3UY-55223-06182

4 vaccinations 16 coded responses 36 check-ins 16 free-text entries 7 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 717 / AR
Registered: 2021-01-20

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

8JM-33035-39306 Child or adolescent in my care · Female · 2022-05-05

Timeline

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

2021-01-20
Registered in v-safe
2021-01-20
Dose 1 — Moderna
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain, Productive cough, Respiratory tract congestion — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Slight sore throat, light congestion coughing up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · Headache, Rash, not including the immediate area around the injection site

Adult check-in
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain — Feeling: Fair

Free text: Ear pain both

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Headache

Free text: I did not wake up with the headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Headache

Free text: Allergies bothering today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — day 7, dose 1
MedDRA: Arthralgia, Injection site joint pain, Injection site pain, Myalgia, Sleep disorder — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Free text: The muscle & joint pain located at injection site. It is bad when sleeping

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — day 14, dose 1
MedDRA: Gastroenteritis viral — Feeling: Good · Be unable to work

Free text: Stomach virus Monday February 1, 2021

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-22
Dose 2 — Moderna
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-02-24
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 · Be unable to work

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-01
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-17
Survey response — day 21, dose 2
MedDRA: Laboratory test abnormal — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Abnormal Bloodwork: High cholesterol, high glucose, high triglycerides

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-22
Survey response — day 28, dose 2
MedDRA: Diverticulitis, High density lipoprotein increased, Low density lipoprotein increased, Swelling, White blood cell count increased — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Diverticulitis and swelling since March 15, 2021 with abnormal Blood results WBC HDL LDL ALL ELEVATED

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Report sent to call center — day 28, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-24
Survey response — 3 months, dose 2
MedDRA: Chills, Dental discomfort, Hyperaesthesia teeth, Hypersensitivity, Pharyngitis streptococcal, Pre-existing disease, Tonsillitis — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Recent May 10, 2021 - Severe allergies outdoor & indoor. Severe tonsillitis & strep throat. February 2021 - teeth have felt weird- sensitive off & on since second covid dose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Report sent to call center — 3 months, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-23
Survey response — 6 months, dose 2
MedDRA: Blood cholesterol abnormal, Corrective lens user, Dizziness, Food allergy, Office visit, Stress, Unevaluable event, Visual impairment — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Dizziness, lightheaded, food sensitivities, cholesterol problems, vision changes, new eyewear prescription, high stress, lack of money, I hate covid. · Healthcare visit (other): Clinic visits

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-23
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)
2021-08-25
Call 2 — Could Not Reach Participant
2021-08-30
Call 3 — Left Voicemail
2021-11-04
Dose 3 — Pfizer-BioNTech
2022-02-22
Survey response — 12 months, dose 2
MedDRA: COVID-19, Mental disorder — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Taking anti depression meds since diagnosed with covid January 5th. Symptoms lasted 2 weeks and caused me to breakdown.

MedDRA releases: 2024-11 · check-in free text available
2022-05-05
Dose 4 — Moderna
2022-05-05
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-05-06
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-05-09
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-05-10
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Chills, Headache, Fatigue or tiredness, Nausea

Adult check-in
2022-05-11
Survey response — days 1–6 daily, dose 4
MedDRA: Eye pain, Headache — Feeling: Fair · Nausea

Free text: Headache in my eyes since May 11th. It won't go away

MedDRA releases: 2024-11 · check-in free text available
2022-05-12
Survey response — day 7, dose 4
MedDRA: Dry mouth — Feeling: Good · Headache, Nausea

Free text: Dry mouth

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Survey response — day 14, dose 4
MedDRA: Decreased appetite, Fatigue, Hypersomnia, Office visit, SARS-CoV-2 test negative, Weight decreased — 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: Very tired even when awake: Sleeping longer than 8 hours since Sunday May 15th. No appetite, lost 5 lbs. · Healthcare visit (other): Scheduled doctors visit. They only tested me for covid. Results were negative on 5-18-22

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Report sent to call center — day 14, 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

1 call case(s)
2022-05-20
Call 1 — Left Voicemail
2022-05-20
Call 1 — Left Voicemail
2022-05-20
Call 1 — Left Voicemail
2022-05-20
Call 1 — Left Voicemail
2022-05-20
Call 1 — Left Voicemail
2022-05-28
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-02
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-09
Survey response — day 35, dose 4
MedDRA: Adverse drug reaction, Arthropod bite, Localised infection, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Spider bite infection on right hand/ finger Had to get steroid shot, taking Bactrum antibiotics and sick to my stomach . Face flushed from steroid · Healthcare visit (other): Scheduled Dr visit 6.8.22 was seen 2:45 pm

MedDRA releases: 2024-11 · check-in free text available
2022-06-09
Report sent to call center — day 35, 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
2022-06-18
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-11-06
Survey response — 6 months, dose 4
MedDRA: Ear infection, Tonsillitis — 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

Free text: Double ear infections and tonsillitis not responding to antibiotics since Oct 23rd.

