3LL-33619-64054

3 vaccinations 7 coded responses 17 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 785 / TX
Registered: 2021-01-06

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-05
Dose 1 — Moderna
2021-01-06
Registered in v-safe
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-06
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-07
Survey response — days 1–6 daily, dose 1
MedDRA: Night sweats — Feeling: Good · Site: Pain, Itching

Free text: Night sweat thru the night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Survey response — days 1–6 daily, dose 1
MedDRA: Pain, Pre-existing disease — Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness

Free text: Pain to left base of skull moderate, when went through Covid pain was severe.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-02
Dose 2 — Moderna
2021-02-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-03
Survey response — 6 months, dose 2
MedDRA: COVID-19, Cataract, Dry eye, Office visit, Pre-existing disease — 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: Symptoms: Cataract in right eye matured during my Covid days, now dealing with dryness of eyes. · Healthcare visit (other): Opthamologist office too

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-03
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-05
Call 1 — Left Voicemail
2021-12-22
Dose 3 — Moderna
2022-02-02
Survey response — day 42, dose 3
MedDRA: Abdominal discomfort, Electrocardiogram abnormal, Gastrointestinal inflammation, Sjogren's syndrome — Feeling: Good

Free text: Abnormal EKG, will see Cardio Dr soon, I suspect Sjogren's Syndrome, will see Rheumatologist soon, suspect inflammation to left upper quadrant in abdomen, have discomfort in area.

MedDRA releases: 2024-11 · check-in free text available
2022-02-02
Survey response — 12 months, dose 2
MedDRA: Abdominal discomfort, Electrocardiogram abnormal, Sjogren's syndrome — Feeling: Good

Free text: Abnormal EKG, will be seeing Cardio Dr soon, I also suspect Sjogren's Syndrome, will see a Rheumatologist soon, also having discomfort to upper left quadrant of abdomen, I suspect maybe large spleen.

MedDRA releases: 2024-11 · check-in free text available
2022-03-23
Survey response — 3 months, dose 3
MedDRA: Abdominal pain upper, Dry mouth, Lymphadenopathy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Dry mouth, lymph node swelling to left neck, pain and discomfort to left upper quadrant in abdomen

MedDRA releases: 2024-11 · check-in free text available
2022-03-23
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-24
Call 1 — Left Voicemail
2022-03-24
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-06-22
Survey response — 6 months, dose 3
MedDRA: Cholecystectomy — Feeling: Good · Be unable to do your normal daily activities

Free text: Cholecystectomy

MedDRA releases: 2024-11 · check-in free text available
2022-12-25
Health check-in — 12 months, dose 3
Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: High liver enzymes and big ulcer in colon

Adult check-in · check-in free text available
2022-12-25
Call case (no matching report) — Unsuccessful
2022-12-28
Call 1 — Left Voicemail
2022-12-28
Callback requested for
05:00PM ET

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-05	Moderna
2	2021-02-02	Moderna
3	2021-12-22	Moderna	No

Call center

4 call center cases

2 successful · 1 unsuccessful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-07

Systemic reaction (other): Night sweat thru the night

2021-01-08

Systemic reaction (other): Pain to left base of skull moderate, when went through Covid pain was severe.

Release 9 — 6 months, dose 2

2021-08-03

Symptoms: Cataract in right eye matured during my Covid days, now dealing with dryness of eyes.

Healthcare visit (other): Opthamologist office too

Release 11 — day 42, dose 3

2022-02-02

Symptoms: Abnormal EKG, will see Cardio Dr soon, I suspect Sjogren's Syndrome, will see Rheumatologist soon, suspect inflammation to left upper quadrant in abdomen, have discomfort in area.

Release 11 — 12 months, dose 2

2022-02-02

Symptoms: Abnormal EKG, will be seeing Cardio Dr soon, I also suspect Sjogren's Syndrome, will see a Rheumatologist soon, also having discomfort to upper left quadrant of abdomen, I suspect maybe large spleen.

Release 11 — 3 months, dose 3

2022-03-23

Symptoms: Dry mouth, lymph node swelling to left neck, pain and discomfort to left upper quadrant in abdomen

Release 12 — 6 months, dose 3

2022-06-22

Symptoms: Cholecystectomy

Release 12 — 12 months, dose 3

2022-12-25

Symptoms: High liver enzymes and big ulcer in colon

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 discomfort	·	·	✓
SD	Abdominal pain upper	·	·	✓
SD	Cataract	✓	·	✓
SD	Cholecystectomy	·	·	✓
SD	COVID-19	✓	·	✓
SD	Dry eye	✓	·	✓
SD	Dry mouth	·	·	✓
SD	Electrocardiogram abnormal	·	·	✓
SD	Gastrointestinal inflammation	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Sjogren's syndrome	·	·	✓
SRO	Night sweats	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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