4KM-24657-60198

3 vaccinations 10 coded responses 28 check-ins 10 free-text entries 5 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 812 / CO
Registered: 2021-01-05

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

2021-01-05
Registered in v-safe
2021-01-05
Dose 1 — Moderna
2021-01-05
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

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

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

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

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-02
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-02-04
Dose 2 — Moderna
2021-02-04
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Fibromyalgia flared up from getting the 2nd shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — days 1–6 daily, dose 2
MedDRA: Fibromyalgia — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Fibromyalgia flare from the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Fibromyalgia, Pre-existing disease — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Fibromyalgia flared up due to getting the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-11
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-18
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-25
Survey response — day 21, dose 2
MedDRA: Dyspnoea, Pre-existing disease — Feeling: Poor · Be unable to work, 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: Asthma issues due to insurance denials of getting another inhaler unless its the one that will give me seizures and many other unwanted side effects after fighting with blue cross blue shield for two weeks Im told the pharmacy is out till Monda · Healthcare visit (other): Cant breathe right or talk on the phone long!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-04
Survey response — day 28, dose 2
MedDRA: Asthma, Dyspnoea, Medical counselling — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Asthma problems, breathing problems. · Healthcare visit (other): Phone call

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Report sent to call center — day 28, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-11
Survey response — day 35, dose 2
MedDRA: Asthma, Pre-existing disease, Unevaluable event — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Asthma related problems due to asthma inhaler not being the same one I have been using for over a year and the one my new health insurance company insists I have is ineffective as I used it or one with the same medications in it decades ago. · Healthcare visit (other): None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Report sent to call center — day 35, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-18
Survey response — day 42, dose 2
MedDRA: Sinusitis, Unevaluable event — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Sinusitis · Healthcare visit (other): Didnt get medical help

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Report sent to call center — day 42, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-05
Survey response — 6 months, dose 2
MedDRA: Pruritus — Feeling: Good

Free text: Extreme itching

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-12-21
Dose 3 — Moderna
2021-12-21
Call 1 — Left Voicemail
2022-02-04
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-06-21
Survey response — 6 months, dose 3
MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: COVID-19

MedDRA releases: 2024-11 · check-in free text available
2022-12-21
Survey response — 12 months, dose 3
MedDRA: COVID-19, Sinusitis — Feeling: Fair · 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, Outpatient clinic or urgent care clinic visit

Free text: Covid in May of 2022, bacterial sinus infection in September/October of 2022

MedDRA releases: 2024-11 · check-in free text available
2022-12-21
Report sent to call center — 12 months, 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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-22
Call 1 — Left Voicemail
2022-12-22
Call 1 — Left Voicemail
2022-12-22
Call 1 — Left Voicemail
2022-12-22
Call 2 — Left Voicemail
2022-12-22
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-05	Moderna
2	2021-02-04	Moderna
3	2021-12-21	Moderna	No

Call center

5 call center cases

5 unsuccessful

4 waits over 3 months for a first call

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-05

Systemic reaction (other): Fibromyalgia flared up from getting the 2nd shot

2021-02-06

Systemic reaction (other): Fibromyalgia flare from the vaccine

2021-02-07

Systemic reaction (other): Fibromyalgia flared up due to getting the vaccine

Release 4 — day 21, dose 2

2021-02-25

Symptoms: Asthma issues due to insurance denials of getting another inhaler unless its the one that will give me seizures and many other unwanted side effects after fighting with blue cross blue shield for two weeks Im told the pharmacy is out till Monda

Healthcare visit (other): Cant breathe right or talk on the phone long!

Release 5 — day 28, dose 2

2021-03-04

Symptoms: Asthma problems, breathing problems.

Healthcare visit (other): Phone call

Release 5 — day 35, dose 2

2021-03-11

Symptoms: Asthma related problems due to asthma inhaler not being the same one I have been using for over a year and the one my new health insurance company insists I have is ineffective as I used it or one with the same medications in it decades ago.

Healthcare visit (other): None

Release 5 — day 42, dose 2

2021-03-18

Symptoms: Sinusitis

Healthcare visit (other): Didnt get medical help

Release 9 — 6 months, dose 2

2021-08-05

Symptoms: Extreme itching

Release 12 — 6 months, dose 3

2022-06-21

Symptoms: COVID-19

Release 12 — 12 months, dose 3

2022-12-21

Symptoms: Covid in May of 2022, bacterial sinus infection in September/October of 2022

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	Dyspnoea	✓	✓	✓
HCVO	Medical counselling	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Asthma	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	✓	·	✓
SD	Sinusitis	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Fibromyalgia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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