release 12 — day 28, dose 5

2022-10-31

Symptoms: I have fallen twice and I have suffered from debilitating fatigue. I attended a 3-day symposium it took 3 days in bed to recover.

Release 12 — day 35, dose 5

2022-11-07

Symptoms: General body aches, especially my back.

Release 12 — day 42, dose 5

2022-11-14

Symptoms: Still battling long Covid weakness, depression and fatigue from the very beginning of the Pandemic when there were no tests and no help.

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	Blood test	✓	✓	✓
HCVO	Office visit	✓	✓	✓
SD	Asthenia	·	·	✓
SD	Back pain	✓	✓	✓
SD	Blood potassium decreased	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Depression	·	·	✓
SD	Fall	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pneumonia bacterial	·	·	✓
SD	Post-acute COVID-19 syndrome	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sneezing	✓	✓	✓
SD	Unevaluable event	✓	✓	✓
SD	Viral infection	·	·	✓
SRO	Dyspnoea	·	·	✓
SRO	Hypersomnia	·	·	✓
SRO	Nasal congestion	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Sneezing	·	·	✓
SRO	Unevaluable event	✓	✓	✓

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