3XD-31496-88676

3 vaccinations 8 coded responses 38 check-ins 8 free-text entries 5 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 731 / OK
Registered: 2021-01-06

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

2021-01-06
Registered in v-safe
2021-01-06
Dose 1 — Moderna
2021-01-06
Survey response — day 0, dose 1
MedDRA: SARS-CoV-2 test positive — Feeling: Good · Be unable to do your normal daily activities

Free text: I get tested weekly for Covid 19 and found out I tested positive an hour after I took the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Report sent to call center — day 0, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness · Be unable to work

Adult check-in
2021-01-07
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2021-01-08
Survey response — days 1–6 daily, dose 1
MedDRA: SARS-CoV-2 test negative — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: 1/7/21 tested negative for Covid

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-11
Survey response — days 1–6 daily, dose 1
MedDRA: SARS-CoV-2 test positive — Feeling: Fair · Be unable to work

Free text: I re tested for Covid and was positive yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2021-01-15
Survey response — day 7, dose 1
MedDRA: COVID-19 — Feeling: Fair · Be unable to do your normal daily activities

Free text: Recovering from COVID

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-03
Survey response — day 28, dose 1
MedDRA: Dyspnoea, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Post COVID breathing problems

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Report sent to call center — day 28, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-05
Dose 2 — Moderna
2021-02-05
Survey response — day 0, dose 2
MedDRA: Malaise — Feeling: Fair · Site: Pain, Swelling · Be unable to work

Free text: Made my COVID lung symptoms increase

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-19
Survey response — day 14, dose 2
MedDRA: Dizziness, Dyspnoea, Fatigue, Palpitations — Feeling: Poor · Be unable to work

Free text: Continued post Covid symptoms that waxes and wanes. Shortness of breath, fatigue, heart racing, dizziness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-05
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-12
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-19
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-07
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-05-24
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-08-06
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-16
Dose 3 — Moderna
2021-11-16
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-11-17
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Headache, Joint pains

Adult check-in
2021-11-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-23
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-30
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-07
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-14
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-21
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-28
Survey response — day 42, dose 3
MedDRA: Nasopharyngitis, Pre-existing disease, SARS-CoV-2 test — Feeling: Fair · Be unable to work or attend school

Free text: Cold/Allergies waiting for a COVID test to come back.

MedDRA releases: 2024-11 · check-in free text available
2022-02-15
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-17
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-11-16
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Moderna
2	2021-02-05	Moderna
3	2021-11-16	Moderna	No

Call center

5 call center cases

1 successful · 4 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-06

Systemic reaction (other): I get tested weekly for Covid 19 and found out I tested positive an hour after I took the vaccine

Release 1 — days 1–6 daily, dose 1

2021-01-08

Systemic reaction (other): 1/7/21 tested negative for Covid

2021-01-11

Systemic reaction (other): I re tested for Covid and was positive yesterday.

Release 2 — day 7, dose 1

2021-01-15

Systemic reaction (other): Recovering from COVID

Release 3 — day 28, dose 1

2021-02-03

Symptoms: Post COVID breathing problems

Release 3 — day 0, dose 2

2021-02-05

Systemic reaction (other): Made my COVID lung symptoms increase

Release 4 — day 14, dose 2

2021-02-19

Symptoms: Continued post Covid symptoms that waxes and wanes. Shortness of breath, fatigue, heart racing, dizziness.

Release 10 — day 42, dose 3

2021-12-28

Symptoms: Cold/Allergies waiting for a COVID test to come back.

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	Dizziness	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Palpitations	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	SARS-CoV-2 test	·	·	✓
SRO	COVID-19	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	SARS-CoV-2 test negative	✓	✓	✓
SRO	SARS-CoV-2 test positive	✓	✓	✓

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