2XX-75305-29895

4 vaccinations 28 coded responses 38 check-ins 28 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 919 / CA
Registered: 2020-12-29

Relationship: Self
Race: Other
Ethnicity: N/A

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2020-12-28
Dose 1 — Moderna
2020-12-29
Registered in v-safe
2020-12-29
Survey response — days 1–6 daily, dose 1
MedDRA: Diarrhoea, Muscle spasms — Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Diarrhea yesterday after cramps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Chills

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Nausea

Adult check-in
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Nausea

Free text: Mother as well and she had not get vaccine yet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Good · Headache, Joint pains, Fatigue or tiredness

Free text: Headache last night but woke up better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-01-11
Survey response — day 14, dose 1
MedDRA: Diarrhoea, Musculoskeletal stiffness, Neck pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Left side neck pain that limit rotation to left side ( vaccine left arm) and diarrhea once

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

1 call case(s)
2021-01-18
Survey response — day 21, dose 1
MedDRA: Body temperature increased, Chest pain, Diarrhoea, Oropharyngeal pain, Pain — Feeling: Fair

Free text: Chest pain, temp went up 1.5 degrees, diarrhea x3 days , sore throat and body aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Dose 2 — Moderna
2021-01-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-26
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Sinus pain — Feeling: Poor · Headache, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Sinus throbbing pain prior headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Fair · Headache, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Rash in hands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — day 7, dose 2
MedDRA: Headache, Nausea, Sinus pain — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: I started colchicine on 1/26/21 after clinic work and developed severe maxillary sinus pain that radiated to right eye then severe headache and nausea that last until 2 hours post second dose of colchicine

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

Adult check-in
2021-02-11
Survey response — day 21, dose 2
MedDRA: Abdominal pain upper, Decreased appetite, Diarrhoea, Headache, Nausea — Feeling: Poor

Free text: Two days ago had diarrhea and I only met with veterinarian outdoors the day before.. Got nausea yesterday and today . Today tummy ache whole day and lack of appetite . Using colchicine 0.5 mg pm only.slight headache briefly.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — day 28, dose 2
MedDRA: Chest pain, Heart rate increased, Loss of personal independence in daily activities, Rash — Feeling: Poor

Free text: Chest pain and rash everytime I get close than 6 feet to someone . Honestly found more Interesting death than this experiment of daily roulette to get exposed daily to new strain .I missed work out yesterday pulse went up to 107 after climbing stai

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — day 35, dose 2
MedDRA: Dyspnoea, Myalgia, Paraesthesia, Rhinorrhoea — Feeling: Fair

Free text: I had shortness of breath one day so I took colchicine after 36 hours with SOB. No cough , no headaches but runny nose after seen one patient / relative and nurse tech . I havd migrating muscle aches tingling in thighs not long lasting .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — day 42, dose 2
MedDRA: Abdominal distension, Abdominal pain lower, Amenorrhoea, Back pain, Migraine, Nausea, Premenstrual syndrome — Feeling: Poor

Free text: 6 weeks after second shot having Premenstrual symptoms after 8 months of no menstrual period. Intense migraines w nausea lower abdomen pain and fullness and lower back . Covid vaccine returning period ?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — 3 months, dose 2
MedDRA: Headache — Feeling: Fair

Free text: Headaches every time I am in contact with someone who has not been vaccinated( heat of the person it is noticeable even in isolation room) . My headaches since 1 pm is oppressive meninges . Not sure if autoimmune like allergic reactions .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-22
Survey response — 6 months, dose 2
MedDRA: Exercise tolerance decreased, Heart rate increased — Feeling: Poor · Be unable to do your normal daily activities

Free text: Pulse had been going up 30 units upon standing for past days after second dose of Shingrix . I had restarted colchicine to keep working .I had stop my indoor cycling at home 30 min four times a week due to increase heart beat . Apple Watch help.

