3KH-15847-23210

3 vaccinations 13 coded responses 30 check-ins 13 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 152 / PA
Registered: 2021-02-17

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

2021-01-19
Dose 1 — Moderna
2021-02-17
Registered in v-safe
2021-02-17
Dose 2 — Moderna
2021-02-17
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-18
Survey response — days 1–6 daily, dose 2
MedDRA: Diabetes mellitus, Pre-existing disease — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I have tightly controlled Type 1 Diabetes. I have had to use more insulin to keep my glucose in range but have had not had severe hyperglycemia. I have a semi closed loop system.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches

Free text: Still using more insulin than my usual but it is not as dramatic as it was yesterday. I have T1D and have a semi closed loop system

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction, Blood insulin — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches

Free text: Insulin use is back to normal today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-02-24
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-17
Survey response — day 28, dose 2
MedDRA: Cough, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair

Free text: Cough, runny nose, mild sore throat. No fever. I think I caught it from my grandson. Did a PCR test yesterday. Today it came back negative

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-31
Survey response — day 42, dose 2
MedDRA: Pre-existing disease, Unevaluable event, Upper-airway cough syndrome — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Allergy symptoms. Post-nasal drip. I am going to see an allergist to get back on my allergy shots. It's the spring pollen. · Healthcare visit (other): Making an appointment to see an allergist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-19
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-18
Survey response — 6 months, dose 2
MedDRA: Cough, Oropharyngeal pain, Sneezing — Feeling: Good

Free text: Cough, sore throat, sneezing

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-27
Dose 3 — Moderna
2021-10-27
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-10-28
Survey response — days 1–6 daily, dose 3
MedDRA: Blood glucose increased, Pre-existing disease — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: My continuous glucose monitor keeps prompting me to administer more insulin. This is usually a marker for illness or some other inflammatory process.

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Diabetes mellitus, Pre-existing disease — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness, Nausea

Free text: Need for insulin elevated but not as bad as yesterday. I have T1D and do very tight control

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Blood insulin abnormal — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness, Nausea

Free text: Insulin use is better but still slightly above normal

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Good · Site: Pain

Free text: Insulin use is no longer elevated

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

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

Adult check-in
2021-11-03
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-11
Survey response — day 14, dose 3
MedDRA: Cough, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Fair

Free text: Runny nose mild cough. Caught it from grandson. Covid test negative.

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-01
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-08
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-27
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-01-30
Call 1 — Left Voicemail
2022-04-27
Survey response — 6 months, dose 3
MedDRA: Abdominal pain upper — Feeling: Fair

Free text: Stomach ache. Had second booster two weeks ago. Took care of my grandson after he had a positive PCR from Curative. Later Curative said his test was indeterminate and finally said the test was negative. Want to discuss this.

MedDRA releases: 2024-11 · check-in free text available
2022-10-27
Survey response — 12 months, dose 3
MedDRA: Influenza, Myalgia, Nausea, Pyrexia, SARS-CoV-2 test negative — Feeling: Good · 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: Influenza with fever, myalgia and nausea. Two negative home Covid tests and negative PCR.

MedDRA releases: 2024-11 · check-in free text available
2022-10-27
Report sent to call center — 12 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)
2022-10-28
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-28
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	2021-01-19	Moderna
2	2021-02-17	Moderna
3	2021-10-27	Moderna	No

Call center

2 call center cases

2 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-18

Systemic reaction (other): I have tightly controlled Type 1 Diabetes. I have had to use more insulin to keep my glucose in range but have had not had severe hyperglycemia. I have a semi closed loop system.

2021-02-19

Systemic reaction (other): Still using more insulin than my usual but it is not as dramatic as it was yesterday. I have T1D and have a semi closed loop system

2021-02-20

Systemic reaction (other): Insulin use is back to normal today.

Release 5 — day 28, dose 2

2021-03-17

Symptoms: Cough, runny nose, mild sore throat. No fever. I think I caught it from my grandson. Did a PCR test yesterday. Today it came back negative

Release 6 — day 42, dose 2

2021-03-31

Symptoms: Allergy symptoms. Post-nasal drip. I am going to see an allergist to get back on my allergy shots. It's the spring pollen.

Healthcare visit (other): Making an appointment to see an allergist

Release 9 — 6 months, dose 2

2021-08-18

Symptoms: Cough, sore throat, sneezing

Release 10 — days 1–6 daily, dose 3

2021-10-28

Systemic reaction (other): My continuous glucose monitor keeps prompting me to administer more insulin. This is usually a marker for illness or some other inflammatory process.

2021-10-29

Systemic reaction (other): Need for insulin elevated but not as bad as yesterday. I have T1D and do very tight control

2021-10-30

Systemic reaction (other): Insulin use is better but still slightly above normal

2021-10-31

Systemic reaction (other): Insulin use is no longer elevated

Release 10 — day 14, dose 3

2021-11-11

Symptoms: Runny nose mild cough. Caught it from grandson. Covid test negative.

Release 11 — 6 months, dose 3

2022-04-27

Symptoms: Stomach ache. Had second booster two weeks ago. Took care of my grandson after he had a positive PCR from Curative. Later Curative said his test was indeterminate and finally said the test was negative. Want to discuss this.

Release 12 — 12 months, dose 3

2022-10-27

Symptoms: Influenza with fever, myalgia and nausea. Two negative home Covid tests and negative PCR.

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	Unevaluable event	✓	✓	✓
SD	Abdominal pain upper	·	·	✓
SD	Cough	✓	✓	✓
SD	Influenza	·	·	✓
SD	Myalgia	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sneezing	✓	·	✓
SD	Upper-airway cough syndrome	✓	✓	✓
SRO	Adverse reaction	✓	·	✓
SRO	Blood glucose increased	·	·	✓
SRO	Blood insulin	○	✓	○
SRO	Blood insulin abnormal	·	·	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Diabetes mellitus	✓	✓	✓
SRO	Insulin therapy	○	○	○
SRO	Pre-existing disease	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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