3V6-37370-13580

4 vaccinations 21 coded responses 35 check-ins 20 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 829 / WY
Registered: 2021-02-11

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

2021-02-11
Registered in v-safe
2021-02-11
Dose 1 — Moderna
2021-02-11
Survey response — day 0, dose 1
MedDRA: Tongue disorder — Feeling: Good · Site: Pain

Free text: Tongue felt a little thick after the vaccine but it could have been nerves

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — days 1–6 daily, dose 1
MedDRA: Gastrointestinal pain — Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Intestinal pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

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

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Diarrhea

Adult check-in
2021-02-18
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-25
Survey response — day 14, dose 1
MedDRA: Knee operation — Feeling: Fair · Be unable to do your normal daily activities

Free text: Just had knee surgery 2 days ago in Jackson, WY

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — day 21, dose 1
MedDRA: Chills, Knee operation, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Had knee surgery Fev. 23rd in (b)(6), WY. Check-up March 1st there. Today sniffles and chills

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Dose 2 — Moderna
2021-03-11
Survey response — day 0, dose 2
MedDRA: Flushing, Heart rate increased, Immediate post-injection reaction — Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Got flushed and fast heartbeat immediately after vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Malaise — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Feel horrible- like the flu

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling hot, Pruritus — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Arm very hot, itching in other places (neck, chest, left arm)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Rash on neck and chest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site rash — Feeling: Fair · Site: Pain, Swelling, Itching · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Rash fading where vaccine was

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Diarrhea, Abdominal pain

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Joint pains, Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-03-18
Survey response — day 7, dose 2
MedDRA: Throat irritation — Feeling: Fair · Site: Itching · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Scratchy throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-01
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-08
Survey response — day 28, dose 2
MedDRA: Diarrhoea, Nausea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Woke up this morning with severe diarrhea and nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — day 35, dose 2
MedDRA: Hypoaesthesia, Muscle spasms, Pain in extremity — Feeling: Good · Be unable to do your normal daily activities

Free text: Numbness in left leg and pain and cramping in upper right leg

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 42, dose 2
MedDRA: Cough — Feeling: Good

Free text: Coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-09
Survey response — 6 months, dose 2
MedDRA: Cough, Herpes zoster, Malaise, Respiratory tract infection, SARS-CoV-2 test negative — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Shingles again (have gotten them several times since I received the first shingles vaccine that came out when I turned 60. Also had a bad respiratory virus in July - very sick and coughing for 4 weeks rapid test said negative for Covid.

MedDRA releases: 2024-11 · check-in free text available
2021-09-09
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-14
Call 3 — Left Voicemail
2021-10-27
Dose 3 — Moderna
2022-03-11
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-14
Dose 4 — Moderna
2022-04-26
Survey response — day 7, dose 4
MedDRA: Sneezing — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sneezing

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Survey response — day 14, dose 4
MedDRA: Heart rate increased, Pain, Palpitations — Feeling: Fair · Be unable to do your normal daily activities

Free text: Aches, heart palpitations, fast heart beat

MedDRA releases: 2024-11 · check-in free text available
2022-05-05
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-12
Survey response — day 28, dose 4
MedDRA: Body temperature increased, Cough, Throat irritation — Feeling: Fair · Be unable to do your normal daily activities

Free text: Scratchy throat, low grade temperature, cough

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Survey response — day 35, dose 4
MedDRA: Tooth abscess — Feeling: Poor · 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: Abscessed Tooth

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-05-20
Call 1 — Could Not Reach Participant
2022-05-20
Call 1 — Could Not Reach Participant
2022-05-25
Call 2 — Left Voicemail
2022-05-25
Call 2 — Left Voicemail
2022-05-26
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-14
Survey response — 3 months, dose 4
MedDRA: Lymphadenopathy, Oropharyngeal pain, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sore throat, swollen glands, fever

MedDRA releases: 2024-11 · check-in free text available
2022-10-15
Survey response — 6 months, dose 4
MedDRA: Pain, Pruritus, Pyrexia, Rhinorrhoea, Urticaria — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Itching and hives after Covid Booster Vaccine. After Senior flu vaccine, aches, fever, and runny nose. A little itching so far.

