4M3-21391-18399

5 vaccinations 17 coded responses 60 check-ins 17 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 923 / CA
Registered: 2021-01-17

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

2021-01-17
Registered in v-safe
2021-01-17
Dose 1 — Moderna
2021-01-17
Survey response — day 0, dose 1
MedDRA: Chest discomfort — Feeling: Good

Free text: Some mid chest pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-24
Health check-in — day 7, dose 1
Feeling: Fair · Headache

Adult check-in
2021-01-31
Survey response — day 14, dose 1
MedDRA: Fatigue, Headache, Injection site pain — Feeling: Fair

Free text: Feeling quite fatigued today For 9 days after my shot, my arm was fine and pain free.days 10, 11, 12 the spot of the injection was quite sore to the touch. Daily headaches continue- Ive read Im not really supposed to take any pain med pos

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-14
Survey response — day 28, dose 1
MedDRA: Headache — Feeling: Fair

Free text: Headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Dose 2 — Moderna
2021-02-18
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · Fatigue or tiredness

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-25
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-25
Survey response — day 35, dose 2
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Tingling and /or numbness in hands and feetHave neurologist appt next Tuesday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-01
Survey response — day 42, dose 2
MedDRA: Chills, Headache, Temperature intolerance — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sensitivity to cold, chills even when temp is high outside, headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-21
Health check-in — 3 months, dose 2
Feeling: Poor

Adult check-in
2021-06-08
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-06-08
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-08-19
Survey response — 6 months, dose 2
MedDRA: Fatigue, Nausea, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Extreme fatigue and daylong nausea · Healthcare visit (other): Personal doctor

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-19
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)
2021-08-24
Call 1 — Left Voicemail
2021-08-26
Call 2 — Left Voicemail
2021-08-31
Call 3 — Left Voicemail
2021-09-01
Call X — Left Voicemail
2021-11-03
Dose 3 — Moderna
2021-11-03
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-11-04
Survey response — days 1–6 daily, dose 3
MedDRA: Pruritus — Feeling: Good

Free text: Very itchy yesterday from 4:30-7PM. Disappeared after that.

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Survey response — days 1–6 daily, dose 3
MedDRA: Constipation — Feeling: Good · Site: Redness

Free text: Constipation

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site erythema, Injection site pruritus, Injection site warmth — Feeling: Good · Site: Redness, Swelling, Itching

Free text: Area around injection site is reddish, itchy and WARM

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Swelling, Itching · Headache

Adult check-in
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling · Headache

Adult check-in
2021-11-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches

Adult check-in
2021-11-10
Health check-in — day 7, dose 3
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-11-17
Survey response — day 14, dose 3
MedDRA: Arthralgia, Fatigue, Myalgia — Feeling: Fair

Free text: Joint and muscle pain Fatigue continues- worse this week

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-01
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-08
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-15
Survey response — day 42, dose 3
MedDRA: Oropharyngeal pain, Pre-existing disease — Feeling: Good

Free text: Sore throat probably allergies

MedDRA releases: 2024-11 · check-in free text available
2022-02-03
Survey response — 3 months, dose 3
MedDRA: Chills — Feeling: Good

Free text: Chills

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-09
Dose 4 — Moderna
2022-05-15
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-16
Health check-in — day 7, dose 4
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-23
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-30
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-06
Survey response — day 28, dose 4
MedDRA: Abdominal pain upper, Fatigue — Feeling: Good

Free text: Fatigue , stomach pains

MedDRA releases: 2024-11 · check-in free text available
2022-06-13
Survey response — day 35, dose 4
MedDRA: Fatigue, Headache — Feeling: Fair

Free text: Headache, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-06-20
Survey response — day 42, dose 4
MedDRA: Cough, Fatigue, Headache, Pain, Rhinorrhoea, SARS-CoV-2 test negative, Sneezing — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue - now pretty serious- continues. Sneezing runny nose occasional cough, aches headaches. I did two Covid antigen rapid tests but both were negative.

MedDRA releases: 2024-11 · check-in free text available
2022-08-10
Survey response — 3 months, dose 4
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extreme fatigue ever since second booster shot on May 9th 2022.

MedDRA releases: 2024-11 · check-in free text available
2022-10-27
Dose 5 — Pfizer-BioNTech
2022-10-29
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-30
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-31
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-11-01
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-11-03
Health check-in — day 7, dose 5
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-11-10
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-17
Survey response — day 21, dose 5
MedDRA: Chills, Feeling cold — Feeling: Good

Free text: Feel cold and get chills

MedDRA releases: 2024-11 · check-in free text available
2022-11-24
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-12-01
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-12-08
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-28
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-30
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-17	Moderna
2	2021-02-18	Moderna
3	2021-11-03	Moderna	No
4	2022-05-09	Moderna	No
5	2022-10-27	Pfizer-BioNTech	No

Call center

3 call center cases

2 successful · 1 unsuccessful

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-17

Systemic reaction (other): Some mid chest pressure

Release 3 — day 14, dose 1

2021-01-31

Symptoms: Feeling quite fatigued today For 9 days after my shot, my arm was fine and pain free.days 10, 11, 12 the spot of the injection was quite sore to the touch. Daily headaches continue- Ive read Im not really supposed to take any pain med pos

Release 4 — day 28, dose 1

2021-02-14

Symptoms: Headaches

Release 6 — day 35, dose 2

2021-03-25

Symptoms: Tingling and /or numbness in hands and feetHave neurologist appt next Tuesday.

Release 6 — day 42, dose 2

2021-04-01

Symptoms: Sensitivity to cold, chills even when temp is high outside, headaches

Release 9 — 6 months, dose 2

2021-08-19

Symptoms: Extreme fatigue and daylong nausea

Healthcare visit (other): Personal doctor

Release 10 — days 1–6 daily, dose 3

2021-11-04

Systemic reaction (other): Very itchy yesterday from 4:30-7PM. Disappeared after that.

2021-11-05

Systemic reaction (other): Constipation

2021-11-06

Systemic reaction (other): Area around injection site is reddish, itchy and WARM

Release 10 — day 14, dose 3

2021-11-17

Symptoms: Joint and muscle pain Fatigue continues- worse this week

Release 10 — day 42, dose 3

2021-12-15

Symptoms: Sore throat probably allergies

Release 11 — 3 months, dose 3

2022-02-03

Symptoms: Chills

Release 11 — day 28, dose 4

2022-06-06

Symptoms: Fatigue , stomach pains

Release 12 — day 35, dose 4

2022-06-13

Symptoms: Headache, fatigue

Release 12 — day 42, dose 4

2022-06-20

Symptoms: Fatigue - now pretty serious- continues. Sneezing runny nose occasional cough, aches headaches. I did two Covid antigen rapid tests but both were negative.

Release 12 — 3 months, dose 4

2022-08-10

Symptoms: Extreme fatigue ever since second booster shot on May 9th 2022.

Release 12 — day 21, dose 5

2022-11-17

Symptoms: Feel cold and get chills

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 pain upper	·	·	✓
SD	Arthralgia	·	·	✓
SD	Chills	✓	✓	✓
SD	Cough	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling cold	·	·	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Nausea	✓	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Paraesthesia	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sneezing	·	·	✓
SD	Temperature intolerance	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Constipation	·	·	✓
SRO	Injection site erythema	·	·	✓
SRO	Injection site pruritus	·	·	✓
SRO	Injection site warmth	·	·	✓
SRO	Pruritus	·	·	✓

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