3L9-79643-87509

4 vaccinations 10 coded responses 30 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 184 / PA
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

2021-02-06
Registered in v-safe
2021-02-06
Dose 1 — Moderna
2021-02-06
Health check-in — day 0, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Nausea

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-02-13
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Nausea

Adult check-in
2021-02-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-27
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-06
Dose 2 — Moderna
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Ocular hyperaemia, Paraesthesia, Vision blurred — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Three hours after shot I had strange eyes tingling a d blurry red eyes. Went away within two hours

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Diarrhea

Adult check-in
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Ocular discomfort — Feeling: Good · Site: Pain

Free text: My eyes feel a little strange maybe dry or irritated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-20
Survey response — day 14, dose 2
MedDRA: Asthenia, Dyspnoea, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Very tired feel weak often out of breath walking which I didnt have a week ago as much

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — day 21, dose 2
MedDRA: Abdominal pain upper, Dizziness, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Dizzy stomach pains tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-19
Survey response — day 42, dose 2
MedDRA: Nasal congestion, Pre-existing disease — Feeling: Fair

Free text: More stuffy nose. My back worse but I have bad back snd Msybe allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-06
Survey response — 3 months, dose 2
MedDRA: Neuralgia, Pain in extremity, Pre-existing disease, Vascular pain — Feeling: Poor

Free text: Nerve pain down leg but Im thinking related to my bad baxk and spine. It is severe pain worse in one keg then other. Nerve pain but vascular part of it too. I do not think relayed to vaccine or Covid as is is my spine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-09
Dose 3 — Pfizer-BioNTech
2021-09-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-08
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-02-08
Survey response — 6 months, dose 3
MedDRA: Asthenia, Balance disorder — Feeling: Good

Free text: Some weakness in morning nit quite dizzy more like weak felt as if fall.

MedDRA releases: 2024-11 · check-in free text available
2022-03-10
Dose 4 — Pfizer-BioNTech
2022-04-16
Survey response — day 35, dose 4
MedDRA: Arthralgia — Feeling: Fair

Free text: Shoulder back I believe Unrelated to any shots and my fourth was august 4 so unrelated.

MedDRA releases: 2024-11 · check-in free text available
2022-04-21
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-06-09
Survey response — 3 months, dose 4
MedDRA: Office visit, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Tingling down right firearm and hand probably unrelated to shot which was in left arm · Healthcare visit (other): My regular muscular skeletal dr

MedDRA releases: 2024-11 · check-in free text available
2022-06-09
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-06-10
Call 1 — Left Voicemail
2022-09-08
Survey response — 6 months, dose 4
MedDRA: Eyelid ptosis, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Right eye lid drooping I'm sure not related to covid vaccine · Healthcare visit (other): Eye dr office

MedDRA releases: 2024-11 · check-in free text available
2022-09-08
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-09-09
Call 2 — Left Voicemail
2022-09-09
Call 1 — Left Voicemail
2023-03-10
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-06	Moderna
2	2021-03-06	Moderna
3	2021-08-09	Pfizer-BioNTech	No
4	2022-03-10	Pfizer-BioNTech	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-07

Systemic reaction (other): Three hours after shot I had strange eyes tingling a d blurry red eyes. Went away within two hours

2021-03-10

Systemic reaction (other): My eyes feel a little strange maybe dry or irritated

Release 6 — day 14, dose 2

2021-03-20

Symptoms: Very tired feel weak often out of breath walking which I didnt have a week ago as much

Release 6 — day 21, dose 2

2021-03-27

Symptoms: Dizzy stomach pains tired

Release 7 — day 42, dose 2

2021-04-19

Symptoms: More stuffy nose. My back worse but I have bad back snd Msybe allergies

Release 8 — 3 months, dose 2

2021-06-06

Symptoms: Nerve pain down leg but Im thinking related to my bad baxk and spine. It is severe pain worse in one keg then other. Nerve pain but vascular part of it too. I do not think relayed to vaccine or Covid as is is my spine.

Release 11 — 6 months, dose 3

2022-02-08

Symptoms: Some weakness in morning nit quite dizzy more like weak felt as if fall.

Release 11 — day 35, dose 4

2022-04-16

Symptoms: Shoulder back I believe Unrelated to any shots and my fourth was august 4 so unrelated.

Release 11 — 3 months, dose 4

2022-06-09

Symptoms: Tingling down right firearm and hand probably unrelated to shot which was in left arm

Healthcare visit (other): My regular muscular skeletal dr

Release 12 — 6 months, dose 4

2022-09-08

Symptoms: Right eye lid drooping I'm sure not related to covid vaccine

Healthcare visit (other): Eye dr office

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	Abdominal pain upper	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Asthenia	✓	✓	✓
SD	Balance disorder	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Eyelid ptosis	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Neuralgia	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Paraesthesia	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Vascular pain	✓	✓	✓
SRO	Ocular discomfort	✓	✓	✓
SRO	Ocular hyperaemia	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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