3AC-11680-80367

5 vaccinations 10 coded responses 53 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 782 / TX
Registered: 2021-01-26

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

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

2021-01-26
Registered in v-safe
2021-01-26
Dose 1 — Moderna
2021-01-26
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · Joint pains, Fatigue or tiredness

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Headache, Fatigue or tiredness

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-30
Survey response — days 1–6 daily, dose 1
MedDRA: Neck pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Neck pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-02
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-16
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-24
Dose 2 — Moderna
2021-02-24
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling, Itching · None

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Furuncle, Swelling — Feeling: Good · Site: Pain

Free text: A red slightly swollen area on right lower leg thats about the size of a quarter. I also had two boils start up a day before getting my second vaccine. I went to my primary care giver and she put me on Bactrim 2x/day for 7 days for the boils. They seem to be subsiding today since Ive been taking the sulfa for 3 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Pain in extremity — Feeling: Good

Free text: Reddish area on my lower leg is still there. About the size of a quarter, flat, slight pain with touching it. Seems improved since yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Tenderness — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Spot mentioned yesterday, on right leg is still red and a little tender to the touch

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: I still have the red area on my lower leg.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — day 7, dose 2
Feeling: Fair · Nausea

Adult check-in
2021-03-11
Survey response — day 14, dose 2
MedDRA: Hip arthroplasty, Surgery — Feeling: Fair · Be unable to do your normal daily activities

Free text: I had a total right hip replacement on Monday 3/8/21. This is unrelated to the covid vaccine but I am weak and not feeling well from the surgery 3 days ago

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-02
Dose 3 — Moderna
2021-11-02
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-11-03
Survey response — days 1–6 daily, dose 3
MedDRA: Sluggishness — Feeling: Poor · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Slightly sluggish

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-11-09
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-16
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-23
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-30
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-07
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-01
Survey response — 3 months, dose 3
MedDRA: Herpes zoster, SARS-CoV-2 test — Feeling: Fair · 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: Symptoms: I had a shingles outbreak · Healthcare visit (other): I had a Covid 19 nasal test

MedDRA releases: 2024-11 · check-in free text available
2022-02-01
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-08
Call 1 — Left Voicemail
2022-04-18
Dose 4 — Moderna
2022-04-19
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-04-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-25
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-02
Survey response — day 14, dose 4
MedDRA: Neck pain — Feeling: Fair · 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: Neck pain

MedDRA releases: 2024-11 · check-in free text available
2022-05-02
Report sent to call center — day 14, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-05-04
Call 1 — Left Voicemail
2022-05-09
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-16
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-23
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-30
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-18
Survey response — 3 months, dose 4
MedDRA: Tendon rupture — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Tear to tendon in left foot

MedDRA releases: 2024-11 · check-in free text available
2022-07-18
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-19
Call 2 — Left Voicemail
2022-07-19
Call 2 — Left Voicemail
2022-07-19
Call 1 — Left Voicemail
2022-07-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-22
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-15
Dose 5 — Pfizer-BioNTech
2022-10-19
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-26	Moderna
2	2021-02-24	Moderna
3	2021-11-02	Moderna	No
4	2022-04-18	Moderna	No
5	2022-09-15	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-30

Systemic reaction (other): Neck pain

Release 4 — days 1–6 daily, dose 2

2021-02-27

Systemic reaction (other): A red slightly swollen area on right lower leg thats about the size of a quarter. I also had two boils start up a day before getting my second vaccine. I went to my primary care giver and she put me on Bactrim 2x/day for 7 days for the boils. They seem to be subsiding today since Ive been taking the sulfa for 3 days.

2021-02-28

Systemic reaction (other): Reddish area on my lower leg is still there. About the size of a quarter, flat, slight pain with touching it. Seems improved since yesterday

2021-03-01

Systemic reaction (other): Spot mentioned yesterday, on right leg is still red and a little tender to the touch

2021-03-02

Systemic reaction (other): I still have the red area on my lower leg.

Release 5 — day 14, dose 2

2021-03-11

Symptoms: I had a total right hip replacement on Monday 3/8/21. This is unrelated to the covid vaccine but I am weak and not feeling well from the surgery 3 days ago

Release 10 — days 1–6 daily, dose 3

2021-11-03

Systemic reaction (other): Slightly sluggish

Release 11 — 3 months, dose 3

2022-02-01

Symptoms: I had a shingles outbreak

Healthcare visit (other): I had a Covid 19 nasal test

Release 11 — day 14, dose 4

2022-05-02

Symptoms: Neck pain

Release 12 — 3 months, dose 4

2022-07-18

Symptoms: Tear to tendon in left foot

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	Herpes zoster	·	·	✓
SD	Hip arthroplasty	✓	✓	✓
SD	Neck pain	·	·	✓
SD	Surgery	✓	✓	✓
SD	Tendon rupture	·	·	✓
SRO	Erythema	✓	✓	✓
SRO	Furuncle	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Sluggishness	·	·	✓
SRO	Swelling	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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