4CF-15467-41534

3 vaccinations 7 coded responses 26 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 984 / WA
Registered: 2021-05-17

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

2021-04-18
Dose 1 — Moderna
2021-05-16
Dose 2 — Moderna
2021-05-17
Registered in v-safe
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work

Adult check-in
2021-05-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Nausea

Adult check-in
2021-05-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-23
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-30
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-06-06
Survey response — day 21, dose 2
MedDRA: Ageusia, Disturbance in attention, Fatigue, Feeling abnormal, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Yesterday i had very bad body aches and was exhausted. My sense of taste was really off as well. Have had intermittent problems with mental concentration and feeling muddle-brained.b

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-13
Survey response — day 28, dose 2
MedDRA: Headache, Pain, Pyrexia — Feeling: Fair · Be unable to work or attend school

Free text: Bad body aches, felt feverish but no fever, headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-20
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-27
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-15
Survey response — 3 months, dose 2
MedDRA: Disturbance in attention, Fatigue, Mood altered — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Trouble concentrating, moody, so tired, did i mention crabby?

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-14
Health check-in — 6 months, dose 2
Feeling: Poor

Adult check-in
2022-01-14
Dose 3 — Moderna
2022-01-16
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-01-17
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-01-18
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-01-19
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-01-20
Survey response — days 1–6 daily, dose 3
MedDRA: Pneumonia, SARS-CoV-2 test positive — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I tested positive for COVID-19, delta variant yesterday. They think delta because i also have double pneumonia.

MedDRA releases: 2024-11 · check-in free text available
2022-01-21
Health check-in — day 7, dose 3
Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-01-28
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-02-04
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-12
Survey response — day 28, dose 3
MedDRA: Sinus disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sinuses are getting worse.

MedDRA releases: 2024-11 · check-in free text available
2022-02-19
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-02-26
Survey response — day 42, dose 3
MedDRA: Migraine, Visual impairment — 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: Severe migraine that affected the vision in my right eye. It lasted 4 days.

MedDRA releases: 2024-11 · check-in free text available
2022-02-26
Report sent to call center — day 42, dose 3
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)
2022-03-07
Call 1 — Could Not Reach Participant
2022-03-10
Call 2 — Could Not Reach Participant
2022-04-16
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-07-19
Survey response — 6 months, dose 3
MedDRA: Cardiac disorder, Eye disorder, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Eye issues, heart issue · Healthcare visit (other): And a regular office visit

MedDRA releases: 2024-11 · check-in free text available
2022-07-19
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-07-20
Call 3 — Left Voicemail
2022-07-20
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-18	Moderna
2	2021-05-16	Moderna
3	2022-01-14	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 8 — day 21, dose 2

2021-06-06

Symptoms: Yesterday i had very bad body aches and was exhausted. My sense of taste was really off as well. Have had intermittent problems with mental concentration and feeling muddle-brained.b

Release 9 — day 28, dose 2

2021-06-13

Symptoms: Bad body aches, felt feverish but no fever, headaches

Release 9 — 3 months, dose 2

2021-08-15

Symptoms: Trouble concentrating, moody, so tired, did i mention crabby?

Release 10 — days 1–6 daily, dose 3

2022-01-20

Systemic reaction (other): I tested positive for COVID-19, delta variant yesterday. They think delta because i also have double pneumonia.

Release 11 — day 28, dose 3

2022-02-12

Symptoms: Sinuses are getting worse.

Release 11 — day 42, dose 3

2022-02-26

Symptoms: Severe migraine that affected the vision in my right eye. It lasted 4 days.

Release 12 — 6 months, dose 3

2022-07-19

Symptoms: Eye issues, heart issue

Healthcare visit (other): And a regular office visit

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	Ageusia	✓	✓	✓
SD	Cardiac disorder	·	·	✓
SD	Disturbance in attention	✓	✓	✓
SD	Eye disorder	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Migraine	·	·	✓
SD	Mood altered	✓	·	✓
SD	Pain	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Sinus disorder	·	·	✓
SD	Visual impairment	·	·	✓
SRO	Pneumonia	·	·	✓
SRO	SARS-CoV-2 test positive	·	·	✓

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