4BW-86174-94035

4 vaccinations 18 coded responses 41 check-ins 17 free-text entries 5 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 021 / MA
Registered: 2021-03-23

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

2021-03-23
Registered in v-safe
2021-03-23
Dose 1 — Moderna
2021-03-23
Survey response — day 0, dose 1
MedDRA: Mental disorder, Pre-existing disease — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Mental health more fragile than baseline

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Lymph node swelling in underarm on injection side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-06
Survey response — day 14, dose 1
MedDRA: Injection site pruritus — Feeling: Good

Free text: Itching on injection arm, appeared 7 days after vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-23
Dose 2 — Moderna
2021-04-23
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Fatigue or tiredness

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased, Tachycardia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: elevated heart rate/tachycardia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Oedema peripheral — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Underarm swelling on injection side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Oedema peripheral — Feeling: Good · Site: Itching

Free text: Underarm swelling on injection side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Oedema peripheral — Feeling: Good · Site: Itching

Free text: Underarm swelling on injection side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-05-07
Survey response — day 14, dose 2
MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — day 21, dose 2
MedDRA: Pre-existing disease, Tachycardia, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Tachycardia reappeared · Healthcare visit (other): Appt booked, havent had it yet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-28
Survey response — day 35, dose 2
MedDRA: Tachycardia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Tachycardia episodes increase in frequency

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-04
Survey response — day 42, dose 2
MedDRA: Cardiac disorder, Chest pain, Tachycardia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Cardiac issues, tachycardia, chest pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-23
Survey response — 3 months, dose 2
MedDRA: Cardiac disorder — Feeling: Poor · 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, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Cardiac issues

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-23
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-07-29
Call 2 — Left Voicemail
2021-10-22
Survey response — 6 months, dose 2
MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cold (antigen tested ywice for covid, both negative)

MedDRA releases: 2024-11 · check-in free text available
2021-11-30
Dose 3 — Moderna
2021-11-30
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · None

Adult check-in
2021-12-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-02
Survey response — days 1–6 daily, dose 3
MedDRA: Chest discomfort — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Chest discomfort

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Swelling · Fatigue or tiredness

Adult check-in
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling · Diarrhea

Adult check-in
2021-12-06
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Fair · Muscle or body aches

Free text: Exposed to a confirmed positive 2 days ago

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Survey response — day 7, dose 3
MedDRA: Oropharyngeal pain — Feeling: Fair · Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Health check-in — day 14, dose 3
Feeling: Fair

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

Adult check-in
2021-12-30
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-04
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-11
Survey response — day 42, dose 3
MedDRA: Urinary tract infection — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: UTI

MedDRA releases: 2024-11 · check-in free text available
2022-01-11
Report sent to call center — day 42, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-12
Call 1 — Left Voicemail
2022-03-01
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-31
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-06-13
Dose 4 — Pfizer-BioNTech
2022-11-30
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2022-12-13
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-06-13
Survey response — 12 months, dose 4
MedDRA: Hypertension — 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 · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-06-14
Call 1 — Left Voicemail
2023-06-14
Call 1 — Could Not Reach Participant
2023-06-14
Call 1 — Could Not Reach Participant
2023-06-14
Call 1 — Could Not Reach Participant
2023-06-14
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-23	Moderna
2	2021-04-23	Moderna
3	2021-11-30	Moderna	No
4	2022-06-13	Pfizer-BioNTech	No

Call center

5 call center cases

5 unsuccessful

3 waits over 3 months for a first call

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-23

Systemic reaction (other): Mental health more fragile than baseline

Release 6 — days 1–6 daily, dose 1

2021-03-27

Systemic reaction (other): Lymph node swelling in underarm on injection side

Release 7 — day 14, dose 1

2021-04-06

Symptoms: Itching on injection arm, appeared 7 days after vaccine.

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): elevated heart rate/tachycardia

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): Underarm swelling on injection side

2021-04-28

Systemic reaction (other): Underarm swelling on injection side

2021-04-29

Systemic reaction (other): Underarm swelling on injection side

Release 8 — day 14, dose 2

2021-05-07

Symptoms: Severe headaches

Release 8 — day 21, dose 2

2021-05-14

Symptoms: Tachycardia reappeared

Healthcare visit (other): Appt booked, havent had it yet

Release 8 — day 35, dose 2

2021-05-28

Symptoms: Tachycardia episodes increase in frequency

Release 8 — day 42, dose 2

2021-06-04

Symptoms: Cardiac issues, tachycardia, chest pain

Release 9 — 3 months, dose 2

2021-07-23

Symptoms: Cardiac issues

Release 10 — 6 months, dose 2

2021-10-22

Symptoms: Cold (antigen tested ywice for covid, both negative)

Release 10 — days 1–6 daily, dose 3

2021-12-02

Systemic reaction (other): Chest discomfort

2021-12-06

Systemic reaction (other): Exposed to a confirmed positive 2 days ago

Release 10 — day 7, dose 3

2021-12-07

Systemic reaction (other): Sore throat

Release 10 — day 42, dose 3

2022-01-11

Symptoms: UTI

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	Unevaluable event	✓	✓	✓
SD	Cardiac disorder	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypertension	·	·	✓
SD	Injection site pruritus	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Tachycardia	✓	✓	✓
SD	Urinary tract infection	·	·	✓
SRO	Chest discomfort	·	·	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Mental disorder	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Tachycardia	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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