39T-83481-46211

5 vaccinations 24 coded responses 66 check-ins 24 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 322 / FL
Registered: 2021-01-15

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

2021-01-15
Registered in v-safe
2021-01-15
Dose 1 — Moderna
2021-01-15
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-12
Dose 2 — Moderna
2021-02-12
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Lack of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Constipation, Irritability — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea

Free text: Slight constipation, grumpiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 2
MedDRA: Irritability — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Residual grumpiness u

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-19
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-05
Survey response — day 21, dose 2
MedDRA: Depression, Office visit, Urinary tract infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Urinary Track Infection, symptoms of depression · Healthcare visit (other): Regular doctors visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-12
Survey response — day 28, dose 2
MedDRA: Dyspnoea, Insomnia, Muscle spasms — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cramps last night. Some difficulty breathing easily at night but not sure its pollen related. Insomnia for a while now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — day 35, dose 2
MedDRA: Gastrointestinal disorder, Insomnia, Sinus disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Occasional gastrointestinal problems. Insomnia. Sinus issues.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — day 42, dose 2
MedDRA: Bladder disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Bladder problems- may or may not be vaccine related

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — 3 months, dose 2
MedDRA: Bladder disorder, Decreased appetite, Diarrhoea, Dizziness, Nausea, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Bouts of diarrhea and bladder problems, bouts of dizziness, frequent lack of appetite, bouts of nausea · Healthcare visit (other): Visit to doctors office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-14
Survey response — 6 months, dose 2
MedDRA: Unevaluable event — Feeling: Good · Be unable to do your normal daily activities

Free text: Possible arthritis in feet

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-28
Dose 3 — Moderna
2021-09-28
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-09-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Rhinorrhoea — Feeling: Good · Fatigue or tiredness

Free text: Slight sniffles

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-05
Survey response — day 7, dose 3
MedDRA: Rhinorrhoea, Sneezing — Feeling: Good · Fever · Fatigue or tiredness, Diarrhea

Free text: Sniffles and sneezing

MedDRA releases: 2024-11 · check-in free text available
2021-10-12
Survey response — day 14, dose 3
MedDRA: Chills, Diarrhoea, Feeling hot, Myalgia — Feeling: Fair

Free text: Bouts of diarrhea, aching muscles, feeling chills and feverish without a fever.

MedDRA releases: 2024-11 · check-in free text available
2021-10-19
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-10-26
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-02
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-11-09
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-12-28
Survey response — 3 months, dose 3
MedDRA: Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Slight nausea

MedDRA releases: 2024-11 · check-in free text available
2022-02-03
Call 1 — Left Voicemail
2022-02-08
Call 2 — Left Voicemail
2022-02-08
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-29
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-01
Dose 4 — Moderna
2022-04-01
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain · Headache

Adult check-in
2022-04-02
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-04-03
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

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

Free text: Dizziness

MedDRA releases: 2024-11 · check-in free text available
2022-04-05
Survey response — days 1–6 daily, dose 4
MedDRA: Middle insomnia, Presyncope, Vomiting — Feeling: Fair · Fatigue or tiredness, Vomiting · Be unable to do your normal daily activities

Free text: Woke up in the middle of the night with vomiting but it may have been related to food poisoning. Was able to get back to sleep without a return bout. Nearly fainted mid morning yesterday

MedDRA releases: 2024-11 · check-in free text available
2022-04-06
Survey response — days 1–6 daily, dose 4
MedDRA: Dizziness — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lightheadedness.

MedDRA releases: 2024-11 · check-in free text available
2022-04-07
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-04-08
Health check-in — day 7, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-04-15
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-22
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-04-29
Survey response — day 28, dose 4
MedDRA: Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Bouts of diarrhea

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Survey response — day 35, dose 4
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Intermittent fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-05-15
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-01
Survey response — 3 months, dose 4
MedDRA: Headache — Feeling: Good

Free text: Headaches

MedDRA releases: 2024-11 · check-in free text available
2022-09-17
Dose 5 — Pfizer-BioNTech
2022-09-18
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-09-19
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-20
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-21
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-09-22
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-23
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-24
Health check-in — day 7, dose 5
Feeling: Fair · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-10-01
Survey response — day 14, dose 5
MedDRA: Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Resurgence of diarrhea

MedDRA releases: 2024-11 · check-in free text available
2022-10-08
Survey response — day 21, dose 5
MedDRA: Balance disorder, Diarrhoea, Dizziness, Dysstasia, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Wobbly/lightheaded Unable to stand in line Loose bowels Feverish

MedDRA releases: 2024-11 · check-in free text available
2022-10-15
Survey response — day 28, dose 5
MedDRA: Cough, Productive cough, Pyrexia, SARS-CoV-2 test negative, Telemedicine, Throat irritation — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional

