4JP-28886-40082

3 vaccinations 9 coded responses 32 check-ins 9 free-text entries 6 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 544 / WI
Registered: 2021-01-11

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-01-08
Dose 1 — Moderna
2021-01-11
Registered in v-safe
2021-01-13
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I had my vaccine on 1/8. This is my first day you are asking me. Symptoms prior to today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2021-01-17
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-29
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-05
Dose 2 — Moderna
2021-02-05
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Swelling — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Enlarged lymph nodes. Left axilla, left supraclaviculer and cervica. Swelling noticeable by others. I am an RN.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Cellulitis, Lymphadenopathy — Feeling: Fair · Site: Redness, Swelling · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Lymphadenopathy, axilla, supraclavicular, cervical. Diagnosed with cellulitis 4 away from injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Cellulitis — Feeling: Fair · Site: Redness, Swelling

Free text: Keflex 500 tid cellulitis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-02-12
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-02-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-05-30
Call 1 — Left Voicemail
2021-08-06
Survey response — 6 months, dose 2
MedDRA: Blindness, Confusional state, Headache, Irritability, Photophobia — 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: Headaches, intermittent confusion, intermittent loss of vision, photophobia, irritability, no filter with conflictd

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-06
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)
2021-08-13
Call 1 — Left Voicemail
2021-10-23
Dose 3 — Moderna
2021-10-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-30
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-06
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-13
Survey response — day 21, dose 3
MedDRA: Cough, Decreased appetite, Fatigue, Pain, Pyrexia, Sneezing — Feeling: Poor · Be unable to work or attend school

Free text: Fever cough sneezing loss of appetite fatigue,Body aches

MedDRA releases: 2024-11 · check-in free text available
2021-11-20
Survey response — day 28, dose 3
MedDRA: COVID-19, Hospitalisation — Feeling: Poor · Be unable to work or attend school, 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: Diagnosed with covid 11/12/21 · Healthcare visit (other): Infusion at hospital of monoclonal antibody

MedDRA releases: 2024-11 · check-in free text available
2021-11-20
Report sent to call center — day 28, 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-23
Callback requested for
09:47am et
2021-11-24
Call 1 — Left Voicemail
2021-11-27
Survey response — day 35, dose 3
MedDRA: Chest discomfort, Cough, Dyspnoea exertional, Fatigue, Headache, Myalgia — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: SOB on exertion with tight band feeling around thorax. Extreme fatigue. Dry cough. Headaches. Muscle aches. O2 sats 90-92%

MedDRA releases: 2024-11 · check-in free text available
2021-11-27
Report sent to call center — day 35, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-30
Call successful
Other
2021-12-04
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-22
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-23
Survey response — 6 months, dose 3
MedDRA: Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sinus infection treated with augmentin

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-26
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-08	Moderna
2	2021-02-05	Moderna
3	2021-10-23	Moderna	No

Call center

6 call center cases

4 successful · 1 unsuccessful · 1 priority 2/3 (triaged and no follow up)

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-13

Systemic reaction (other): I had my vaccine on 1/8. This is my first day you are asking me. Symptoms prior to today.

Release 3 — days 1–6 daily, dose 2

2021-02-07

Systemic reaction (other): Enlarged lymph nodes. Left axilla, left supraclaviculer and cervica. Swelling noticeable by others. I am an RN.

2021-02-08

Systemic reaction (other): Lymphadenopathy, axilla, supraclavicular, cervical. Diagnosed with cellulitis 4 away from injection site

2021-02-09

Systemic reaction (other): Keflex 500 tid cellulitis

Release 9 — 6 months, dose 2

2021-08-06

Symptoms: Headaches, intermittent confusion, intermittent loss of vision, photophobia, irritability, no filter with conflictd

Release 10 — day 21, dose 3

2021-11-13

Symptoms: Fever cough sneezing loss of appetite fatigue,Body aches

Release 10 — day 28, dose 3

2021-11-20

Symptoms: Diagnosed with covid 11/12/21

Healthcare visit (other): Infusion at hospital of monoclonal antibody

Release 10 — day 35, dose 3

2021-11-27

Symptoms: SOB on exertion with tight band feeling around thorax. Extreme fatigue. Dry cough. Headaches. Muscle aches. O2 sats 90-92%

Release 11 — 6 months, dose 3

2022-04-23

Symptoms: Sinus infection treated with augmentin

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	Hospitalisation	·	·	✓
SD	Blindness	✓	·	✓
SD	Chest discomfort	·	·	✓
SD	Confusional state	✓	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Decreased appetite	·	·	✓
SD	Dyspnoea exertional	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	·	✓
SD	Irritability	✓	·	✓
SD	Myalgia	·	·	✓
SD	Pain	·	·	✓
SD	Photophobia	✓	·	✓
SD	Pyrexia	·	·	✓
SD	Sinusitis	·	·	✓
SD	Sneezing	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Cellulitis	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Swelling	✓	✓	✓

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