MedDRA releases: 2024-11 · check-in free text available
2021-10-24
Dose 3 — Pfizer-BioNTech
2021-10-24
Survey response — day 0, dose 3
MedDRA: Feeling drunk — Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to work or attend school

Free text: Feeling like happy drunk not sure if that vaccine came with Benadryl, lol

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Survey response — days 1–6 daily, dose 3
MedDRA: Back pain — Feeling: Poor · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school

Free text: Lower back pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-10-27
Survey response — days 1–6 daily, dose 3
MedDRA: Oedema peripheral — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Free text: Swelling in left armpit is decreasing today

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Survey response — days 1–6 daily, dose 3
MedDRA: Back pain, Breast swelling, Fatigue, Paraesthesia — Feeling: Fair · Site: Pain · Nausea

Free text: Tingling in one toe last night, tingling today in lower leg, lower back pain, mild breast swelling, tired

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Adverse reaction, Overwork — Feeling: Poor · Headache, Fatigue or tiredness

Free text: It could be also related to excess work

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Health check-in — day 7, dose 3
Feeling: Poor · Chills, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-11-09
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-14
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-21
Survey response — day 28, dose 3
MedDRA: Abdominal symptom, Diarrhoea — Feeling: Fair

Free text: Some diarrhea and abdominal symptoms but not sure if related to food contamination since relative had explosive diarrhea after drinking our purified water bought at (b)(6) area. Also I got flu shot .

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
Survey response — day 35, dose 3
MedDRA: Back pain, Cough, Fatigue, Gastrointestinal disorder, Perihepatic discomfort, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Poor · Be unable to do your normal daily activities

Free text: Feeling tired. Abdominal issues, runny nose .mild cough short time. I had drive thru pharmacy test not so deep( negative) , thoracic spine pain as well and Liver discomfort.

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Survey response — day 42, dose 3
MedDRA: Abdominal pain, Cough, Fatigue, Frequent bowel movements, Headache, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaches, abdominal pain,increased bowel movements some cough but mild, body aches and fatigue. I strongly believe healthcare workers need vaccine every two months now probably delta variant . Mother also having increase BMs, headaches and mood

MedDRA releases: 2024-11 · check-in free text available
2022-01-23
Survey response — 3 months, dose 3
MedDRA: Abdominal pain, Cough, Fatigue, Hypoxia, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue yesterday, runny nose and some cough and hypoxemia to 79 without symptoms as pelee Apple Watch. Today abdominal pain. I had been outside on 1/11/22 taking mother to physical therapist had several cough w surgical mask not fitted well.

MedDRA releases: 2024-11 · check-in free text available
2022-04-01
Dose 4 — Pfizer-BioNTech
2022-04-24
Survey response — day 21, dose 4
MedDRA: Chest pain, Fatigue, Pain — Feeling: Good

Free text: I had body aches after vaccine and felt tired about first week of vaccine.slight brief chest pain but I did not exercise fit 2 weeks . Doing well compared to other mRNA vaccine. I had been seen patients in great amount and using mask at home.

MedDRA releases: 2024-11 · check-in free text available
2022-05-01
Survey response — day 28, dose 4
MedDRA: Eyelid disorder, Lymph node pain, Lymphadenopathy, Office visit, Pain in jaw, Paraesthesia, Tooth deposit, Tremor — Feeling: Poor

Free text: Swollen glands in neck with pain , dentist did not found infection only tar. Labs returned all normal but pain after meals in jaw is present. Some minor tremors in legs and tingling in lower . Jaw pain cause left upper eyelid moving frequently.

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Survey response — day 35, dose 4
MedDRA: Diarrhoea — Feeling: Fair

Free text: Diarrhea two episodes in 24 hours after seen patients.

MedDRA releases: 2024-11 · check-in free text available
2022-05-13
Survey response — day 42, dose 4
MedDRA: Abdominal pain, Back pain, Fatigue, Muscle spasms, Sacral pain, Yawning — Feeling: Fair

Free text: Very tired day after seen patients , abdominal pain today after seen 13 patients yesterday and several unvaccinated. Lower back pain whole week after return to see patients pain located at SI. P. Cramps in legs when I woke up in the morning and yawn.