Free text: Symptoms: Coughing, phlegm, fever, scratchy throat · Healthcare visit (other): Scheduled virtual visit . Negative at home Covid test

MedDRA releases: 2024-11 · check-in free text available
2022-10-15
Report sent to call center — day 28, dose 5
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-18
Call 1 — Left Voicemail
2022-10-22
Survey response — day 35, dose 5
MedDRA: Diarrhoea — Feeling: Fair

Free text: Occasional light bouts of diarrhea

MedDRA releases: 2024-11 · check-in free text available
2022-10-30
Survey response — day 42, dose 5
MedDRA: Fatigue, Rhinorrhoea, Throat irritation — Feeling: Fair · Be unable to do your normal daily activities

Free text: Scratchy throat Fatigu Runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-12-17
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2023-03-18
Health check-in — 6 months, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Moderna
2	2021-02-12	Moderna
3	2021-09-28	Moderna	No
4	2022-04-01	Moderna	No
5	2022-09-17	Pfizer-BioNTech	No

Call center

3 call center cases

2 successful · 1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-14

Systemic reaction (other): Lack of appetite

2021-02-16

Systemic reaction (other): Slight constipation, grumpiness

2021-02-17

Systemic reaction (other): Residual grumpiness u

Release 5 — day 21, dose 2

2021-03-05

Symptoms: Urinary Track Infection, symptoms of depression

Healthcare visit (other): Regular doctors visit

Release 5 — day 28, dose 2

2021-03-12

Symptoms: Cramps last night. Some difficulty breathing easily at night but not sure its pollen related. Insomnia for a while now.

Release 6 — day 35, dose 2

2021-03-19

Symptoms: Occasional gastrointestinal problems. Insomnia. Sinus issues.

Release 6 — day 42, dose 2

2021-03-26

Symptoms: Bladder problems- may or may not be vaccine related

Release 8 — 3 months, dose 2

2021-05-14

Symptoms: Bouts of diarrhea and bladder problems, bouts of dizziness, frequent lack of appetite, bouts of nausea

Healthcare visit (other): Visit to doctors office

Release 9 — 6 months, dose 2

2021-08-14

Symptoms: Possible arthritis in feet

Release 9 — days 1–6 daily, dose 3

2021-10-03

Systemic reaction (other): Slight sniffles

Release 10 — day 7, dose 3

2021-10-05

Systemic reaction (other): Sniffles and sneezing

Release 10 — day 14, dose 3

2021-10-12

Symptoms: Bouts of diarrhea, aching muscles, feeling chills and feverish without a fever.

Release 10 — 3 months, dose 3

2021-12-28

Symptoms: Slight nausea

Release 11 — days 1–6 daily, dose 4

2022-04-04

Systemic reaction (other): Dizziness

2022-04-05

Systemic reaction (other): Woke up in the middle of the night with vomiting but it may have been related to food poisoning. Was able to get back to sleep without a return bout. Nearly fainted mid morning yesterday

2022-04-06

Systemic reaction (other): Lightheadedness.

Release 11 — day 28, dose 4

2022-04-29

Symptoms: Bouts of diarrhea

Release 11 — day 35, dose 4

2022-05-06

Symptoms: Intermittent fatigue

Release 12 — 3 months, dose 4

2022-07-01

Symptoms: Headaches

Release 12 — day 14, dose 5

2022-10-01

Symptoms: Resurgence of diarrhea

Release 12 — day 21, dose 5

2022-10-08

Symptoms: Wobbly/lightheaded Unable to stand in line Loose bowels Feverish

Release 12 — day 28, dose 5

2022-10-15

Symptoms: Coughing, phlegm, fever, scratchy throat

Healthcare visit (other): Scheduled virtual visit . Negative at home Covid test

Release 12 — day 35, dose 5

2022-10-22

Symptoms: Occasional light bouts of diarrhea

Release 12 — day 42, dose 5

2022-10-30

Symptoms: Scratchy throat Fatigu Runny nose

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 negative	·	·	✓
HCVO	Telemedicine	·	·	✓
SD	Balance disorder	·	·	✓
SD	Bladder disorder	✓	✓	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Decreased appetite	✓	✓	✓
SD	Depression	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Dysstasia	·	·	✓
SD	Fatigue	·	·	✓
SD	Feeling hot	·	·	✓
SD	Gastrointestinal disorder	✓	✓	✓
SD	Headache	·	·	✓
SD	Insomnia	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Nausea	✓	✓	✓
SD	Productive cough	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinus disorder	✓	✓	✓
SD	Throat irritation	·	·	✓
SD	Unevaluable event	✓	·	✓
SD	Urinary tract infection	✓	✓	✓
SRO	Constipation	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dizziness	·	·	✓
SRO	Irritability	✓	✓	✓
SRO	Middle insomnia	·	·	✓
SRO	Presyncope	·	·	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Sneezing	·	·	✓
SRO	Vomiting	·	·	✓

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