46B-63925-17051

5 vaccinations 18 coded responses 45 check-ins 18 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 190 / PA
Registered: 2021-03-04

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

Timeline

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

2021-02-04
Dose 1 — Moderna
2021-03-02
Dose 2 — Moderna
2021-03-04
Registered in v-safe
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness · Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Vertigo — Feeling: Fair · Fatigue or tiredness

Free text: Mild vertigo daily

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Balance disorder, Loss of personal independence in daily activities — Feeling: Good

Free text: Today is the first day,post vaccine that I am a symptomatic...just a little weak and wobbly due to a week of inactivity...grateful to have been vaccinated!!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-30
Survey response — day 28, dose 2
MedDRA: Condition aggravated, Dermatitis atopic, Eczema, Hypersensitivity, Pre-existing disease, Pruritus, Sensitisation, Skin burning sensation — Feeling: Fair · Be unable to do your normal daily activities

Free text: Either seasonal allergies OR heightened sensitivity following final vaccine dose has exacerbated existing eczema/dermatitis and I have been experiencing skin and scalp itching&burning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-31
Survey response — 6 months, dose 2
MedDRA: Cough, Malaise, Musculoskeletal chest pain, Oropharyngeal pain, Sputum discoloured — Feeling: Good · 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: During the first week of July I became very ill beginning with a sore throat one day,followed by a persistent cough that resulted in sore ribs and dark green mucus that eventually settled in my lungs. I ended up on an antibiotic.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-31
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)
2021-10-25
Dose 3 — Moderna
2021-10-27
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Chills — Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Better today but yesterday was challenging with chills and joint pIn

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · Site: Pain, Itching · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I suffer from dermatologic flares ,especially scalp,extremities. & vaccine seemed to intensify a flare

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Fair · Fatigue or tiredness

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Chills, Fatigue or tiredness

Adult check-in
2021-11-01
Survey response — day 7, dose 3
MedDRA: No adverse event — Feeling: Good · Site: Itching

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-15
Health check-in — day 21, dose 3
Feeling: Fair

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
2021-12-06
Survey response — day 42, dose 3
MedDRA: Malaise — Feeling: Fair

Free text: I may have contracted a cold when I drove to NJ to take my sibling to a medical facility for a procedure last weekeven though I didn't enter the bldg I ended up sick

MedDRA releases: 2024-11 · check-in free text available
2021-12-14
Call 3 — Left Voicemail
2022-01-24
Survey response — 3 months, dose 3
MedDRA: Hypersomnia, Nausea, SARS-CoV-2 test positive — Feeling: Fair · 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 tested positive for Covid on January 3 despite completing the two shot series and booster in September. Initially, I felt nauseous just one time but attributed that to being in the therapy pool(90 degrees)but began oversleeping

MedDRA releases: 2024-11 · check-in free text available
2022-01-24
Report sent to call center — 3 months, dose 3
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)
2022-01-26
Call 1 — Left Voicemail
2022-04-25
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-03
Dose 4 — Moderna
2022-05-18
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-24
Survey response — day 21, dose 4
MedDRA: Body temperature increased, Dizziness, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: On one occasion recently I had a slightly elevated temperature, lightheadedness and fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-05-31
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-07
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-14
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-02
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-15
Dose 5 — Pfizer-BioNTech
2022-09-17
Survey response — days 1–6 daily, dose 5
MedDRA: Pain — Feeling: Good · Site: Swelling

Free text: Friday,September16 was the only day I experienced body aches and pain

MedDRA releases: 2024-11 · check-in free text available
2022-09-18
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-09-19
Survey response — days 1–6 daily, dose 5
MedDRA: Nasal congestion, Nausea, Respiratory tract congestion — Feeling: Fair · Joint pains, Fatigue or tiredness

Free text: Mild head/nasal congestion&quesiness

MedDRA releases: 2024-11 · check-in free text available
2022-09-20
Survey response — days 1–6 daily, dose 5
MedDRA: Dizziness, Unevaluable event — Feeling: Fair · Fever · Joint pains, Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Dizzinesd · Healthcare visit (other): Appt.withOto(ENT)specialist tomorrow

MedDRA releases: 2024-11 · check-in free text available
2022-09-20
Report sent to call center — days 1–6 daily, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2022-09-21
Survey response — days 1–6 daily, dose 5
MedDRA: Dizziness, Ear discomfort, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Mild dizziness, fullness in ears?went to otorhinolaryngologist today · Healthcare visit (other): Otorhinolaryngology appointment to address dizziness,ear fullness

MedDRA releases: 2024-11 · check-in free text available
2022-09-21
Report sent to call center — days 1–6 daily, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2022-09-21
Call 1 — Left Voicemail
2022-09-21
Call 2 — Left Voicemail
2022-09-21
Call 1 — Left Voicemail
2022-09-22
Survey response — day 7, dose 5
MedDRA: Unevaluable event — Feeling: Fair · Fever · Chills, Joint pains, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: My normal temperature is 96.3 so having a 97.8 temp feels high

