459-32551-84131

5 vaccinations 16 coded responses 43 check-ins 15 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 189 / PA
Registered: 2021-02-26

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

2021-02-26
Registered in v-safe
2021-02-26
Dose 1 — Moderna
2021-02-26
Health check-in — day 0, dose 1
Feeling: Good · Fatigue or tiredness

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

Adult check-in
2021-02-28
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Gratitude!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Rash macular — Feeling: Good · Joint pains

Free text: I have had blotchy skin for awhile~ so I may be mir cognizant ~

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Muscle or body aches

Free text: Just achy when walking up hill ~ feel like bones in feet and tendon in one leg tight~ VERY MILD

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-05
Survey response — day 7, dose 1
MedDRA: Muscle spasms, Tendon disorder — Feeling: Good · Muscle or body aches

Free text: Weird tightness in tendon~ Experienced charlie horse yesterday~ probably just being hyper critical

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-26
Dose 2 — Moderna
2021-04-02
Survey response — day 7, dose 2
MedDRA: Fatigue — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: 12 hours after shot- mild/18hrs. Severe/24-48hrs mod->mild/72-present- tired

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

Adult check-in
2021-04-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-23
Survey response — day 28, dose 2
MedDRA: Rash macular — Feeling: Good

Free text: Red blotches close to surface- bleeds easily- but while never had before - cant imagine how it could be related

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — day 35, dose 2
MedDRA: Contusion, Fatigue — Feeling: Good

Free text: Small bruises I dont remember getting ~ very small except on knee. But no pain~ very grateful. Also getting very tired about 8 hrs. After waking. Not concerned~ just giving data!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-25
Survey response — 3 months, dose 2
MedDRA: Rash macular — Feeling: Fair

Free text: Small red splotches , seems to bleed underneath ( only broke through once ) then darkens, then fades into a pale brownish over a few days. I had mentioned in past, but now, and I have four pronounced and a few tiny clusters and these on forarms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-24
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-25
Dose 3 — Moderna
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Adverse reaction — Feeling: Good · Site: Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: To clarify - symptoms the day after until two days after Now..(4 days after, I have No more symptoms

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Health check-in — day 7, dose 3
Feeling: Good · Site: Itching · None

Adult check-in
2021-11-08
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-17
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-22
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-29
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-11
Survey response — day 42, dose 3
MedDRA: Asthenia — Feeling: Fair · Be unable to do your normal daily activities

Free text: No strength

MedDRA releases: 2024-11 · check-in free text available
2022-01-24
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-12
Dose 4 — Moderna
2022-04-18
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2022-04-19
Survey response — day 7, dose 4
MedDRA: Ear pain, Oropharyngeal pain, Patient isolation — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Think I may have a separate issue~ isolated soar throat/ ear and am home testing NEGATIVE

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-06
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-10
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-17
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-24
Health check-in — day 42, dose 4
Feeling: Good

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

Adult check-in
2022-09-15
Dose 5 — Pfizer-BioNTech
2022-09-21
Survey response — days 1–6 daily, dose 5
MedDRA: Dizziness, Fatigue, Insomnia, Somnolence — Feeling: Fair · Joint pains, Muscle or body aches, Nausea

Free text: Tired, light headed about 28 hrs. Later~ slept

MedDRA releases: 2024-11 · check-in free text available
2022-09-22
Survey response — day 7, dose 5
MedDRA: Contusion — Feeling: Fair · Fatigue or tiredness

Free text: Bruises popping up unexplained ? NO PAIN

MedDRA releases: 2024-11 · check-in free text available
2022-09-29
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-10-06
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-13
Survey response — day 28, dose 5
MedDRA: Fatigue, Hypersomnia — Feeling: Fair

Free text: Sleeping more~Tired~ so I am not able to attribute this to my vaccination~ I am 69~ out of shape~

MedDRA releases: 2024-11 · check-in free text available
2022-10-20
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-10-28
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-15
Survey response — 3 months, dose 5
MedDRA: Fatigue — Feeling: Fair

Free text: More tired

MedDRA releases: 2024-11 · check-in free text available
2023-03-16
Survey response — 6 months, dose 5
MedDRA: Fatigue, Insomnia, Nasopharyngitis, Office visit, SARS-CoV-2 test negative — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-03-16
Report sent to call center — 6 months, dose 5
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-03-17
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Moderna
2	2021-03-26	Moderna
3	2021-10-25	Moderna	No
4	2022-04-12	Moderna	No
5	2022-09-15	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-28

Systemic reaction (other): Gratitude!

2021-03-01

Systemic reaction (other): I have had blotchy skin for awhile~ so I may be mir cognizant ~

2021-03-02

Systemic reaction (other): Just achy when walking up hill ~ feel like bones in feet and tendon in one leg tight~ VERY MILD

Release 5 — day 7, dose 1

2021-03-05

Systemic reaction (other): Weird tightness in tendon~ Experienced charlie horse yesterday~ probably just being hyper critical

Release 6 — day 7, dose 2

2021-04-02

Systemic reaction (other): 12 hours after shot- mild/18hrs. Severe/24-48hrs mod->mild/72-present- tired

Release 7 — day 28, dose 2

2021-04-23

Symptoms: Red blotches close to surface- bleeds easily- but while never had before - cant imagine how it could be related

Release 8 — day 35, dose 2

2021-05-02

Symptoms: Small bruises I dont remember getting ~ very small except on knee. But no pain~ very grateful. Also getting very tired about 8 hrs. After waking. Not concerned~ just giving data!

Release 9 — 3 months, dose 2

2021-06-25

Symptoms: Small red splotches , seems to bleed underneath ( only broke through once ) then darkens, then fades into a pale brownish over a few days. I had mentioned in past, but now, and I have four pronounced and a few tiny clusters and these on forarms cut off by CDC

Release 10 — days 1–6 daily, dose 3

2021-10-29

Systemic reaction (other): To clarify - symptoms the day after until two days after Now..(4 days after, I have No more symptoms

Release 10 — day 42, dose 3

2021-12-11

Symptoms: No strength

Release 11 — day 7, dose 4

2022-04-19

Systemic reaction (other): Think I may have a separate issue~ isolated soar throat/ ear and am home testing NEGATIVE

Release 12 — days 1–6 daily, dose 5

2022-09-21

Systemic reaction (other): Tired, light headed about 28 hrs. Later~ slept

Release 12 — day 7, dose 5

2022-09-22

Systemic reaction (other): Bruises popping up unexplained ? NO PAIN

Release 12 — day 28, dose 5

2022-10-13

Symptoms: Sleeping more~Tired~ so I am not able to attribute this to my vaccination~ I am 69~ out of shape~

Release 12 — 3 months, dose 5

2022-12-15

Symptoms: More tired

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	·	·	✓
SD	Asthenia	·	·	✓
SD	Contusion	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Hypersomnia	·	·	✓
SD	Insomnia	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Rash macular	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Adverse reaction	·	·	✓
SRO	Contusion	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Ear pain	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Insomnia	·	·	✓
SRO	Muscle spasms	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Patient isolation	·	·	✓
SRO	Rash macular	✓	✓	✓
SRO	Somnolence	·	·	✓
SRO	Tendon disorder	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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