326-64186-27961

2 vaccinations 5 coded responses 25 check-ins 5 free-text entries 5 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 334 / FL
Registered: 2021-01-12

Relationship: Self
Race: White
Ethnicity: N/A

Timeline

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

2021-01-12
Registered in v-safe
2021-01-12
Dose 1 — Moderna
2021-01-12
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Chills, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-01-13
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Diarrhoea, Pre-existing disease — Feeling: Good · Joint pains, Fatigue or tiredness, Diarrhea

Free text: I do have severe rheumatoid arthritis some of my symptoms are my every day problems except for the diarrhea.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Fatigue or tiredness, Diarrhea

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-17
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Diarrhoea, Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Other than diarrhea the rest is due to my disease.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-21
Health check-in — day 7, dose 1
Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-09
Dose 2 — Moderna
2021-02-09
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None · Be unable to do your normal daily activities

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness, Diarrhea

Adult check-in
2021-02-16
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-23
Survey response — day 14, dose 2
MedDRA: Arthralgia, Fatigue, Swelling face — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Fatigue, puffy face, sore joints

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-09
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-17
Survey response — day 35, dose 2
MedDRA: Constipation, Diarrhoea, Pain — Feeling: Fair · 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: After having diarrhea so back then I ended up with constipation. Which gave me extreme pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Report sent to call center — day 35, 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)
2021-03-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-03
Call 1 — Left Voicemail
2021-08-10
Survey response — 6 months, dose 2
MedDRA: Pre-existing disease, Urinary tract infection, Vitamin B12 decreased — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: Sever UTI and low B-12 · Healthcare visit (other): Blood work from Internist.Question: Is it time for a booster shot? Because of my lack of immune system due to my chronic RA and medications that lessens my immune system.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-10
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-17
Call 1 — Left Voicemail
2021-08-18
Call 2 — Left Voicemail
2022-02-09
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-12	Moderna
2	2021-02-09	Moderna

Call center

5 call center cases

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

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): I do have severe rheumatoid arthritis some of my symptoms are my every day problems except for the diarrhea.

2021-01-18

Systemic reaction (other): Other than diarrhea the rest is due to my disease.

Release 4 — day 14, dose 2

2021-02-23

Symptoms: Fatigue, puffy face, sore joints

Release 5 — day 35, dose 2

2021-03-17

Symptoms: After having diarrhea so back then I ended up with constipation. Which gave me extreme pain.

Release 9 — 6 months, dose 2

2021-08-10

Symptoms: Sever UTI and low B-12

Healthcare visit (other): Blood work from Internist.Question: Is it time for a booster shot? Because of my lack of immune system due to my chronic RA and medications that lessens my immune system.

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	Pre-existing disease	✓	·	✓
SD	Arthralgia	✓	✓	✓
SD	Constipation	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Swelling face	✓	✓	✓
SD	Urinary tract infection	✓	·	✓
SD	Vitamin B12 decreased	✓	·	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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