4DH-31927-69734

3 vaccinations 12 coded responses 40 check-ins 12 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 974 / OR
Registered: 2021-01-22

Relationship: Self
Race: Multiracial
Ethnicity: Hispanic or Latino

Timeline

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

2021-01-22
Registered in v-safe
2021-01-22
Dose 1 — Moderna
2021-01-22
Health check-in — day 0, dose 1
Feeling: Good · Site: Swelling · Chills, Fatigue or tiredness, Nausea

Adult check-in
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Diarrhoea — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Diarrhea actually started about 8 hrs after shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Chest pain, Neck pain — Feeling: Good · Headache · Be unable to do your normal daily activities

Free text: Shoulderblades, neck soreness. Soreness in sternum

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain — Feeling: Good · Fatigue or tiredness

Free text: Soreness in sternum area better. Ihad Bulbar polio as a kid

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-29
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-12
Survey response — day 21, dose 1
MedDRA: Cough, Decreased appetite, Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Feel like I have a cold or sinus infection or allergic reaction. Headaches. Bad cough. Mucus, extreme fatigue, loss of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-25
Dose 2 — Moderna
2021-02-25
Health check-in — day 0, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills, Fatigue or tiredness

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Chills, Muscle or body aches, Fatigue or tiredness

Free text: shot #2 caused an HPV flare uplast one was 3 yrs ago. Meds appear to be working.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

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

Free text: Heavy eyelidshard to keep eyes open

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

Adult check-in
2021-03-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-08
Survey response — day 42, dose 2
MedDRA: Dizziness — Feeling: Good

Free text: Dizziness episode. Slight but not expected.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — 3 months, dose 2
MedDRA: Condition aggravated, Hypertension, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: High blood pressure Herpes virus breakout week following shot #2

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-28
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-25
Dose 3 — Moderna
2021-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-01
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
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: Good

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

Adult check-in
2021-11-29
Survey response — day 35, dose 3
MedDRA: Aphonia, Cough, Fatigue — Feeling: Good

Free text: Deep cough, loss of voice. No fever. Same fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-24
Survey response — 3 months, dose 3
MedDRA: Body temperature increased, COVID-19, Medical counselling — 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 · Telehealth, virtual health, or email health consultation

Free text: I thought it was bacterial lung infection but nurse thinks Covid. Couldn't find a test. So still don't know but it's day 12 and okay. PCR test tomorrow at hospital. Likely was Covid even though I mask up. I had symptoms, low temps instead of fever.

MedDRA releases: 2024-11 · check-in free text available
2022-01-24
Report sent to call center — 3 months, 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)
2022-01-31
Call 1 — Left Voicemail
2022-04-25
Survey response — 6 months, dose 3
MedDRA: Dizziness, Office visit, Pre-existing disease, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Rash, dizziness, doc added course of steroids for PMR · Healthcare visit (other): Doc office

MedDRA releases: 2024-11 · check-in free text available
2022-04-25
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-26
Call 1 — Left Voicemail
2022-10-25
Survey response — 12 months, dose 3
MedDRA: Ankle fracture, Back pain, Office visit, Stress fracture, Unevaluable event — 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

Free text: Symptoms: ankle stress fractures and return of ONR pain with back pain. Resumed prednisone. · Healthcare visit (other): Doc office appt

MedDRA releases: 2024-11 · check-in free text available
2022-10-25
Report sent to call center — 12 months, 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

1 call case(s)
2022-10-26
Call 1 — Left Voicemail
2022-10-26
Call 2 — Left Voicemail
2022-10-26
Call 2 — Left Voicemail
2022-10-26
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna
2	2021-02-25	Moderna
3	2021-10-25	Moderna	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 2 — days 1–6 daily, dose 1

2021-01-23

Systemic reaction (other): Diarrhea actually started about 8 hrs after shot

2021-01-24

Systemic reaction (other): Shoulderblades, neck soreness. Soreness in sternum

2021-01-25

Systemic reaction (other): Soreness in sternum area better. Ihad Bulbar polio as a kid

Release 4 — day 21, dose 1

2021-02-12

Symptoms: Feel like I have a cold or sinus infection or allergic reaction. Headaches. Bad cough. Mucus, extreme fatigue, loss of appetite

Release 4 — days 1–6 daily, dose 2

2021-03-01

Systemic reaction (other): shot #2 caused an HPV flare uplast one was 3 yrs ago. Meds appear to be working.

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Heavy eyelidshard to keep eyes open

Release 7 — day 42, dose 2

2021-04-08

Symptoms: Dizziness episode. Slight but not expected.

Release 8 — 3 months, dose 2

2021-05-27

Symptoms: High blood pressure Herpes virus breakout week following shot #2

Release 10 — day 35, dose 3

2021-11-29

Symptoms: Deep cough, loss of voice. No fever. Same fatigue

Release 11 — 3 months, dose 3

2022-01-24

Symptoms: I thought it was bacterial lung infection but nurse thinks Covid. Couldn't find a test. So still don't know but it's day 12 and okay. PCR test tomorrow at hospital. Likely was Covid even though I mask up. I had symptoms, low temps instead of fever. cut off by CDC

Release 11 — 6 months, dose 3

2022-04-25

Symptoms: Rash, dizziness, doc added course of steroids for PMR

Healthcare visit (other): Doc office

Release 12 — 12 months, dose 3

2022-10-25

Symptoms: ankle stress fractures and return of ONR pain with back pain. Resumed prednisone.

Healthcare visit (other): Doc office appt

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	Ankle fracture	·	·	✓
SD	Aphonia	·	·	✓
SD	Back pain	·	·	✓
SD	Body temperature increased	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Decreased appetite	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Medical counselling	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rash	·	·	✓
SD	Stress fracture	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Asthenopia	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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