4JZ-32723-24327

4 vaccinations 8 coded responses 37 check-ins 8 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 760 / TX
Registered: 2021-01-04

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

2021-01-04
Registered in v-safe
2021-01-04
Dose 1 — Moderna
2021-01-04
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-01-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-31
Dose 2 — Moderna
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

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

Adult check-in
2021-02-03
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site induration, Injection site mass, Injection site pain — Feeling: Good

Free text: The injection site is a hard lump, tender but not painful.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — days 1–6 daily, dose 2
MedDRA: Sinus operation — Feeling: Good

Free text: A lot is sinus drainage today; doubt it is related to the shotmore likely some allergen blew in with the changing wind today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — day 7, dose 2
Feeling: Good · None

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

Adult check-in
2021-02-21
Survey response — day 21, dose 2
MedDRA: Oropharyngeal pain, Paranasal sinus hypersecretion, Respiratory tract congestion — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Sinus drainage, congestion, sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-28
Survey response — day 28, dose 2
MedDRA: Ear discomfort, Sinus congestion — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Sinus congestion & blocked ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-02
Survey response — 3 months, dose 2
MedDRA: Ear congestion, Ear tube insertion, Middle ear effusion, Office visit, Pre-existing disease, Sinus disorder — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Bad allergies and sinus problems; doctor placed tube in right ear to clear congestion & fluid. · Healthcare visit (other): In office visit & procedure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-16
Call 1 — Left Voicemail
2021-08-01
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-14
Call 3 — Left Voicemail
2021-11-16
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-11-16
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-11-16
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-01-20
Dose 3 — Moderna
2022-02-01
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-04-26
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-07-15
Dose 4 — Moderna
2022-07-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Chills, Fatigue or tiredness

Adult check-in
2022-07-19
Survey response — days 1–6 daily, dose 4
MedDRA: Tenderness — Feeling: Good · Site: Pain

Free text: Feeling in my arm is more tenderness than pain

MedDRA releases: 2024-11 · check-in free text available
2022-07-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-07-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-07-22
Survey response — day 7, dose 4
MedDRA: Laboratory test abnormal, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Tested positive · Healthcare visit (other): Waiting for return call

MedDRA releases: 2024-11 · check-in free text available
2022-07-22
Report sent to call center — day 7, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-07-26
Call 1 — Left Voicemail
2022-07-26
Call 1 — Left Voicemail
2022-07-26
Call 2 — Left Voicemail
2022-07-26
Call 1 — Left Voicemail
2022-07-29
Survey response — day 14, dose 4
MedDRA: SARS-CoV-2 test positive — 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: Tested COVID + on Fri 7/22

MedDRA releases: 2024-11 · check-in free text available
2022-07-29
Report sent to call center — day 14, dose 4
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)
2022-08-01
Call 2 — Left Voicemail
2022-08-01
Call 2 — Left Voicemail
2022-08-01
Call 3 — Left Voicemail
2022-08-01
Call 2 — Left Voicemail
2022-08-01
Call 1 — Left Voicemail
2022-08-05
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-08-12
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-08-19
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-08-27
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-10-15
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-01-13
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-04	Moderna
2	2021-01-31	Moderna
3	2022-01-20	Moderna	No
4	2022-07-15	Moderna	No

Call center

5 call center cases

3 successful · 2 unsuccessful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-03

Systemic reaction (other): The injection site is a hard lump, tender but not painful.

2021-02-04

Systemic reaction (other): A lot is sinus drainage today; doubt it is related to the shotmore likely some allergen blew in with the changing wind today.

Release 4 — day 21, dose 2

2021-02-21

Symptoms: Sinus drainage, congestion, sore throat

Release 4 — day 28, dose 2

2021-02-28

Symptoms: Sinus congestion & blocked ears

Release 8 — 3 months, dose 2

2021-05-02

Symptoms: Bad allergies and sinus problems; doctor placed tube in right ear to clear congestion & fluid.

Healthcare visit (other): In office visit & procedure

Release 12 — days 1–6 daily, dose 4

2022-07-19

Systemic reaction (other): Feeling in my arm is more tenderness than pain

Release 12 — day 7, dose 4

2022-07-22

Systemic reaction (other): Tested positive

Healthcare visit (other): Waiting for return call

Release 12 — day 14, dose 4

2022-07-29

Symptoms: Tested COVID + on Fri 7/22

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	✓	✓	✓
HCVO	Unevaluable event	·	·	✓
SD	Ear congestion	✓	✓	✓
SD	Ear discomfort	✓	✓	✓
SD	Ear tube insertion	✓	✓	✓
SD	Middle ear effusion	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Paranasal sinus hypersecretion	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sinus congestion	✓	✓	✓
SD	Sinus disorder	✓	✓	✓
SRO	Injection site induration	✓	✓	✓
SRO	Injection site mass	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Laboratory test abnormal	·	·	✓
SRO	Sinus operation	✓	✓	✓
SRO	Tenderness	·	·	✓

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