MedDRA releases: 2024-11 · check-in free text available
2022-10-15
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-10-17
Call 3 — Left Voicemail
2022-10-17
Call 1 — Left Voicemail
2022-10-18
Call X — Could Not Reach Participant
2022-10-18
Call X — Could Not Reach Participant
2022-10-18
Call 2 — Could Not Reach Participant
2023-04-14
Survey response — 12 months, dose 4
MedDRA: Gastrointestinal disorder — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-11	Moderna
2	2021-03-11	Moderna
3	2021-10-27	Moderna	No
4	2022-04-14	Moderna	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-11

Systemic reaction (other): Tongue felt a little thick after the vaccine but it could have been nerves

Release 4 — days 1–6 daily, dose 1

2021-02-12

Systemic reaction (other): Intestinal pain

Release 4 — day 14, dose 1

2021-02-25

Symptoms: Just had knee surgery 2 days ago in Jackson, WY

Release 5 — day 21, dose 1

2021-03-04

Symptoms: Had knee surgery Fev. 23rd in (b)(6), WY. Check-up March 1st there. Today sniffles and chills

redacted (b)(6)

Release 5 — day 0, dose 2

2021-03-11

Systemic reaction (other): Got flushed and fast heartbeat immediately after vaccine.

Release 5 — days 1–6 daily, dose 2

2021-03-12

Systemic reaction (other): Feel horrible- like the flu

2021-03-13

Systemic reaction (other): Arm very hot, itching in other places (neck, chest, left arm)

2021-03-14

Systemic reaction (other): Rash on neck and chest

2021-03-15

Systemic reaction (other): Rash fading where vaccine was

Release 5 — day 7, dose 2

2021-03-18

Systemic reaction (other): Scratchy throat

Release 7 — day 28, dose 2

2021-04-08

Symptoms: Woke up this morning with severe diarrhea and nausea

Release 7 — day 35, dose 2

2021-04-15

Symptoms: Numbness in left leg and pain and cramping in upper right leg

Release 7 — day 42, dose 2

2021-04-22

Symptoms: Coughing

Release 9 — 6 months, dose 2

2021-09-09

Symptoms: Shingles again (have gotten them several times since I received the first shingles vaccine that came out when I turned 60. Also had a bad respiratory virus in July - very sick and coughing for 4 weeks rapid test said negative for Covid.

Release 11 — day 7, dose 4

2022-04-26

Systemic reaction (other): Sneezing

Release 11 — day 14, dose 4

2022-04-28

Symptoms: Aches, heart palpitations, fast heart beat

Release 11 — day 28, dose 4

2022-05-12

Symptoms: Scratchy throat, low grade temperature, cough

Release 11 — day 35, dose 4

2022-05-19

Symptoms: Abscessed Tooth

Release 12 — 3 months, dose 4

2022-07-14

Symptoms: Sore throat, swollen glands, fever

Release 12 — 6 months, dose 4

2022-10-15

Symptoms: Itching and hives after Covid Booster Vaccine. After Senior flu vaccine, aches, fever, and runny nose. A little itching so far.

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
SD	Body temperature increased	·	·	✓
SD	Chills	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Heart rate increased	·	·	✓
SD	Herpes zoster	·	·	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Knee operation	✓	✓	✓
SD	Lymphadenopathy	·	·	✓
SD	Malaise	·	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Palpitations	·	·	✓
SD	Pruritus	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract infection	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Throat irritation	·	·	✓
SD	Tooth abscess	·	·	✓
SD	Urticaria	·	·	✓
SRO	Feeling hot	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Gastrointestinal pain	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Injection site rash	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Sneezing	·	·	✓
SRO	Throat irritation	✓	✓	✓
SRO	Tongue disorder	✓	✓	✓

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