3GB-13293-79164

5 vaccinations 10 coded responses 44 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 031 / NH
Registered: 2021-02-06

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

2021-02-04
Dose 1 — Moderna
2021-02-06
Registered in v-safe
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Nausea

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Nausea

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

Adult check-in
2021-02-11
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-27
Survey response — day 21, dose 1
MedDRA: Blood test abnormal, Condition aggravated, Office visit, Polycythaemia vera, Pre-existing disease, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: I have polycythemia vera. Had first vaccine on Feb 4. Had blood work on Feb 9. Blood #s were higher than normal. Doc had me come back on Feb 23 for recheck of blood. Blood was back to my normal. · Healthcare visit (other): Just blood lab work

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-04
Dose 2 — Moderna
2021-03-04
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-11
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-20
Survey response — day 14, dose 2
MedDRA: Pruritus — Feeling: Good

Free text: Itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-03
Survey response — 3 months, dose 2
MedDRA: Eye allergy, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Eye allergies · Healthcare visit (other): Regular eye appointment

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-17
Call 1 — Left Voicemail
2021-09-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-26
Dose 3 — Moderna
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

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

Adult check-in
2021-11-04
Survey response — day 7, dose 3
MedDRA: Dizziness — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizzy

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Survey response — day 14, dose 3
MedDRA: Fatigue, Nausea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Nausea and tiredness

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Survey response — day 21, dose 3
MedDRA: Eye pruritus — Feeling: Fair

Free text: Itching of right eye which might be allergies. Zatador does seem to help for a while.

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-30
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-27
Survey response — 3 months, dose 3
MedDRA: Neuropathy peripheral — Feeling: Good

Free text: Have been experiencing a little neuropathy.

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
Dose 4 — Moderna
2022-10-15
Dose 5 — Moderna
2022-10-16
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-17
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2022-10-18
Survey response — days 1–6 daily, dose 5
MedDRA: Pre-existing disease, Tinnitus — Feeling: Good · Site: Pain, Redness, Swelling, Itching

Free text: My tinnitus seems worse since the vaccine

MedDRA releases: 2024-11 · check-in free text available
2022-10-19
Survey response — days 1–6 daily, dose 5
MedDRA: Ophthalmic migraine — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache · Be unable to do your normal daily activities

Free text: Occular migraine

MedDRA releases: 2024-11 · check-in free text available
2022-10-20
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Redness, Swelling, Itching · Headache

Adult check-in
2022-10-21
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Swelling, Itching · Headache

Adult check-in
2022-10-22
Health check-in — day 7, dose 5
Feeling: Fair · Site: Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-11-07
Survey response — day 21, dose 5
MedDRA: Condition aggravated, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: I have been having more occular migraines. I have a history of them before the vaccine. · Healthcare visit (other): Eye doctor in person visit

MedDRA releases: 2024-11 · check-in free text available
2022-11-07
Report sent to call center — day 21, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2022-11-08
Call 1 — Could Not Reach Participant
2022-11-08
Call 2 — Could Not Reach Participant
2022-11-08
Call 1 — Could Not Reach Participant
2022-11-11
Call 2 — Could Not Reach Participant
2022-11-11
Call 3 — Could Not Reach Participant
2022-11-11
Call 2 — Could Not Reach Participant
2022-11-12
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-21
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-11-27
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-16
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Moderna
2	2021-03-04	Moderna
3	2021-10-26	Moderna	No
4	2022-05-04	Moderna	No
5	2022-10-15	Moderna	No

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 21, dose 1

2021-02-27

Symptoms: I have polycythemia vera. Had first vaccine on Feb 4. Had blood work on Feb 9. Blood #s were higher than normal. Doc had me come back on Feb 23 for recheck of blood. Blood was back to my normal.

Healthcare visit (other): Just blood lab work

Release 6 — day 14, dose 2

2021-03-20

Symptoms: Itching

Release 8 — 3 months, dose 2

2021-06-03

Symptoms: Eye allergies

Healthcare visit (other): Regular eye appointment

Release 10 — day 7, dose 3

2021-11-04

Systemic reaction (other): Dizzy

Release 10 — day 14, dose 3

2021-11-09

Symptoms: Nausea and tiredness

Release 10 — day 21, dose 3

2021-11-16

Symptoms: Itching of right eye which might be allergies. Zatador does seem to help for a while.

Release 11 — 3 months, dose 3

2022-01-27

Symptoms: Have been experiencing a little neuropathy.

Release 12 — days 1–6 daily, dose 5

2022-10-18

Systemic reaction (other): My tinnitus seems worse since the vaccine

2022-10-19

Systemic reaction (other): Occular migraine

Release 12 — day 21, dose 5

2022-11-07

Symptoms: I have been having more occular migraines. I have a history of them before the vaccine.

Healthcare visit (other): Eye doctor in person visit

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	Unevaluable event	✓	·	✓
SD	Blood test abnormal	✓	·	✓
SD	Condition aggravated	✓	·	✓
SD	Eye allergy	✓	✓	✓
SD	Eye pruritus	·	·	✓
SD	Fatigue	·	·	✓
SD	Nausea	·	·	✓
SD	Neuropathy peripheral	·	·	✓
SD	Polycythaemia vera	○	✓	○
SD	Pre-existing disease	✓	·	✓
SD	Pruritus	✓	✓	✓
SRO	Dizziness	·	·	✓
SRO	Ophthalmic migraine	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Tinnitus	·	·	✓

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