4AR-84675-97023

2 vaccinations 10 coded responses 26 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 773 / TX
Registered: 2021-04-02

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

2021-04-02
Registered in v-safe
2021-04-02
Dose 1 — Moderna
2021-04-02
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness, Swelling · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-09
Survey response — day 7, dose 1
MedDRA: Injection site warmth — Feeling: Fair · Site: Redness, Swelling · Headache, Fatigue or tiredness

Free text: Injection site is warm, not feverish as it has been

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-30
Dose 2 — Moderna
2021-04-30
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Flushing, Hot flush — Feeling: Fair · Site: Swelling · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Hot flashes with flushing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Hot flush — Feeling: Fair · Site: Swelling · Fever · Joint pains, Fatigue or tiredness

Free text: Hot flashes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · Fatigue or tiredness

Adult check-in
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Flushing, Hot flush — Feeling: Good · Joint pains, Fatigue or tiredness

Free text: Hot flashes and flushing have stopped.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-07
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2021-05-14
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-21
Survey response — day 21, dose 2
MedDRA: Arthritis, Chest pain, Dizziness — Feeling: Good

Free text: Arthritis is flaring up plus dizziness and pressure in chest. That was yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Survey response — day 28, dose 2
MedDRA: Dizziness, Fatigue, Impaired work ability — Feeling: Good

Free text: Very tired and dizzy. I did not work yesterday and went to bed. Today I am better.

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

Adult check-in
2021-06-11
Survey response — day 42, dose 2
MedDRA: Chest discomfort, Dizziness — Feeling: Fair

Free text: DizzinessChest tightness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-30
Survey response — 3 months, dose 2
MedDRA: Pulmonary fibrosis — Feeling: Good

Free text: Scarred bottom of lungs

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-29
Survey response — 6 months, dose 2
MedDRA: Dyspnoea, Office visit, Pulmonary fibrosis — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Scarred lungs Trouble breathing at times Cannot breathe in or talk. Like a spasm. · Healthcare visit (other): Xrays. Regular doctor visits

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-03
Call 1 — Left Voicemail
2022-05-01
Survey response — 12 months, dose 2
MedDRA: Chest pain, Respiratory disorder, Urinary tract infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Breathing issues UTI Chest pains

MedDRA releases: 2024-11 · check-in free text available
2022-05-01
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-05-02
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-02	Moderna
2	2021-04-30	Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 7 — day 7, dose 1

2021-04-09

Systemic reaction (other): Injection site is warm, not feverish as it has been

Release 8 — days 1–6 daily, dose 2

2021-05-02

Systemic reaction (other): Hot flashes with flushing

2021-05-03

Systemic reaction (other): Hot flashes

2021-05-05

Systemic reaction (other): Hot flashes and flushing have stopped.

Release 8 — day 21, dose 2

2021-05-21

Symptoms: Arthritis is flaring up plus dizziness and pressure in chest. That was yesterday.

Release 8 — day 28, dose 2

2021-05-28

Symptoms: Very tired and dizzy. I did not work yesterday and went to bed. Today I am better.

Release 9 — day 42, dose 2

2021-06-11

Symptoms: DizzinessChest tightness

Release 9 — 3 months, dose 2

2021-07-30

Symptoms: Scarred bottom of lungs

Release 10 — 6 months, dose 2

2021-10-29

Symptoms: Scarred lungs Trouble breathing at times Cannot breathe in or talk. Like a spasm.

Healthcare visit (other): Xrays. Regular doctor visits

Release 11 — 12 months, dose 2

2022-05-01

Symptoms: Breathing issues UTI Chest pains

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	Arthritis	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Impaired work ability	✓	✓	✓
SD	Pulmonary fibrosis	✓	·	✓
SD	Respiratory disorder	·	·	✓
SD	Urinary tract infection	·	·	✓
SRO	Flushing	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓

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