MedDRA releases: 2024-11 · check-in free text available
2022-11-06
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 · 1 call case(s)
2022-11-08
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-08
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-08
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-08
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-08
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-08
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-08
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-20	Moderna
2	2021-02-22	Moderna
3	2021-11-04	Pfizer-BioNTech	No
4	2022-05-05	Moderna	No

Call center

7 call center cases

7 successful

3 waits over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-22

Systemic reaction (other): Slight sore throat, light congestion coughing up

2021-01-24

Systemic reaction (other): Ear pain both

2021-01-25

Systemic reaction (other): I did not wake up with the headache

2021-01-26

Systemic reaction (other): Allergies bothering today.

Release 2 — day 7, dose 1

2021-01-27

Systemic reaction (other): The muscle & joint pain located at injection site. It is bad when sleeping

Release 3 — day 14, dose 1

2021-02-03

Symptoms: Stomach virus Monday February 1, 2021

Release 5 — day 21, dose 2

2021-03-17

Symptoms: Abnormal Bloodwork: High cholesterol, high glucose, high triglycerides

Release 6 — day 28, dose 2

2021-03-22

Symptoms: Diverticulitis and swelling since March 15, 2021 with abnormal Blood results WBC HDL LDL ALL ELEVATED

Release 8 — 3 months, dose 2

2021-05-24

Symptoms: Recent May 10, 2021 - Severe allergies outdoor & indoor. Severe tonsillitis & strep throat. February 2021 - teeth have felt weird- sensitive off & on since second covid dose.

Release 9 — 6 months, dose 2

2021-08-23

Symptoms: Dizziness, lightheaded, food sensitivities, cholesterol problems, vision changes, new eyewear prescription, high stress, lack of money, I hate covid.

Healthcare visit (other): Clinic visits

Release 11 — 12 months, dose 2

2022-02-22

Symptoms: Taking anti depression meds since diagnosed with covid January 5th. Symptoms lasted 2 weeks and caused me to breakdown.

Release 11 — days 1–6 daily, dose 4

2022-05-11

Systemic reaction (other): Headache in my eyes since May 11th. It won't go away

Release 11 — day 7, dose 4

2022-05-12

Systemic reaction (other): Dry mouth

Release 11 — day 14, dose 4

2022-05-19

Symptoms: Very tired even when awake: Sleeping longer than 8 hours since Sunday May 15th. No appetite, lost 5 lbs.

Healthcare visit (other): Scheduled doctors visit. They only tested me for covid. Results were negative on 5-18-22

Release 12 — day 35, dose 4

2022-06-09

Symptoms: Spider bite infection on right hand/ finger Had to get steroid shot, taking Bactrum antibiotics and sick to my stomach . Face flushed from steroid

Healthcare visit (other): Scheduled Dr visit 6.8.22 was seen 2:45 pm

Release 12 — 6 months, dose 4

2022-11-06

Symptoms: Double ear infections and tonsillitis not responding to antibiotics since Oct 23rd.

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 negative	·	·	✓
SD	Adverse drug reaction	·	·	✓
SD	Arthropod bite	·	·	✓
SD	Blood cholesterol abnormal	✓	·	✓
SD	Chills	✓	✓	✓
SD	Corrective lens user	✓	·	✓
SD	COVID-19	·	·	✓
SD	Decreased appetite	·	·	✓
SD	Dental discomfort	✓	✓	✓
SD	Diverticulitis	✓	✓	✓
SD	Dizziness	✓	·	✓
SD	Ear infection	·	·	✓
SD	Fatigue	·	·	✓
SD	Food allergy	✓	·	✓
SD	Gastroenteritis viral	✓	✓	✓
SD	High density lipoprotein increased	✓	✓	✓
SD	Hyperaesthesia teeth	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Hypersomnia	·	·	✓
SD	Laboratory test abnormal	✓	✓	✓
SD	Localised infection	·	·	✓
SD	Low density lipoprotein increased	✓	✓	✓
SD	Mental disorder	·	·	✓
SD	Pharyngitis streptococcal	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Stress	✓	·	✓
SD	Swelling	✓	✓	✓
SD	Tonsillitis	✓	✓	✓
SD	Unevaluable event	✓	·	✓
SD	Visual impairment	✓	·	✓
SD	Weight decreased	·	·	✓
SD	White blood cell count increased	✓	✓	✓
SRO	Arthralgia	○	✓	○
SRO	Dry mouth	·	·	✓
SRO	Ear pain	✓	✓	✓
SRO	Eye pain	·	·	✓
SRO	Headache	·	·	✓
SRO	Injection site joint pain	✓	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Myalgia	○	✓	○
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Productive cough	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Sleep disorder	✓	·	✓
SRO	Unevaluable event	✓	✓	✓

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