3M9-33851-20696

5 vaccinations 6 coded responses 50 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 784 / TX
Registered: 2021-01-18

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

2021-01-16
Dose 1 — Moderna
2021-01-18
Registered in v-safe
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-18
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-23
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-01-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-11
Dose 2 — Moderna
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling, Itching · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · Fatigue or tiredness

Adult check-in
2021-02-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-25
Survey response — day 42, dose 2
MedDRA: Chills, Cough, Headache, Pyrexia — Feeling: Good · Be unable to do your normal daily activities

Free text: Fever, chills, cough, headache for one day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-28
Dose 3 — Moderna
2022-02-11
Health check-in — 12 months, dose 2
Feeling: Poor

Adult check-in
2022-04-28
Dose 4 — Moderna
2022-04-28
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-04-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-04-30
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Headache, Diarrhea

Adult check-in
2022-05-01
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Swelling, Itching · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-05-02
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Swelling, Itching · Headache, Fatigue or tiredness, Nausea

Adult check-in
2022-05-03
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2022-05-04
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-05-05
Health check-in — day 7, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-05-12
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-19
Survey response — day 21, dose 4
MedDRA: Fatigue, Somnolence — Feeling: Poor · Be unable to do your normal daily activities

Free text: Extreme fatigue. Every time I sit down I start falling asleep. I can't stay awake. I feel exhausted and when I lay down I have no trouble sleeping and I sleep all night like I have been drugged.

MedDRA releases: 2024-11 · check-in free text available
2022-05-26
Survey response — day 28, dose 4
MedDRA: Fatigue, Hypotension — Feeling: Fair · Be unable to do your normal daily activities

Free text: Very low blood pressure. Extremely tired all the time.

MedDRA releases: 2024-11 · check-in free text available
2022-06-02
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-09
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-28
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-10-27
Dose 5 — Moderna
2022-10-27
Health check-in — day 0, dose 5
Feeling: Good · Fever · None

Adult check-in
2022-10-28
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Swelling, Itching · Headache

Adult check-in
2022-10-29
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Swelling, Itching · Headache · Be unable to do your normal daily activities

Adult check-in
2022-10-30
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Swelling, Itching · Fatigue or tiredness, Diarrhea

Adult check-in
2022-10-31
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2022-11-01
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-11-02
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-11-03
Health check-in — day 7, dose 5
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-11-10
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-17
Survey response — day 21, dose 5
MedDRA: Dizziness, Fall, Head injury, Headache, Skin abrasion, Unevaluable event — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: I fell, hit my head and have bad skin scrapes on both arms. I have a terrible headache and M dizzy. Symptoms unrelated to vaccine · Healthcare visit (other): CT of head

MedDRA releases: 2024-11 · check-in free text available
2022-11-17
Report sent to call center — day 21, dose 5
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-18
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-26
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-12-01
Survey response — day 35, dose 5
MedDRA: Asthenia, Blood glucose decreased, Dizziness, Office visit — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional

Free text: Symptoms: Totally unrelated to the vaccine. Dizziness, weakness and uncontrollably low blood sugars. · Healthcare visit (other): Appointment with primary care doctor

MedDRA releases: 2024-11 · check-in free text available
2022-12-01
Report sent to call center — day 35, dose 5
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2022-12-02
Call 1 — Left Voicemail
2022-12-08
Survey response — day 42, dose 5
MedDRA: Dizziness, Fatigue, Headache, Somnolence — Feeling: Poor · Be unable to do your normal daily activities

Free text: Dizziness, headache, fatigue, fall asleep every time I sit still

MedDRA releases: 2024-11 · check-in free text available
2023-01-26
Health check-in — 3 months, dose 5
Feeling: Poor

Adult check-in
2023-04-27
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-16	Moderna
2	2021-02-11	Moderna
3	2021-10-28	Moderna	No
4	2022-04-28	Moderna	No
5	2022-10-27	Moderna	No

Call center

3 call center cases

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

See the call center timeline

Free text

Release 6 — day 42, dose 2

2021-03-25

Symptoms: Fever, chills, cough, headache for one day

Release 11 — day 21, dose 4

2022-05-19

Symptoms: Extreme fatigue. Every time I sit down I start falling asleep. I can't stay awake. I feel exhausted and when I lay down I have no trouble sleeping and I sleep all night like I have been drugged.

Release 11 — day 28, dose 4

2022-05-26

Symptoms: Very low blood pressure. Extremely tired all the time.

Release 12 — day 21, dose 5

2022-11-17

Symptoms: I fell, hit my head and have bad skin scrapes on both arms. I have a terrible headache and M dizzy. Symptoms unrelated to vaccine

Healthcare visit (other): CT of head

Release 12 — day 35, dose 5

2022-12-01

Symptoms: Totally unrelated to the vaccine. Dizziness, weakness and uncontrollably low blood sugars.

Healthcare visit (other): Appointment with primary care doctor

Release 12 — day 42, dose 5

2022-12-08

Symptoms: Dizziness, headache, fatigue, fall asleep every time I sit still

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	Asthenia	·	·	✓
SD	Blood glucose decreased	·	·	✓
SD	Chills	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Fall	·	·	✓
SD	Fatigue	·	·	✓
SD	Head injury	·	·	✓
SD	Headache	✓	✓	✓
SD	Hypotension	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Skin abrasion	·	·	✓
SD	Somnolence	·	·	✓

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