4FT-12355-27877

3 vaccinations 6 coded responses 36 check-ins 6 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 201 / VA
Registered: 2021-02-13

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

2021-02-13
Registered in v-safe
2021-02-13
Dose 1 — Moderna
2021-02-13
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-22
Health check-in — day 7, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-27
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-13
Dose 2 — Moderna
2021-03-13
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-20
Health check-in — day 7, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-27
Survey response — day 14, dose 2
MedDRA: Candida infection, Chills, Headache, Infection, Pain, Pyrexia, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: fever as high as 102.8, chills, body aches, bad headache, thrush infection in my mouth · Healthcare visit (other): negative for flu, covid, strept

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-17
Survey response — day 35, dose 2
MedDRA: Chillblains, Chills, Diarrhoea, Headache, Pain, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities

Free text: diarrhea, bad chills, fever over 101 degrees, body aches, headache. Symptoms go away but then come back again 7 days later. I feel like I keep having reoccurring covid vaccine side effects.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — day 42, dose 2
MedDRA: Abdominal pain, Diarrhoea, Fatigue, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: terrible diarrhea, constant abdominal pain, extreme fatigue · Healthcare visit (other): went to see the nurse practioner at my pcp, had bloodwork done, abdominal and pelvic ct scan which was normal, waiting for resulrs of stool test, have a virtual with a PA from a Gastro's office next week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-12
Survey response — 3 months, dose 2
MedDRA: Condition aggravated, Diarrhoea, Pre-existing disease, Pyrexia — Feeling: Poor · 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

Free text: high markers for IBD, need colonoscopy to cobfirm microscopic colitis, weeks ofcterrible diarrhea with chills, fever. RA flare up, fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-12
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-17
Call 1 — Left Voicemail
2021-09-09
Call 2 — Left Voicemail
2021-09-11
Survey response — 6 months, dose 2
MedDRA: Abdominal pain, Chills, Diarrhoea, Oropharyngeal pain, Pain, Pyrexia — 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: fever, chills, body aches, sore throat, diarrhea, abdominal pain

MedDRA releases: 2024-11 · check-in free text available
2021-09-11
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-16
Call 1 — Requested Callback
2021-09-17
Call 2 — Left Voicemail
2021-09-17
Callback requested for
02:30PM ET
2021-12-30
Dose 3 — Pfizer-BioNTech
2021-12-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-01-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-01-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-08
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-13
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-01-20
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-03
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-02-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-31
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-30
Survey response — 6 months, dose 3
MedDRA: Arthralgia, COVID-19, Fatigue, Foot fracture, Office visit, Pain in extremity, Urinary tract infection — Feeling: Poor · 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: Symptoms: Covid, utter exhaustion, 2 uti's - one during covid, one right after covid left hip pain. left knee pain, left leg pain, left foot pain, broken left toe · Healthcare visit (other): saw my orthopaedic doctor twicecgor jip and knee psin, and broken toe

MedDRA releases: 2024-11 · check-in free text available
2022-06-30
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-01
Call 1 — Requested Callback
2022-07-01
Callback requested for
01:00PM ET
2022-07-01
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-01
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-01
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-01
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-01
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	2021-02-13	Moderna
2	2021-03-13	Moderna
3	2021-12-30	Pfizer-BioNTech	No

Call center

5 call center cases

5 successful

See the call center timeline

Free text

Release 6 — day 14, dose 2

2021-03-27

Symptoms: fever as high as 102.8, chills, body aches, bad headache, thrush infection in my mouth

Healthcare visit (other): negative for flu, covid, strept

Release 7 — day 35, dose 2

2021-04-17

Symptoms: diarrhea, bad chills, fever over 101 degrees, body aches, headache. Symptoms go away but then come back again 7 days later. I feel like I keep having reoccurring covid vaccine side effects.

Release 7 — day 42, dose 2

2021-04-24

Symptoms: terrible diarrhea, constant abdominal pain, extreme fatigue

Healthcare visit (other): went to see the nurse practioner at my pcp, had bloodwork done, abdominal and pelvic ct scan which was normal, waiting for resulrs of stool test, have a virtual with a PA from a Gastro's office next week.

Release 9 — 3 months, dose 2

2021-06-12

Symptoms: high markers for IBD, need colonoscopy to cobfirm microscopic colitis, weeks ofcterrible diarrhea with chills, fever. RA flare up, fever

Release 9 — 6 months, dose 2

2021-09-11

Symptoms: fever, chills, body aches, sore throat, diarrhea, abdominal pain

Release 12 — 6 months, dose 3

2022-06-30

Symptoms: Covid, utter exhaustion, 2 uti's - one during covid, one right after covid left hip pain. left knee pain, left leg pain, left foot pain, broken left toe

Healthcare visit (other): saw my orthopaedic doctor twicecgor jip and knee psin, and broken toe

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	Arthralgia	·	·	✓
HCVO	Foot fracture	·	·	✓
HCVO	Office visit	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Abdominal pain	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Candida infection	✓	✓	✓
SD	Chillblains	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Foot fracture	·	·	✓
SD	Headache	✓	✓	✓
SD	Infection	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Urinary tract infection	·	·	✓

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