3AE-47882-64307

3 vaccinations 7 coded responses 41 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 788 / TX
Registered: 2021-03-10

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

2021-03-10
Registered in v-safe
2021-03-10
Dose 1 — Moderna
2021-03-10
Survey response — day 0, dose 1
MedDRA: Oropharyngeal pain — Feeling: Good · Site: Pain

Free text: Mild Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Hot flush — Feeling: Good · Site: Pain, Redness, Swelling, Itching

Free text: Mild hot flashes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Survey response — day 14, dose 1
MedDRA: Ocular hyperaemia, Office visit, Specialist consultation, Vision blurred — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Right eye blood shot and slightly blurred vision · Healthcare visit (other): Visit eye doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-31
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-07
Survey response — day 28, dose 1
MedDRA: Nausea, Vertigo — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Vertigo and a little nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Report sent to call center — day 28, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-08
Dose 2 — Moderna
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Itching

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Dose 3 — Moderna
2021-10-29
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling · None

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-05
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-04
Call 1 — Left Voicemail
2022-01-10
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-28
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-29
Survey response — 6 months, dose 3
MedDRA: Dyspnoea, Fatigue, Office visit, Productive cough, SARS-CoV-2 test negative — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Fatigue, shortness of breath, phlegm. I tested negative with school covid test · Healthcare visit (other): School nurse

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-02
Call 1 — Left Voicemail
2022-10-29
Survey response — 12 months, dose 3
MedDRA: Endotracheal intubation, Hospitalisation, Intensive care, Mechanical ventilation, Medical induction of coma, Physiotherapy, Pneumonia, Wheelchair user — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Contracted Community acquired pneumonia; was intubated and in an induced coma 12 days, spent 2 months in icu and was hospitalized a total of 3 months. Receiving physical therapy, am on 3 liters oxygen, portable ventilator, use a wheelchair

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Moderna
2	2021-04-08	Moderna
3	2021-10-29	Moderna	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 5 — day 0, dose 1

2021-03-10

Systemic reaction (other): Mild Sore throat

Release 5 — days 1–6 daily, dose 1

2021-03-13

Systemic reaction (other): Mild hot flashes

Release 6 — day 14, dose 1

2021-03-24

Symptoms: Right eye blood shot and slightly blurred vision

Healthcare visit (other): Visit eye doctor

Release 7 — day 28, dose 1

2021-04-07

Symptoms: Vertigo and a little nausea

Release 7 — days 1–6 daily, dose 2

2021-04-11

Systemic reaction (other): Dizzy

Release 11 — 6 months, dose 3

2022-04-29

Symptoms: Fatigue, shortness of breath, phlegm. I tested negative with school covid test

Healthcare visit (other): School nurse

Release 12 — 12 months, dose 3

2022-10-29

Symptoms: Contracted Community acquired pneumonia; was intubated and in an induced coma 12 days, spent 2 months in icu and was hospitalized a total of 3 months. Receiving physical therapy, am on 3 liters oxygen, portable ventilator, use a wheelchair

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	Specialist consultation	✓	✓	○
SD	Dyspnoea	·	·	✓
SD	Endotracheal intubation	·	·	✓
SD	Fatigue	·	·	✓
SD	Hospitalisation	·	·	✓
SD	Intensive care	·	·	✓
SD	Mechanical ventilation	·	·	✓
SD	Medical induction of coma	·	·	✓
SD	Nausea	✓	✓	✓
SD	Ocular hyperaemia	✓	✓	✓
SD	Physiotherapy	·	·	✓
SD	Pneumonia	·	·	✓
SD	Productive cough	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Vertigo	✓	✓	✓
SD	Vision blurred	✓	✓	✓
SD	Wheelchair user	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓

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