MedDRA releases: 2024-11 · check-in free text available
2022-07-01
Survey response — 3 months, dose 4
MedDRA: Abdominal distension, Bowel movement irregularity, Decreased appetite, Pulmonary function test abnormal, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Only abdominal bloat was and change in bowel movements solved with 5 days of flagyl but feel something moving in abdomen. Lack of appetite present but not cough. Pulmonary function test return to normal with symbicort inhaler, after about 1 month. · Healthcare visit (other): Myself

MedDRA releases: 2024-11 · check-in free text available
2022-07-01
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-07-05
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Moderna
2	2021-01-21	Moderna
3	2021-10-24	Pfizer-BioNTech	No
4	2022-04-01	Pfizer-BioNTech	No

Call center

2 call center cases

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

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-29

Systemic reaction (other): Diarrhea yesterday after cramps

2021-01-01

Systemic reaction (other): Mother as well and she had not get vaccine yet

2021-01-03

Systemic reaction (other): Headache last night but woke up better

Release 1 — day 14, dose 1

2021-01-11

Symptoms: Left side neck pain that limit rotation to left side ( vaccine left arm) and diarrhea once

Release 2 — day 21, dose 1

2021-01-18

Symptoms: Chest pain, temp went up 1.5 degrees, diarrhea x3 days , sore throat and body aches

Release 2 — days 1–6 daily, dose 2

2021-01-26

Systemic reaction (other): Sinus throbbing pain prior headaches

2021-01-27

Systemic reaction (other): Rash in hands

Release 3 — day 7, dose 2

2021-01-29

Systemic reaction (other): I started colchicine on 1/26/21 after clinic work and developed severe maxillary sinus pain that radiated to right eye then severe headache and nausea that last until 2 hours post second dose of colchicine

Release 4 — day 21, dose 2

2021-02-11

Symptoms: Two days ago had diarrhea and I only met with veterinarian outdoors the day before.. Got nausea yesterday and today . Today tummy ache whole day and lack of appetite . Using colchicine 0.5 mg pm only.slight headache briefly.

Release 4 — day 28, dose 2

2021-02-18

Symptoms: Chest pain and rash everytime I get close than 6 feet to someone . Honestly found more Interesting death than this experiment of daily roulette to get exposed daily to new strain .I missed work out yesterday pulse went up to 107 after climbing stai cut off by CDC

Release 4 — day 35, dose 2

2021-02-25

Symptoms: I had shortness of breath one day so I took colchicine after 36 hours with SOB. No cough , no headaches but runny nose after seen one patient / relative and nurse tech . I havd migrating muscle aches tingling in thighs not long lasting .

Release 5 — day 42, dose 2

2021-03-04

Symptoms: 6 weeks after second shot having Premenstrual symptoms after 8 months of no menstrual period. Intense migraines w nausea lower abdomen pain and fullness and lower back . Covid vaccine returning period ?

Release 7 — 3 months, dose 2

2021-04-22

Symptoms: Headaches every time I am in contact with someone who has not been vaccinated( heat of the person it is noticeable even in isolation room) . My headaches since 1 pm is oppressive meninges . Not sure if autoimmune like allergic reactions .

Release 9 — 6 months, dose 2

2021-07-22

Symptoms: Pulse had been going up 30 units upon standing for past days after second dose of Shingrix . I had restarted colchicine to keep working .I had stop my indoor cycling at home 30 min four times a week due to increase heart beat . Apple Watch help.

Release 10 — day 0, dose 3

2021-10-24

Systemic reaction (other): Feeling like happy drunk not sure if that vaccine came with Benadryl, lol

Release 10 — days 1–6 daily, dose 3

2021-10-25

Systemic reaction (other): Lower back pain

2021-10-27

Systemic reaction (other): Swelling in left armpit is decreasing today

2021-10-28

Systemic reaction (other): Tingling in one toe last night, tingling today in lower leg, lower back pain, mild breast swelling, tired

2021-10-29

Systemic reaction (other): It could be also related to excess work

Release 10 — day 28, dose 3

2021-11-21

Symptoms: Some diarrhea and abdominal symptoms but not sure if related to food contamination since relative had explosive diarrhea after drinking our purified water bought at (b)(6) area. Also I got flu shot .

redacted (b)(6)

Release 10 — day 35, dose 3

2021-11-29

Symptoms: Feeling tired. Abdominal issues, runny nose .mild cough short time. I had drive thru pharmacy test not so deep( negative) , thoracic spine pain as well and Liver discomfort.

