3H5-12878-44794

4 vaccinations 10 coded responses 41 check-ins 10 free-text entries 5 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 974 / OR
Registered: 2021-03-12

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

2021-03-12
Registered in v-safe
2021-03-12
Dose 1 — Moderna
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Initial insomnia — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Trouble dalling asleep and staying asleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Issues falling asleep and staying asleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-19
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-16
Survey response — day 35, dose 1
MedDRA: Cough, Influenza virus test negative, Pyrexia, SARS-CoV-2 test negative, Sinus disorder, Viral infection — Feeling: Poor · Be unable to do your normal daily activities

Free text: Had a virus with bad cough, sinus issues and a couple days of low fever. Tested negative for covid and influenza

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Dose 2 — Moderna
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-25
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-05-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-23
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-01
Survey response — day 42, dose 2
MedDRA: Joint swelling, Muscle spasms — Feeling: Poor · 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: Swollen knee and cramoing legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-09
Call 1 — Left Voicemail
2021-07-18
Survey response — 3 months, dose 2
MedDRA: Localised infection, Staphylococcal infection — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: MRSA infection on finger.

MedDRA releases: 2024-11 · check-in free text available
2021-07-18
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-27
Call 1 — Left Voicemail
2021-10-17
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-22
Dose 3 — Moderna
2021-10-29
Health check-in — day 7, dose 3
Feeling: Fair · Fatigue or tiredness, Diarrhea

Adult check-in
2021-11-05
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-12
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-03
Survey response — day 42, dose 3
MedDRA: Furuncle — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Skin boil

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-06
Call successful
Not applicable - Accidental Reporting
2022-01-23
Survey response — 3 months, dose 3
MedDRA: Cough, Influenza, Nasopharyngitis, SARS-CoV-2 test negative, Secretion discharge — Feeling: Fair · Be unable to do your normal daily activities

Free text: Flu/cold since xmas day. Covid tests negative. Finally waining except excess mucus and cough.

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-05-15
Dose 4 — Moderna
2022-05-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Itching · Joint pains, Muscle or body aches

Adult check-in
2022-05-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Itching · Joint pains, Muscle or body aches, Nausea

Adult check-in
2022-05-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Itching · Joint pains, Muscle or body aches, Diarrhea, Abdominal pain

Adult check-in
2022-05-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Itching · Joint pains, Muscle or body aches

Adult check-in
2022-05-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-24
Health check-in — day 7, dose 4
Feeling: Good · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2022-05-30
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-07
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-12
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-19
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-26
Survey response — day 42, dose 4
MedDRA: Fatigue, Headache, Oropharyngeal pain — Feeling: Fair

Free text: Run down, sore throat, headache for over a week. No fever. Negative test x2.

MedDRA releases: 2024-11 · check-in free text available
2022-08-14
Survey response — 3 months, dose 4
MedDRA: Cough, Sinusitis — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sinus infection and cough

MedDRA releases: 2024-11 · check-in free text available
2022-08-14
Report sent to call center — 3 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-08-15
Call successful
Not applicable - Accidental Reporting
2022-08-15
Call successful
Not applicable - Accidental Reporting
2022-08-15
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-15
Survey response — 6 months, dose 4
MedDRA: Asthma, COVID-19, Cough, Influenza like illness, Pre-existing disease, SARS-CoV-2 test negative, Viral infection — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Possitive for Covid in September after a cruise. Possibly may have affect asthma issues which have increased since then. Not sure though what is causing it. Bad virus in July/August with cough and flu like symtoms. Covid negative with that virus.

MedDRA releases: 2024-11 · check-in free text available
2022-11-15
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-16
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-12	Moderna
2	2021-04-18	Moderna
3	2021-10-22	Moderna	No
4	2022-05-15	Moderna	No

Call center

5 call center cases

5 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-15

Systemic reaction (other): Trouble dalling asleep and staying asleep

2021-03-16

Systemic reaction (other): Issues falling asleep and staying asleep

Release 7 — day 35, dose 1

2021-04-16

Symptoms: Had a virus with bad cough, sinus issues and a couple days of low fever. Tested negative for covid and influenza

Release 8 — day 42, dose 2

2021-06-01

Symptoms: Swollen knee and cramoing legs

Release 9 — 3 months, dose 2

2021-07-18

Symptoms: MRSA infection on finger.

Release 10 — day 42, dose 3

2021-12-03

Symptoms: Skin boil

Release 11 — 3 months, dose 3

2022-01-23

Symptoms: Flu/cold since xmas day. Covid tests negative. Finally waining except excess mucus and cough.

Release 12 — day 42, dose 4

2022-06-26

Symptoms: Run down, sore throat, headache for over a week. No fever. Negative test x2.

Release 12 — 3 months, dose 4

2022-08-14

Symptoms: Sinus infection and cough

Release 12 — 6 months, dose 4

2022-11-15

Symptoms: Possitive for Covid in September after a cruise. Possibly may have affect asthma issues which have increased since then. Not sure though what is causing it. Bad virus in July/August with cough and flu like symtoms. Covid negative with that virus. cut off by CDC

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
SD	Asthma	·	·	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	Furuncle	·	·	✓
SD	Headache	·	·	✓
SD	Influenza	·	·	✓
SD	Influenza like illness	·	·	✓
SD	Influenza virus test negative	✓	✓	✓
SD	Joint swelling	✓	✓	✓
SD	Localised infection	·	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Secretion discharge	·	·	✓
SD	Sinus disorder	✓	✓	✓
SD	Sinusitis	·	·	✓
SD	Staphylococcal infection	·	·	✓
SD	Viral infection	✓	✓	✓
SRO	Initial insomnia	✓	✓	✓
SRO	Insomnia	✓	✓	✓

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