4E4-31092-62403

6 vaccinations 16 coded responses 44 check-ins 12 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 342 / FL
Registered: 2021-01-28

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-28
Registered in v-safe
2021-01-28
Dose 1 — Moderna
2021-01-28
Health check-in — day 0, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-01
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Fatigue — Feeling: Good · Fatigue or tiredness

Free text: Fatigue / tiredness makes me under productive. I have much less energy. I can put off some things until another time because Im retired.

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

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-04
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-11
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-23
Dose 2 — Moderna
2021-02-23
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Fair · Fatigue or tiredness

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-09
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-08
Survey response — day 42, dose 2
MedDRA: Arthralgia, Back pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Knee pain, right ankle soreness. Lower back pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-24
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-06
Dose 3 — Moderna
2022-02-23
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-07
Dose 4 — Moderna
2022-04-28
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-06
Survey response — day 28, dose 4
MedDRA: Asthenia, Dyspnoea, Ear pain, Fatigue, Insomnia, Oropharyngeal pain, Rhinorrhoea, Sneezing — Feeling: Fair

Free text: Sore throat, sore inner left ear, sneezing, mild runny nose, mild shortness of breath, fatigue, low energy, sleeplessness

MedDRA releases: 2024-11 · check-in free text available
2022-05-12
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-05-19
Survey response — day 42, dose 4
MedDRA: Dyspnoea, Office visit, Oropharyngeal pain, Sinus congestion, Wheezing — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Sore throat , sinus congestion, mild shortness breath , wheezing · Healthcare visit (other): In office consultation

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Report sent to call center — day 42, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-20
Call 2 — Left Voicemail
2022-07-07
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-09-22
Dose 5 — Moderna
2022-10-01
Survey response — day 7, dose 5
MedDRA: Chest discomfort, Respiratory disorder — Feeling: Fair · Fatigue or tiredness

Free text: Tight chest Breathing

MedDRA releases: 2024-11 · check-in free text available
2022-10-06
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-10-15
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-10-20
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-10-27
Survey response — day 35, dose 5
MedDRA: Cough, Rhinorrhoea, Sneezing — Feeling: Fair

Free text: Sneezing, runny nose, coughing

MedDRA releases: 2024-11 · check-in free text available
2022-11-03
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2022-12-24
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2023-03-23
Survey response — 6 months, dose 5
MedDRA: Lobular breast carcinoma in situ, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-03-23
Report sent to call center — 6 months, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2023-03-24
Call 1 — Left Voicemail
2023-03-24
Call 1 — Left Voicemail
2023-05-02
Dose 6 — Moderna
2023-05-12
Survey response — day 7, dose 6
MedDRA: No adverse event — Feeling: Fair · Fatigue or tiredness

MedDRA releases: 2024-11
2023-05-16
Health check-in — day 14, dose 6
Feeling: Fair

Adult check-in
2023-05-25
Survey response — day 21, dose 6
MedDRA: Fatigue, Nasal congestion, Sinus congestion — Feeling: Poor · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-06-01
Health check-in — day 28, dose 6
Feeling: Fair

Adult check-in
2023-06-06
Health check-in — day 35, dose 6
Feeling: Fair

Adult check-in
2023-06-18
Survey response — day 42, dose 6
MedDRA: Cataract operation, Glaucoma surgery — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-28	Moderna
2	2021-02-23	Moderna
3	2021-11-06	Moderna	No
4	2022-04-07	Moderna	No
5	2022-09-22	Moderna	No
6	2023-05-02	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-01

Systemic reaction (other): Fatigue / tiredness makes me under productive. I have much less energy. I can put off some things until another time because Im retired.

Release 4 — day 0, dose 2

2021-02-23

Systemic reaction (other): No

Release 4 — days 1–6 daily, dose 2

2021-02-24

Systemic reaction (other): No

2021-02-26

Systemic reaction (other): No

2021-02-27

Systemic reaction (other): No

2021-02-28

Systemic reaction (other): No

2021-03-01

Systemic reaction (other): No

Release 7 — day 42, dose 2

2021-04-08

Symptoms: Knee pain, right ankle soreness. Lower back pain.

Release 11 — day 28, dose 4

2022-05-06

Symptoms: Sore throat, sore inner left ear, sneezing, mild runny nose, mild shortness of breath, fatigue, low energy, sleeplessness

Release 11 — day 42, dose 4

2022-05-19

Symptoms: Sore throat , sinus congestion, mild shortness breath , wheezing

Healthcare visit (other): In office consultation

Release 12 — day 7, dose 5

2022-10-01

Systemic reaction (other): Tight chest Breathing

Release 12 — day 35, dose 5

2022-10-27

Symptoms: Sneezing, runny nose, coughing

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	Arthralgia	✓	✓	✓
SD	Asthenia	·	·	✓
SD	Back pain	✓	✓	✓
SD	Cataract operation	·	·	✓
SD	Cough	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Ear pain	·	·	✓
SD	Fatigue	·	·	✓
SD	Glaucoma surgery	·	·	✓
SD	Insomnia	·	·	✓
SD	Lobular breast carcinoma in situ	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Sneezing	·	·	✓
SD	Wheezing	·	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Chest discomfort	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Respiratory disorder	·	·	✓

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