38M-46835-79887

2 vaccinations 9 coded responses 24 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 799 / TX
Registered: 2021-01-09

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-01-07
Dose 1 — Moderna
2021-01-09
Registered in v-safe
2021-01-09
Survey response — days 1–6 daily, dose 1
MedDRA: Confusional state — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: mental confusion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
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)
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · Fatigue or tiredness

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · Fatigue or tiredness

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-14
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-21
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-01-31
Survey response — day 21, dose 1
MedDRA: Fatigue — Feeling: Fair

Free text: Fatigue worsened.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Dose 2 — Moderna
2021-02-04
Health check-in — day 0, dose 2
Feeling: Fair · None

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · 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
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness · Headache, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Wheezing — Feeling: Fair · Headache, Fatigue or tiredness

Free text: wheezing, shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Wheezing — Feeling: Fair · Fatigue or tiredness

Free text: wheezing, shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-11
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-19
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-26
Survey response — day 21, dose 2
MedDRA: Dizziness, Fatigue, Office visit, Restless legs syndrome, Tremor, Viral infection — Feeling: Poor · Be unable to do your normal daily activities

Free text: When walking into work, i experienced serious fatigue & trembling in my legs, back & hips. I had to stop & sit to recover for fear of fainting. My doctor said it's part of recovery from the virus which i had in early October. This is the 4th time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-11
Survey response — day 35, dose 2
MedDRA: Seasonal allergy, Sinus headache — Feeling: Good

Free text: I think it's spring allergy causing sinus headache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-05
Survey response — 6 months, dose 2
MedDRA: Atypical pneumonia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: I've had walking pneumonia.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-05
Report sent to call center — 6 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)
2021-08-10
Call 1 — Requested Callback
2022-02-04
Survey response — 12 months, dose 2
MedDRA: COVID-19, Office visit, SARS-CoV-2 test — Feeling: Fair · 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: I had covid again in January · Healthcare visit (other): covid rapid testing at work facility with nurse

MedDRA releases: 2024-11 · check-in free text available
2022-02-04
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)
2022-02-08
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Moderna
2	2021-02-04	Moderna

Call center

3 call center cases

2 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

2021-01-09

Systemic reaction (other): mental confusion

Release 3 — day 21, dose 1

2021-01-31

Symptoms: Fatigue worsened.

Release 3 — days 1–6 daily, dose 2

2021-02-07

Systemic reaction (other): shortness of breath

2021-02-08

Systemic reaction (other): wheezing, shortness of breath

2021-02-09

Systemic reaction (other): wheezing, shortness of breath

Release 4 — day 21, dose 2

2021-02-26

Symptoms: When walking into work, i experienced serious fatigue & trembling in my legs, back & hips. I had to stop & sit to recover for fear of fainting. My doctor said it's part of recovery from the virus which i had in early October. This is the 4th time.

Release 5 — day 35, dose 2

2021-03-11

Symptoms: I think it's spring allergy causing sinus headache.

Release 9 — 6 months, dose 2

2021-08-05

Symptoms: I've had walking pneumonia.

Release 11 — 12 months, dose 2

2022-02-04

Symptoms: I had covid again in January

Healthcare visit (other): covid rapid testing at work facility with nurse

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	Office visit	·	·	✓
HCVO	SARS-CoV-2 test	·	·	✓
SD	Atypical pneumonia	✓	·	✓
SD	COVID-19	·	·	✓
SD	Dizziness	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Office visit	·	·	✓
SD	Restless legs syndrome	✓	✓	○
SD	Seasonal allergy	✓	✓	✓
SD	Sinus headache	✓	✓	✓
SD	Tremor	·	·	✓
SD	Viral infection	·	·	✓
SRO	Confusional state	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Wheezing	✓	✓	✓

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