455-32260-14865

4 vaccinations 18 coded responses 46 check-ins 17 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 803 / CO
Registered: 2021-01-15

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

2021-01-14
Dose 1 — Moderna
2021-01-15
Registered in v-safe
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Anxiety, Irritability — Feeling: Good · Site: Pain, Itching · Fatigue or tiredness, Nausea

Free text: Anxiety. Irritability.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · Joint pains, Muscle or body aches

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-04
Survey response — day 21, dose 1
MedDRA: Asthenia, Dizziness, Dyspnoea, Fatigue — Feeling: Good

Free text: Slightly dizzy last night and today. Tired. Low energy. Slightly out of breath.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Dose 2 — Moderna
2021-02-11
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Good · Fever

Free text: I rode my spin bike for 62 minutes so I feel pretty good.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills

Adult check-in
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Dizziness, Nasal congestion, Respiratory tract congestion — Feeling: Poor · Site: Itching · Headache, Fatigue or tiredness

Free text: Stuffy nose, cough, congestion, dizziness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Good · Headache, Fatigue or tiredness, Nausea

Free text: Foggy headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Nasal congestion — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Nausea

Free text: Dizzy, nasal congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · 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
Survey response — day 21, dose 2
MedDRA: Dizziness, Fatigue, Feeling abnormal, Myalgia — Feeling: Good

Free text: Dizziness, muscle aches, tiredness, and fogginess.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
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
2021-10-12
Dose 3 — Moderna
2021-10-24
Survey response — day 7, dose 3
MedDRA: Chills, Dizziness, Fatigue, Feeling abnormal, Headache, Malaise, Nausea, Pyrexia — Feeling: Good

Free text: I got the booster shot on October 12 and had four days of miserable symptoms. Chills, fever, nausea, tiredness, headache, dizziness, fatigue. They may have given me the full dose of Moderna I am not sure but I was sure sick for four days.

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Survey response — day 14, dose 3
MedDRA: Fatigue, Respiratory tract congestion — Feeling: Fair

Free text: Fatigue, congestion

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Survey response — day 21, dose 3
MedDRA: Dizziness, Fatigue, Myalgia — Feeling: Good

Free text: Fatigue, dizziness, muscle aches

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Survey response — day 28, dose 3
MedDRA: Abdominal discomfort, Asthenia, Diarrhoea, Dizziness, Fatigue, Insomnia, Nausea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Nausea, diarrhea, dizziness, sleeplessness, exhaustion, low energy, stomach upset

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-23
Survey response — day 42, dose 3
MedDRA: Dizziness, Fatigue, Pain, Respiratory tract congestion — Feeling: Fair

Free text: Fatigue, lightheadedness, dizziness, congestion, achiness

MedDRA releases: 2024-11 · check-in free text available
2022-01-11
Survey response — 3 months, dose 3
MedDRA: Cough, Dizziness, Fatigue, Headache, Myalgia, Respiratory tract congestion — Feeling: Good

Free text: Fatigue, muscle aches, headache, dizziness, congestion, cough.

MedDRA releases: 2024-11 · check-in free text available
2022-04-12
Survey response — 6 months, dose 3
MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good

Free text: Common cold symptoms, tested negative for COVID

MedDRA releases: 2024-11 · check-in free text available
2022-04-14
Dose 4 — Moderna
2022-04-15
Survey response — days 1–6 daily, dose 4
MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2024-11 · check-in free text available
2022-04-16
Survey response — days 1–6 daily, dose 4
MedDRA: Dizziness, Malaise — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Dizzyness. Though I think the symptoms are subsiding now, but it has been 40 hours of feeling crummy.

MedDRA releases: 2024-11 · check-in free text available
2022-04-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2022-04-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-04-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-21
Health check-in — day 7, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-04-28
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-05
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-12
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-19
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-26
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-14
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-13
Survey response — 6 months, dose 4
MedDRA: Clostridium difficile infection, Escherichia infection — 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 · Telehealth, virtual health, or email health consultation

Free text: I've been diagnosed with E. coli bacteria and C diff bacteria.

MedDRA releases: 2024-11 · check-in free text available
2022-10-13
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)
2022-10-14
Call successful
Not applicable - Accidental Reporting
2023-04-14
Survey response — 12 months, dose 4
MedDRA: Gastrointestinal bacterial infection — Feeling: Good · 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

MedDRA releases: 2024-11
2023-04-14
Report sent to call center — 12 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)
2023-04-17
Call successful
Not applicable - Accidental Reporting

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-11	Moderna
3	2021-10-12	Moderna	No
4	2022-04-14	Moderna	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-16

Systemic reaction (other): Anxiety. Irritability.

Release 3 — day 21, dose 1

2021-02-04

Symptoms: Slightly dizzy last night and today. Tired. Low energy. Slightly out of breath.

Release 4 — day 0, dose 2

2021-02-11

Systemic reaction (other): I rode my spin bike for 62 minutes so I feel pretty good.

Release 4 — days 1–6 daily, dose 2

2021-02-14

Systemic reaction (other): Stuffy nose, cough, congestion, dizziness.

2021-02-15

Systemic reaction (other): Foggy headed

2021-02-16

Systemic reaction (other): Dizzy, nasal congestion

Release 5 — day 21, dose 2

2021-03-04

Symptoms: Dizziness, muscle aches, tiredness, and fogginess.

Release 10 — day 7, dose 3

2021-10-24

Systemic reaction (other): I got the booster shot on October 12 and had four days of miserable symptoms. Chills, fever, nausea, tiredness, headache, dizziness, fatigue. They may have given me the full dose of Moderna I am not sure but I was sure sick for four days.

Release 10 — day 14, dose 3

2021-10-26

Symptoms: Fatigue, congestion

Release 10 — day 21, dose 3

2021-11-02

Symptoms: Fatigue, dizziness, muscle aches

Release 10 — day 28, dose 3

2021-11-09

Symptoms: Nausea, diarrhea, dizziness, sleeplessness, exhaustion, low energy, stomach upset

Release 10 — day 42, dose 3

2021-11-23

Symptoms: Fatigue, lightheadedness, dizziness, congestion, achiness

Release 10 — 3 months, dose 3

2022-01-11

Symptoms: Fatigue, muscle aches, headache, dizziness, congestion, cough.

Release 11 — 6 months, dose 3

2022-04-12

Symptoms: Common cold symptoms, tested negative for COVID

Release 11 — days 1–6 daily, dose 4

2022-04-15

Systemic reaction (other): Dizziness

2022-04-16

Systemic reaction (other): Dizzyness. Though I think the symptoms are subsiding now, but it has been 40 hours of feeling crummy.

Release 12 — 6 months, dose 4

2022-10-13

Symptoms: I've been diagnosed with E. coli bacteria and C diff bacteria.

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	Abdominal discomfort	·	·	✓
SD	Asthenia	✓	✓	✓
SD	Clostridium difficile infection	·	·	✓
SD	Cough	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Escherichia infection	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Gastrointestinal bacterial infection	·	·	✓
SD	Headache	·	·	✓
SD	Insomnia	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	·	·	✓
SD	Pain	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Anxiety	✓	✓	✓
SRO	Chills	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	·	·	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Headache	·	·	✓
SRO	Irritability	✓	✓	✓
SRO	Malaise	·	·	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Nausea	·	·	✓
SRO	No adverse event	✓	✓	✓
SRO	Pyrexia	·	·	✓
SRO	Respiratory tract congestion	✓	✓	✓

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