4QK-22354-74897

4 vaccinations 10 coded responses 30 check-ins 10 free-text entries 7 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 761 / TX
Registered: 2021-01-14

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

2021-01-14
Registered in v-safe
2021-01-14
Dose 1 — Moderna
2021-01-14
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Headache

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Free text: Just a slight headache which could be caused by allergies to juniper pollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-04
Survey response — day 21, dose 1
MedDRA: Migraine — 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: Severe migraine. Don't know if it's allergies or side effects. I usually have bad headaches from December to February because of allergies so I'm chalking it up to that

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-11
Dose 2 — Moderna
2021-02-11
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-20
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-25
Survey response — day 14, dose 2
MedDRA: Anxiety, Hypertension, Office visit — Feeling: Fair · 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: High blood pressure and extreme anxiety without cause. · Healthcare visit (other): Doctor appointment is March 25th

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Report sent to call center — day 14, 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
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-11
Survey response — day 28, dose 2
MedDRA: Energy increased, Feeling abnormal, Insomnia — Feeling: Good

Free text: Insomnia - I just feel hyper and can't sleep easily. I'm feeling better than I was a couple weeks ago but I still feel a little off.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-13
Survey response — 3 months, dose 2
MedDRA: Gastrooesophageal reflux disease — Feeling: Fair · Be unable to work, 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: Terrible acid reflux every single day dor the last month!! By the end of the day I can't even move it's so bad.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Report sent to call center — 3 months, 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)
2021-06-30
Call 1 — Left Voicemail
2021-08-12
Survey response — 6 months, dose 2
MedDRA: Abdominal pain upper, Chest pain, Dyspnoea, Feeling abnormal, Headache, Hypertension, Migraine — 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 · Telehealth, virtual health, or email health consultation

Free text: Chest pain, shortness of breath, hypertension, headaches, including migraines, stomach aches and generally feeling bad every day

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-12
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-15
Call X — Left Voicemail
2021-11-02
Dose 3 — Moderna
2022-02-13
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-06-01
Dose 4 — Moderna
2022-06-03
Survey response — days 1–6 daily, dose 4
MedDRA: Unevaluable event — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: just that this has been going on for 2 day after the 4th shot.

MedDRA releases: 2024-11 · check-in free text available
2022-06-04
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Headache, Joint pains, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-06-05
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-06-07
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache, Muscle or body aches · Be unable to work or attend school

Adult check-in
2022-06-24
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-06-29
Survey response — day 28, dose 4
MedDRA: Autoimmune thyroiditis, Cardiac murmur, Hepatic enzyme increased, Hepatomegaly, Hyperlipidaemia, Iritis, Uveitis — 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

Free text: High liver enzymes (all) on many different panels, enlarged liver, (I do not drink alcohol) Hashimoto's Thyroiditis, Iritis (Uveitis), hyperlipidemia, and a heart murmur.

MedDRA releases: 2024-11 · check-in free text available
2022-06-29
Report sent to call center — day 28, 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)
2022-06-30
Call 1 — Left Voicemail
2022-06-30
Call 1 — Left Voicemail
2022-06-30
Call 2 — Left Voicemail
2022-06-30
Call 1 — Left Voicemail
2022-06-30
Call 1 — Left Voicemail
2022-07-06
Survey response — day 35, dose 4
MedDRA: Dizziness, Dyspnoea, Headache — 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, shortness of breath, dizziness,

MedDRA releases: 2024-11 · check-in free text available
2022-07-06
Report sent to call center — day 35, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-07
Call 2 — Left Voicemail
2022-07-07
Call 2 — Left Voicemail
2022-07-07
Call 3 — Left Voicemail
2022-07-07
Call 2 — Left Voicemail
2022-07-07
Call 2 — Left Voicemail
2022-07-07
Call 1 — Left Voicemail
2022-07-13
Survey response — day 42, dose 4
MedDRA: Autoimmune thyroiditis, Headache, Hepatic enzyme increased, Hepatomegaly — 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: A headache that won't go away. Elevated liver enzymes (all) enlarged liver and I don't drink alcohol. Also Hashimoto's disease. AND~ my husband just got cancer and he's on the same vaccination schedule as I am. He's also newly diabetic, at 165 lbs.

MedDRA releases: 2024-11 · check-in free text available
2022-07-13
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-14
Call 3 — Left Voicemail
2022-07-14
Call 3 — Left Voicemail
2022-07-14
Call X — Left Voicemail
2022-07-14
Call 3 — Left Voicemail
2022-07-14
Call 3 — Left Voicemail
2022-07-14
Call 2 — Left Voicemail
2022-07-14
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-11	Moderna
3	2021-11-02	Moderna	No
4	2022-06-01	Moderna	No

Call center

7 call center cases

7 unsuccessful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-19

Systemic reaction (other): Just a slight headache which could be caused by allergies to juniper pollen

Release 3 — day 21, dose 1

2021-02-04

Symptoms: Severe migraine. Don't know if it's allergies or side effects. I usually have bad headaches from December to February because of allergies so I'm chalking it up to that

Release 4 — day 14, dose 2

2021-02-25

Symptoms: High blood pressure and extreme anxiety without cause.

Healthcare visit (other): Doctor appointment is March 25th

Release 5 — day 28, dose 2

2021-03-11

Symptoms: Insomnia - I just feel hyper and can't sleep easily. I'm feeling better than I was a couple weeks ago but I still feel a little off.

Release 8 — 3 months, dose 2

2021-05-13

Symptoms: Terrible acid reflux every single day dor the last month!! By the end of the day I can't even move it's so bad.

Release 9 — 6 months, dose 2

2021-08-12

Symptoms: Chest pain, shortness of breath, hypertension, headaches, including migraines, stomach aches and generally feeling bad every day

Release 11 — days 1–6 daily, dose 4

2022-06-03

Systemic reaction (other): just that this has been going on for 2 day after the 4th shot.

Release 12 — day 28, dose 4

2022-06-29

Symptoms: High liver enzymes (all) on many different panels, enlarged liver, (I do not drink alcohol) Hashimoto's Thyroiditis, Iritis (Uveitis), hyperlipidemia, and a heart murmur.

Release 12 — day 35, dose 4

2022-07-06

Symptoms: Headaches, shortness of breath, dizziness,

Release 12 — day 42, dose 4

2022-07-13

Symptoms: A headache that won't go away. Elevated liver enzymes (all) enlarged liver and I don't drink alcohol. Also Hashimoto's disease. AND~ my husband just got cancer and he's on the same vaccination schedule as I am. He's also newly diabetic, at 165 lbs. cut off by CDC

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	Anxiety	✓	✓	✓
SD	Autoimmune thyroiditis	·	·	✓
SD	Cardiac murmur	·	·	✓
SD	Chest pain	✓	·	✓
SD	Dizziness	·	·	✓
SD	Dyspnoea	✓	·	✓
SD	Energy increased	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Gastrooesophageal reflux disease	✓	✓	✓
SD	Headache	✓	·	✓
SD	Hepatic enzyme increased	·	·	✓
SD	Hepatomegaly	·	·	✓
SD	Hyperlipidaemia	·	·	✓
SD	Hypertension	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Iritis	·	·	✓
SD	Migraine	✓	✓	✓
SD	Uveitis	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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