3R5-23383-35626

3 vaccinations 12 coded responses 41 check-ins 11 free-text entries 4 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 360 / AL
Registered: 2021-04-08

Relationship: Self
Race: American Indian or Alaska Native
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-04-08
Registered in v-safe
2021-04-08
Dose 1 — Moderna
2021-04-08
Survey response — day 0, dose 1
MedDRA: Asthenia, Flushing — Feeling: Fair · Site: Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Very flushed and weak feeling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Vomiting

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-04-15
Health check-in — day 7, dose 1
Feeling: Poor · Chills, Headache, Nausea, Vomiting · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Adult check-in
2021-04-15
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-22
Survey response — day 14, dose 1
MedDRA: Migraine, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Migraines are worse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-05-07
Dose 2 — Moderna
2021-05-07
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-12
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Neck pain — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: A lot of pain in my shoulder on the injection side & pain in my neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-14
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain

Adult check-in
2021-05-21
Survey response — day 14, dose 2
MedDRA: Headache, Office visit, Vomiting — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: Headaches & vomiting is so bad I had to seek my physician · Healthcare visit (other): Drs office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-28
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-11
Survey response — day 35, dose 2
MedDRA: Cardiac disorder — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Heart related; had heart Cath done today at (b)(6) , Al

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-18
Call 1 — Could Not Reach Participant
2021-06-23
Call 2 — Could Not Reach Participant
2021-08-06
Survey response — 3 months, dose 2
MedDRA: Pain of skin, Vaccination site pain — Feeling: Fair

Free text: Very sore skin in my left arm where I got vaccinated

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-05
Survey response — 6 months, dose 2
MedDRA: Feeling abnormal — Feeling: Poor

Free text: Got flu shot & feeling poor

MedDRA releases: 2024-11 · check-in free text available
2022-01-13
Dose 3 — Pfizer-BioNTech
2022-01-13
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain, Redness · Fever · Chills, Headache, Nausea

Adult check-in
2022-01-14
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-01-15
Survey response — days 1–6 daily, dose 3
MedDRA: Hypogeusia, Hyposmia, Nasal congestion, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Sore throat & stopped up nose & head. Can't smell or taste good

MedDRA releases: 2024-11 · check-in free text available
2022-01-16
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-01-17
Survey response — days 1–6 daily, dose 3
MedDRA: Ear pain, Respiratory tract congestion — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Very stuffed up & ear ache

MedDRA releases: 2024-11 · check-in free text available
2022-01-18
Survey response — days 1–6 daily, dose 3
MedDRA: COVID-19, SARS-CoV-2 test positive — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): I have COVID · Healthcare visit (other): COVID Test positive

MedDRA releases: 2024-11 · check-in free text available
2022-01-18
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-19
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-01-19
Call 1 — Could Not Reach Participant
2022-01-20
Health check-in — day 7, dose 3
Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-01-24
Call 2 — Could Not Reach Participant
2022-01-24
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-27
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-02-03
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-02-10
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-02-17
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-24
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-16
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-07-14
Survey response — 6 months, dose 3
MedDRA: Blood pressure increased, Sinusitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Higher BP; Sinus Infection

MedDRA releases: 2024-11 · check-in free text available
2023-01-13
Survey response — 12 months, dose 3
MedDRA: Cough, Pyrexia, SARS-CoV-2 test positive, Sinus congestion — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-08	Moderna
2	2021-05-07	Moderna
3	2022-01-13	Pfizer-BioNTech	No

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 7 — day 0, dose 1

2021-04-08

Systemic reaction (other): Very flushed and weak feeling

Release 7 — day 14, dose 1

2021-04-22

Symptoms: Migraines are worse

Release 8 — days 1–6 daily, dose 2

2021-05-12

Systemic reaction (other): A lot of pain in my shoulder on the injection side & pain in my neck

Release 8 — day 14, dose 2

2021-05-21

Symptoms: Headaches & vomiting is so bad I had to seek my physician

Healthcare visit (other): Drs office

Release 9 — day 35, dose 2

2021-06-11

Symptoms: Heart related; had heart Cath done today at (b)(6) , Al

redacted (b)(6)

Release 9 — 3 months, dose 2

2021-08-06

Symptoms: Very sore skin in my left arm where I got vaccinated

Release 10 — 6 months, dose 2

2021-11-05

Symptoms: Got flu shot & feeling poor

Release 10 — days 1–6 daily, dose 3

2022-01-15

Systemic reaction (other): Sore throat & stopped up nose & head. Can't smell or taste good

2022-01-17

Systemic reaction (other): Very stuffed up & ear ache

2022-01-18

Systemic reaction (other): I have COVID

Healthcare visit (other): COVID Test positive

Release 12 — 6 months, dose 3

2022-07-14

Symptoms: Higher BP; Sinus Infection

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	SARS-CoV-2 test positive	·	·	✓
SD	Blood pressure increased	·	·	✓
SD	Cardiac disorder	✓	✓	✓
SD	Cough	·	·	✓
SD	Feeling abnormal	·	·	✓
SD	Headache	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Pain of skin	✓	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Sinusitis	·	·	✓
SD	Vaccination site pain	✓	·	✓
SD	Vomiting	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	COVID-19	·	·	✓
SRO	Ear pain	·	·	✓
SRO	Flushing	✓	✓	✓
SRO	Hypogeusia	·	·	✓
SRO	Hyposmia	·	·	✓
SRO	Nasal congestion	·	·	✓
SRO	Neck pain	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Respiratory tract congestion	·	·	✓

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