Release 10 — day 42, dose 3

2021-12-05

Symptoms: Headaches, abdominal pain,increased bowel movements some cough but mild, body aches and fatigue. I strongly believe healthcare workers need vaccine every two months now probably delta variant . Mother also having increase BMs, headaches and mood

Release 11 — 3 months, dose 3

2022-01-23

Symptoms: Fatigue yesterday, runny nose and some cough and hypoxemia to 79 without symptoms as pelee Apple Watch. Today abdominal pain. I had been outside on 1/11/22 taking mother to physical therapist had several cough w surgical mask not fitted well.

Release 11 — day 21, dose 4

2022-04-24

Symptoms: I had body aches after vaccine and felt tired about first week of vaccine.slight brief chest pain but I did not exercise fit 2 weeks . Doing well compared to other mRNA vaccine. I had been seen patients in great amount and using mask at home.

Release 11 — day 28, dose 4

2022-05-01

Symptoms: Swollen glands in neck with pain , dentist did not found infection only tar. Labs returned all normal but pain after meals in jaw is present. Some minor tremors in legs and tingling in lower . Jaw pain cause left upper eyelid moving frequently.

Release 11 — day 35, dose 4

2022-05-06

Symptoms: Diarrhea two episodes in 24 hours after seen patients.

Release 11 — day 42, dose 4

2022-05-13

Symptoms: Very tired day after seen patients , abdominal pain today after seen 13 patients yesterday and several unvaccinated. Lower back pain whole week after return to see patients pain located at SI. P. Cramps in legs when I woke up in the morning and yawn. cut off by CDC

Release 12 — 3 months, dose 4

2022-07-01

Symptoms: Only abdominal bloat was and change in bowel movements solved with 5 days of flagyl but feel something moving in abdomen. Lack of appetite present but not cough. Pulmonary function test return to normal with symbicort inhaler, after about 1 month. cut off by CDC

Healthcare visit (other): Myself

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	Unevaluable event	·	·	✓
SD	Abdominal distension	✓	✓	✓
SD	Abdominal pain	·	·	✓
SD	Abdominal pain lower	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Abdominal symptom	·	·	✓
SD	Amenorrhoea	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Body temperature increased	✓	✓	✓
SD	Bowel movement irregularity	·	·	✓
SD	Chest pain	✓	✓	✓
SD	Cough	·	·	✓
SD	Decreased appetite	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Exercise tolerance decreased	·	·	✓
SD	Eyelid disorder	·	·	✓
SD	Fatigue	·	·	✓
SD	Frequent bowel movements	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Hypoxia	·	·	✓
SD	Loss of personal independence in daily activities	✓	✓	✓
SD	Lymph node pain	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Migraine	✓	✓	✓
SD	Muscle spasms	·	·	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Office visit	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in jaw	·	·	✓
SD	Paraesthesia	✓	✓	✓
SD	Perihepatic discomfort	·	·	✓
SD	Premenstrual syndrome	✓	✓	✓
SD	Pulmonary function test abnormal	·	·	✓
SD	Rash	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sacral pain	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Tooth deposit	·	·	✓
SD	Tremor	·	·	✓
SD	Yawning	·	·	✓
SRO	Adverse reaction	·	·	✓
SRO	Back pain	·	·	✓
SRO	Breast swelling	·	·	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Fatigue	·	·	✓
SRO	Feeling drunk	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Oedema peripheral	·	·	✓
SRO	Overwork	·	·	✓
SRO	Paraesthesia	·	·	✓
SRO	Rash	✓	✓	✓
SRO	Sinus pain	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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