MedDRA releases: 2024-11 · check-in free text available
2022-09-22
Call 2 — Left Voicemail
2022-09-22
Call 3 — Left Voicemail
2022-09-22
Call 2 — Left Voicemail
2022-09-22
Call 1 — Left Voicemail
2022-09-29
Health check-in — day 14, dose 5
Feeling: Good

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

Adult check-in
2022-10-13
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-20
Survey response — day 35, dose 5
MedDRA: Arthralgia, Pyrexia — Feeling: Good

Free text: I experienced aching joints and had mild fever following fluzone flu shot a few days ago but back to "normal" now

MedDRA releases: 2024-11 · check-in free text available
2022-10-27
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-15
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-16
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Moderna
2	2021-03-02	Moderna
3	2021-10-25	Moderna	No
4	2022-05-03	Moderna	No
5	2022-09-15	Pfizer-BioNTech	No

Call center

4 call center cases

4 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-07

Systemic reaction (other): Mild vertigo daily

2021-03-08

Systemic reaction (other): Today is the first day,post vaccine that I am a symptomatic...just a little weak and wobbly due to a week of inactivity...grateful to have been vaccinated!!

Release 6 — day 28, dose 2

2021-03-30

Symptoms: Either seasonal allergies OR heightened sensitivity following final vaccine dose has exacerbated existing eczema/dermatitis and I have been experiencing skin and scalp itching&burning

Release 9 — 6 months, dose 2

2021-08-31

Symptoms: During the first week of July I became very ill beginning with a sore throat one day,followed by a persistent cough that resulted in sore ribs and dark green mucus that eventually settled in my lungs. I ended up on an antibiotic.

Release 10 — days 1–6 daily, dose 3

2021-10-27

Systemic reaction (other): Better today but yesterday was challenging with chills and joint pIn

2021-10-28

Systemic reaction (other): No

2021-10-29

Systemic reaction (other): I suffer from dermatologic flares ,especially scalp,extremities. & vaccine seemed to intensify a flare

2021-10-30

Systemic reaction (other): No

Release 10 — day 7, dose 3

2021-11-01

Systemic reaction (other): No

Release 10 — day 42, dose 3

2021-12-06

Symptoms: I may have contracted a cold when I drove to NJ to take my sibling to a medical facility for a procedure last weekeven though I didn't enter the bldg I ended up sick

Release 11 — 3 months, dose 3

2022-01-24

Symptoms: I tested positive for Covid on January 3 despite completing the two shot series and booster in September. Initially, I felt nauseous just one time but attributed that to being in the therapy pool(90 degrees)but began oversleeping

Release 11 — day 21, dose 4

2022-05-24

Symptoms: On one occasion recently I had a slightly elevated temperature, lightheadedness and fatigue

Release 12 — days 1–6 daily, dose 5

2022-09-17

Systemic reaction (other): Friday,September16 was the only day I experienced body aches and pain

2022-09-19

Systemic reaction (other): Mild head/nasal congestion&quesiness

2022-09-20

Systemic reaction (other): Dizzinesd

Healthcare visit (other): Appt.withOto(ENT)specialist tomorrow

2022-09-21

Systemic reaction (other): Mild dizziness, fullness in ears?went to otorhinolaryngologist today

Healthcare visit (other): Otorhinolaryngology appointment to address dizziness,ear fullness

Release 12 — day 7, dose 5

2022-09-22

Systemic reaction (other): My normal temperature is 96.3 so having a 97.8 temp feels high

Release 12 — day 35, dose 5

2022-10-20

Symptoms: I experienced aching joints and had mild fever following fluzone flu shot a few days ago but back to "normal" now

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	Dizziness	·	·	✓
HCVO	Ear discomfort	·	·	✓
HCVO	Office visit	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Arthralgia	·	·	✓
SD	Body temperature increased	·	·	✓
SD	Condition aggravated	✓	·	✓
SD	Cough	✓	·	✓
SD	Dermatitis atopic	○	✓	○
SD	Dizziness	·	·	✓
SD	Eczema	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Hypersensitivity	○	✓	○
SD	Hypersomnia	·	·	✓
SD	Malaise	✓	·	✓
SD	Musculoskeletal chest pain	✓	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sensitisation	✓	·	✓
SD	Skin burning sensation	✓	✓	✓
SD	Sputum discoloured	✓	·	✓
SRO	Arthralgia	·	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Balance disorder	✓	✓	✓
SRO	Chills	·	·	✓
SRO	Condition aggravated	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Ear discomfort	·	·	✓
SRO	Loss of personal independence in daily activities	✓	✓	✓
SRO	Nasal congestion	·	·	✓
SRO	Nausea	·	·	✓
SRO	No adverse event	·	·	✓
SRO	Office visit	·	·	✓
SRO	Pain	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Unevaluable event	·	·	✓
SRO	Vertigo	✓	✓	✓

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