2ZU-36354-40485

5 vaccinations 6 coded responses 40 check-ins 5 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 191 / PA
Registered: 2021-04-12

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-15
Dose 1 — Moderna
2021-04-12
Registered in v-safe
2021-04-12
Dose 2 — Moderna
2021-04-12
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Joint pains

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-19
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-10
Survey response — day 28, dose 2
MedDRA: Chills, Decreased appetite, Fatigue, Nausea, Vomiting — Feeling: Poor · Be unable to do your normal daily activities

Free text: Nausea, vomiting, tiredness, chills, and loss of appetite.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-11
Dose 3 — Moderna
2022-04-12
Survey response — 12 months, dose 2
MedDRA: Cataract operation, Chills, Cough, Fatigue, Retinal operation, SARS-CoV-2 test, Sneezing — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Since yesterday I am having fatigue, sneezing, coughing and chills. Despite being fully vaccinated with the first booster, I took a PCR COVID test today. For my health condition, I am recovering from a right eye cataract removal and retina repair. · Healthcare visit (other): Awaiting COVID test results.

MedDRA releases: 2024-11 · check-in free text available
2022-04-12
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2022-04-21
Call successful
Not applicable - Accidental Reporting
2022-05-20
Dose 4 — Moderna
2022-05-23
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Swelling, Itching · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-05-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Nausea, Abdominal pain

Adult check-in
2022-05-27
Health check-in — day 7, dose 4
Feeling: Fair · Nausea

Adult check-in
2022-06-03
Survey response — day 14, dose 4
MedDRA: Pruritus — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Hive type itching since Wednesday at 10.30 am.

MedDRA releases: 2024-11 · check-in free text available
2022-06-03
Report sent to call center — day 14, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-06
Call 1 — Left Voicemail
2022-06-06
Call 2 — Left Voicemail
2022-06-10
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-17
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-24
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-01
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-19
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-28
Dose 5 — Moderna
2022-09-28
Health check-in — day 0, dose 5
Feeling: Fair · Site: Pain, Itching · Joint pains · Be unable to do your normal daily activities

Adult check-in
2022-09-29
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Swelling · Fever · Muscle or body aches

Adult check-in
2022-09-30
Survey response — days 1–6 daily, dose 5
MedDRA: Joint swelling, Mobility decreased — Feeling: Fair · Site: Pain · Joint pains · Be unable to do your normal daily activities

Free text: Right knee swelling in the morning and difficulty getting off the bed.

MedDRA releases: 2024-11 · check-in free text available
2022-10-01
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Swelling · Muscle or body aches

Adult check-in
2022-10-03
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Swelling · Muscle or body aches

Adult check-in
2022-10-04
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Abdominal pain

Adult check-in
2022-10-06
Health check-in — day 7, dose 5
Feeling: Good · Joint pains

Adult check-in
2022-10-12
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-19
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-26
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-02
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-09
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-28
Survey response — 3 months, dose 5
MedDRA: Arthralgia, Back pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Knees and lower back pains.

MedDRA releases: 2024-11 · check-in free text available
2023-03-31
Survey response — 6 months, dose 5
MedDRA: Pre-existing disease — 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

MedDRA releases: 2024-11
2023-03-31
Report sent to call center — 6 months, dose 5
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)
2023-04-04
Call 1 — Left Voicemail
2023-04-04
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-15	Moderna
2	2021-04-12	Moderna
3	2021-11-11	Moderna	No
4	2022-05-20	Moderna	No
5	2022-09-28	Moderna	No

Call center

3 call center cases

1 successful · 2 unsuccessful

See the call center timeline

Free text

Release 8 — day 28, dose 2

2021-05-10

Symptoms: Nausea, vomiting, tiredness, chills, and loss of appetite.

Release 11 — 12 months, dose 2

2022-04-12

Symptoms: Since yesterday I am having fatigue, sneezing, coughing and chills. Despite being fully vaccinated with the first booster, I took a PCR COVID test today. For my health condition, I am recovering from a right eye cataract removal and retina repair.

Healthcare visit (other): Awaiting COVID test results.

Release 11 — day 14, dose 4

2022-06-03

Symptoms: Hive type itching since Wednesday at 10.30 am.

Release 12 — days 1–6 daily, dose 5

2022-09-30

Systemic reaction (other): Right knee swelling in the morning and difficulty getting off the bed.

Release 12 — 3 months, dose 5

2022-12-28

Symptoms: Knees and lower back pains.

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	SARS-CoV-2 test	·	·	✓
SD	Arthralgia	·	·	✓
SD	Back pain	·	·	✓
SD	Cataract operation	·	·	✓
SD	Chills	✓	✓	✓
SD	Cough	·	·	✓
SD	Decreased appetite	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Pruritus	·	·	✓
SD	Retinal operation	·	·	✓
SD	SARS-CoV-2 test	·	·	✓
SD	Sneezing	·	·	✓
SD	Vomiting	✓	✓	✓
SRO	Joint swelling	·	·	✓
SRO	Mobility decreased	·	·	✓

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