3LL-31415-05903

5 vaccinations 13 coded responses 26 check-ins 12 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 880 / NM
Registered: 2021-02-18

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

2021-02-12
Dose 1 — Moderna
2021-02-18
Registered in v-safe
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-19
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-28
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-07
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-15
Dose 2 — Moderna
2021-03-15
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Good

Free text: Ears ringingthis is the third day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Ringing in my ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Good

Free text: Ringing ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — day 7, dose 2
MedDRA: Tinnitus — Feeling: Good

Free text: Ringing in the ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-05
Survey response — day 21, dose 2
MedDRA: Arthralgia, Tinnitus — Feeling: Fair

Free text: Joint paint that moves around. Still have ringing in my ear.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-19
Survey response — day 35, dose 2
MedDRA: Tinnitus — Feeling: Fair

Free text: Still have pretty bad ringing in my ears. When does it go away?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — day 42, dose 2
MedDRA: Tinnitus — Feeling: Fair

Free text: Ringing in my ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Fatigue, Mental fatigue, Myalgia, Office visit — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Joint pain. Muscle pain. Mental fatigue. Physical fatigue. · Healthcare visit (other): Doctors office, testing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-06-23
Call 2 — Left Voicemail
2021-09-13
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-23
Dose 3 — Pfizer-BioNTech
2022-03-18
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-04-29
Dose 4 — Pfizer-BioNTech
2022-07-29
Survey response — 3 months, dose 4
MedDRA: Constipation, Diarrhoea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Constipation diarrhea

MedDRA releases: 2024-11 · check-in free text available
2022-10-24
Dose 5 — Pfizer-BioNTech
2022-10-28
Survey response — 6 months, dose 4
MedDRA: Brain fog, Fatigue, Gastrointestinal disorder, Poor quality sleep — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, 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: Increasing fatigue Increasing brain fog Digestive issues Poor sleep

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Report sent to call center — 6 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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-30
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-10-31
Call 3 — Left Voicemail
2022-10-31
Call 2 — Left Voicemail
2022-11-12
Survey response — day 14, dose 5
MedDRA: Brain fog, Cognitive disorder, Fatigue, Loss of personal independence in daily activities, Pain, Unevaluable event — 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

Free text: Symptoms: I realized this week that ever since 10/24/22 booster I am profoundly fatiguedmore than my usual fatigue. Also, horrible cognitive symptomsbrain fog. And a lot of body pain. It has made it hard to do basic responsibilities, self care. · Healthcare visit (other): Will talk to primary this week.

MedDRA releases: 2024-11 · check-in free text available
2022-11-12
Report sent to call center — day 14, dose 5
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2022-11-14
Call X — Left Voicemail
2022-11-14
Call 3 — Left Voicemail
2022-11-14
Call 2 — Left Voicemail
2022-11-22
Survey response — day 28, dose 5
MedDRA: Pain — Feeling: Poor

Free text: Continuing to have body pain throughout. Same as before.

MedDRA releases: 2024-11 · check-in free text available
2023-04-27
Survey response — 6 months, dose 5
MedDRA: Brain fog, Fatigue — 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 · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-04-27
Report sent to call center — 6 months, dose 5
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-04-27
Call 1 — Left Voicemail
2023-04-27
Call 1 — Left Voicemail
2023-04-27
Call 1 — Left Voicemail
2023-04-27
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-12	Moderna
2	2021-03-15	Moderna
3	2021-12-23	Pfizer-BioNTech	No
4	2022-04-29	Pfizer-BioNTech	No
5	2022-10-24	Pfizer-BioNTech	No

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-18

Systemic reaction (other): Ears ringingthis is the third day.

2021-03-19

Systemic reaction (other): Ringing in my ears

Release 6 — days 1–6 daily, dose 2

2021-03-21

Systemic reaction (other): Ringing ears

Release 6 — day 7, dose 2

2021-03-22

Systemic reaction (other): Ringing in the ears

Release 6 — day 21, dose 2

2021-04-05

Symptoms: Joint paint that moves around. Still have ringing in my ear.

Release 7 — day 35, dose 2

2021-04-19

Symptoms: Still have pretty bad ringing in my ears. When does it go away?

Release 8 — day 42, dose 2

2021-04-26

Symptoms: Ringing in my ears

Release 9 — 3 months, dose 2

2021-06-15

Symptoms: Joint pain. Muscle pain. Mental fatigue. Physical fatigue.

Healthcare visit (other): Doctors office, testing

Release 12 — 3 months, dose 4

2022-07-29

Symptoms: Constipation diarrhea

Release 12 — 6 months, dose 4

2022-10-28

Symptoms: Increasing fatigue Increasing brain fog Digestive issues Poor sleep

Release 12 — day 14, dose 5

2022-11-12

Symptoms: I realized this week that ever since 10/24/22 booster I am profoundly fatiguedmore than my usual fatigue. Also, horrible cognitive symptomsbrain fog. And a lot of body pain. It has made it hard to do basic responsibilities, self care.

Healthcare visit (other): Will talk to primary this week.

Release 12 — day 28, dose 5

2022-11-22

Symptoms: Continuing to have body pain throughout. Same as before.

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	Arthralgia	✓	✓	✓
SD	Brain fog	·	·	✓
SD	Cognitive disorder	·	·	✓
SD	Constipation	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Loss of personal independence in daily activities	·	·	✓
SD	Mental fatigue	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pain	·	·	✓
SD	Poor quality sleep	·	·	✓
SD	Tinnitus	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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