3KQ-11032-84468

5 vaccinations 11 coded responses 46 check-ins 11 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 321 / FL
Registered: 2021-02-03

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

2021-01-23
Dose 1 — Moderna
2021-02-03
Registered in v-safe
2021-02-03
Survey response — day 7, dose 1
MedDRA: Muscular weakness — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Weakness in vaccine arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-06
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-20
Dose 2 — Moderna
2021-02-20
Health check-in — day 0, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Fatigue or tiredness

Adult check-in
2021-02-27
Health check-in — day 7, dose 2
Feeling: Fair · Site: Itching · Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-13
Survey response — day 21, dose 2
MedDRA: Ocular discomfort, Office visit — Feeling: Good · Be unable to do your normal daily activities

Free text: Had a cornea issue, that I sought treatment from Ophthalmologist. Going back for second visit in 10 days. Slowly resolving.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — day 28, dose 2
MedDRA: Condition aggravated, Office visit, Pre-existing disease, Tendonitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Have aggravated tendinitis in left leg. Doctor is treating while waiting & watching.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-17
Call 1 — Left Voicemail
2021-08-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-26
Dose 3 — Moderna
2021-10-27
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Poor · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · 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, Redness, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

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

Adult check-in
2021-11-02
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-10
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-16
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-23
Health check-in — day 28, dose 3
Feeling: Fair

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

Adult check-in
2021-12-07
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-25
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-26
Survey response — 6 months, dose 3
MedDRA: Haematological infection, Nephrolithiasis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Kidney Stones with blood infection

MedDRA releases: 2024-11 · check-in free text available
2022-06-10
Dose 4 — Moderna
2022-06-24
Survey response — day 14, dose 4
MedDRA: Eye disorder, Office visit, Vitreous detachment — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Had an eye problem one week post 2nd booster; it was diagnosed as vitreous detachment. · Healthcare visit (other): Ophthalmologist visits

MedDRA releases: 2024-11 · check-in free text available
2022-06-24
Report sent to call center — day 14, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-06-27
Call 2 — Left Voicemail
2022-06-27
Call 1 — Left Voicemail
2022-07-01
Survey response — day 21, dose 4
MedDRA: Vitreous detachment — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Vitreous detachment of right eye.

MedDRA releases: 2024-11 · check-in free text available
2022-07-01
Report sent to call center — day 21, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-05
Call 3 — Left Voicemail
2022-07-05
Call 2 — Left Voicemail
2022-07-05
Call 1 — Left Voicemail
2022-07-08
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-07-17
Survey response — day 35, dose 4
MedDRA: Nephrolithiasis, Ureteral stent insertion — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: 2 sets of Kidney Stents for kidney stones.

MedDRA releases: 2024-11 · check-in free text available
2022-07-17
Report sent to call center — day 35, dose 4
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-07-18
Call 1 — Left Voicemail
2022-07-24
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-09-09
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-09-16
Dose 5 — Moderna
2022-09-19
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-09-20
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Headache

Adult check-in
2022-09-21
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-09-23
Health check-in — day 7, dose 5
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-09-30
Survey response — day 14, dose 5
MedDRA: Dehydration, Fatigue — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Fatigue and dehydration

MedDRA releases: 2024-11 · check-in free text available
2022-09-30
Report sent to call center — day 14, dose 5
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-04
Call 1 — Left Voicemail
2022-10-17
Survey response — day 28, dose 5
MedDRA: Hot flush — Feeling: Poor · Be unable to do your normal daily activities

Free text: Hot flashes 8 times a day (I am +65) after flu shot one week after new Covid booster.

MedDRA releases: 2024-11 · check-in free text available
2022-10-21
Survey response — day 35, dose 5
MedDRA: Hot flush, Influenza like illness, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: 5 days after flu shot, felt flu like symptoms.Covid booster was given one week before flu shot. Having hot flashes 4-6 times a day; after going thru menopause in 2003 due to complete hysterectomy.

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-16
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-17
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-23	Moderna
2	2021-02-20	Moderna
3	2021-10-26	Moderna	No
4	2022-06-10	Moderna	No
5	2022-09-16	Moderna	No

Call center

5 call center cases

5 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — day 7, dose 1

2021-02-03

Systemic reaction (other): Weakness in vaccine arm

Release 5 — day 21, dose 2

2021-03-13

Symptoms: Had a cornea issue, that I sought treatment from Ophthalmologist. Going back for second visit in 10 days. Slowly resolving.

Release 6 — day 28, dose 2

2021-03-20

Symptoms: Have aggravated tendinitis in left leg. Doctor is treating while waiting & watching.

Release 10 — days 1–6 daily, dose 3

2021-10-27

Systemic reaction (other): No

Release 11 — 6 months, dose 3

2022-04-26

Symptoms: Kidney Stones with blood infection

Release 12 — day 14, dose 4

2022-06-24

Symptoms: Had an eye problem one week post 2nd booster; it was diagnosed as vitreous detachment.

Healthcare visit (other): Ophthalmologist visits

Release 12 — day 21, dose 4

2022-07-01

Symptoms: Vitreous detachment of right eye.

Release 12 — day 35, dose 4

2022-07-17

Symptoms: 2 sets of Kidney Stents for kidney stones.

Release 12 — day 14, dose 5

2022-09-30

Symptoms: Fatigue and dehydration

Release 12 — day 28, dose 5

2022-10-17

Symptoms: Hot flashes 8 times a day (I am +65) after flu shot one week after new Covid booster.

Release 12 — day 35, dose 5

2022-10-21

Symptoms: 5 days after flu shot, felt flu like symptoms.Covid booster was given one week before flu shot. Having hot flashes 4-6 times a day; after going thru menopause in 2003 due to complete hysterectomy.

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	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Dehydration	·	·	✓
SD	Eye disorder	·	·	✓
SD	Fatigue	·	·	✓
SD	Haematological infection	·	·	✓
SD	Hot flush	·	·	✓
SD	Influenza like illness	·	·	✓
SD	Nephrolithiasis	·	·	✓
SD	Ocular discomfort	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Tendonitis	○	✓	○
SD	Ureteral stent insertion	·	·	✓
SD	Vitreous detachment	·	·	✓
SRO	Muscular weakness	✓	✓	✓
SRO	No adverse event	·	·	✓

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