4JN-19790-44566

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

Sex: Female
Age at first dose: 61-65
ZIP prefix: 598 / MT
Registered: 2021-03-08

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

2021-03-04
Dose 1 — Moderna
2021-03-08
Registered in v-safe
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-03-11
Survey response — day 7, dose 1
MedDRA: Bronchitis — Feeling: Fair · Fever · Headache · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Dr says I now seem to have bronchitis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-27
Survey response — day 21, dose 1
MedDRA: Upper respiratory tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Got sicker with upper respiratory infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-01
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-04-15
Health check-in — day 42, dose 1
Feeling: Good

Adult check-in
2021-04-22
Dose 2 — Moderna
2021-06-05
Survey response — 3 months, dose 1
MedDRA: Abdominal discomfort, Cardiac flutter, Gastrointestinal disorder, Heart rate increased, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Rapid heart rate and flutter. Abdominal and stomach issues · Healthcare visit (other): Doctor visits

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
Report sent to call center — 3 months, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-08
Call 1 — Left Voicemail
2021-11-11
Dose 3 — Pfizer-BioNTech
2022-03-06
Health check-in — 12 months, dose 1
Feeling: Good

Adult check-in
2022-07-06
Dose 4 — Pfizer-BioNTech
2022-07-27
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-08-19
Survey response — day 42, dose 4
MedDRA: Oxygen saturation abnormal, Upper respiratory tract congestion — Feeling: Fair · 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: Lingering upper respiratory congestion. SPO2 lower than should be.

MedDRA releases: 2024-11 · check-in free text available
2022-08-19
Report sent to call center — day 42, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-08-22
Call 1 — Left Voicemail
2022-08-22
Call 1 — Left Voicemail
2022-08-22
Call 2 — Left Voicemail
2022-08-22
Call 1 — Left Voicemail
2022-09-16
Dose 5 — Pfizer-BioNTech
2022-10-01
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-07
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-16
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-23
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-30
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2022-12-16
Survey response — 3 months, dose 5
MedDRA: Inflammatory marker increased, Office visit, Taste disorder, Vision blurred — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Taste has changed and not for better. Things taste differently. Also vision is blurred and dramatically different. And bloodwork is super high on inflammation but follow-ups aren't able to determine why. · Healthcare visit (other): Normal checkup

MedDRA releases: 2024-11 · check-in free text available
2022-12-16
Report sent to call center — 3 months, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-12-20
Call 2 — Left Voicemail
2022-12-20
Call 2 — Left Voicemail
2022-12-20
Call 3 — Left Voicemail
2022-12-20
Call 2 — Left Voicemail
2022-12-20
Call 1 — Left Voicemail
2023-03-19
Health check-in — 6 months, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-04	Moderna
2	2021-04-22	Moderna	No
3	2021-11-11	Pfizer-BioNTech	No
4	2022-07-06	Pfizer-BioNTech	No
5	2022-09-16	Pfizer-BioNTech	No

Call center

5 call center cases

5 unsuccessful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 5 — day 7, dose 1

2021-03-11

Systemic reaction (other): Dr says I now seem to have bronchitis

Release 6 — day 21, dose 1

2021-03-27

Symptoms: Got sicker with upper respiratory infection

Release 8 — 3 months, dose 1

2021-06-05

Symptoms: Rapid heart rate and flutter. Abdominal and stomach issues

Healthcare visit (other): Doctor visits

Release 12 — day 42, dose 4

2022-08-19

Symptoms: Lingering upper respiratory congestion. SPO2 lower than should be.

Release 12 — 3 months, dose 5

2022-12-16

Symptoms: Taste has changed and not for better. Things taste differently. Also vision is blurred and dramatically different. And bloodwork is super high on inflammation but follow-ups aren't able to determine why.

Healthcare visit (other): Normal checkup

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	Abdominal discomfort	✓	✓	✓
SD	Cardiac flutter	✓	✓	✓
SD	Gastrointestinal disorder	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Inflammatory marker increased	·	·	✓
SD	Oxygen saturation abnormal	·	·	✓
SD	Taste disorder	·	·	✓
SD	Upper respiratory tract congestion	·	·	✓
SD	Upper respiratory tract infection	✓	✓	✓
SD	Vision blurred	·	·	✓
SRO	Bronchitis	✓	✓	✓

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