4RH-26175-22033

5 vaccinations 10 coded responses 57 check-ins 10 free-text entries 6 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 342 / FL
Registered: 2021-01-03

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

2021-01-03
Registered in v-safe
2021-01-03
Dose 1 — Moderna
2021-01-03
Health check-in — day 0, dose 1
Feeling: Fair · Site: Swelling · Headache

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-05
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-06
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-08
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: My symptoms come and go. Sometimes mild and sometimes moderate.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-01-10
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-31
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-01
Dose 2 — Moderna
2021-02-01
Survey response — day 0, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Headache

Free text: Sore throat starting

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

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-06
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: During night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-15
Survey response — day 42, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Exceeding My tired. May not have anything up fo with Covid. Dont know.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-06
Dose 3 — Moderna
2021-11-06
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-11-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-11-14
Health check-in — day 7, dose 3
Feeling: Fair · Headache

Adult check-in
2021-11-20
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-27
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-04
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-11
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-18
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-05
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-15
Dose 4 — Moderna
2022-04-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2022-04-20
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-04-23
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-06
Survey response — day 21, dose 4
MedDRA: Fatigue, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Fatigue fluctuates but low today · Healthcare visit (other): Office visit

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Report sent to call center — day 21, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-09
Call successful
Not applicable - Accidental Reporting
2022-05-13
Survey response — day 28, dose 4
MedDRA: Bronchitis, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Bronchial infection/ allergies

MedDRA releases: 2024-11 · check-in free text available
2022-05-13
Report sent to call center — day 28, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-17
Call 1 — Requested Callback
2022-05-17
Call 1 — Requested Callback
2022-05-17
Callback requested for
03:00PM ET
2022-05-17
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-20
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-05-27
Survey response — day 42, dose 4
MedDRA: Malaise, Office visit, Respiratory disorder, SARS-CoV-2 test negative — 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 · Outpatient clinic or urgent care clinic visit

Free text: Severe Upper respiratory illness. Tested for Covid at two different urgent care. Negative both times. Not completely well but much better now.

MedDRA releases: 2024-11 · check-in free text available
2022-05-27
Report sent to call center — day 42, 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-01
Call 2 — Left Voicemail
2022-06-01
Call 2 — Could Not Reach Participant
2022-06-01
Call 1 — Could Not Reach Participant
2022-06-06
Call 3 — Left Voicemail
2022-06-06
Call 3 — Left Voicemail
2022-06-06
Call 2 — Left Voicemail
2022-07-15
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-22
Dose 5 — Moderna
2022-09-23
Survey response — days 1–6 daily, dose 5
MedDRA: Brain fog — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Foggy brain

MedDRA releases: 2024-11 · check-in free text available
2022-09-24
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-09-25
Survey response — days 1–6 daily, dose 5
MedDRA: Dyspepsia — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Free text: Heartburn

MedDRA releases: 2024-11 · check-in free text available
2022-09-26
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fever · Fatigue or tiredness, Nausea

Adult check-in
2022-10-13
Survey response — day 21, dose 5
MedDRA: Dizziness, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Dizzy nauseaus

MedDRA releases: 2024-11 · check-in free text available
2022-10-20
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-10-27
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-03
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-22
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2023-03-23
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-03	Moderna
2	2021-02-01	Moderna
3	2021-11-06	Moderna	No
4	2022-04-15	Moderna	No
5	2022-09-22	Moderna	No

Call center

6 call center cases

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

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-08

Systemic reaction (other): My symptoms come and go. Sometimes mild and sometimes moderate.

Release 3 — day 0, dose 2

2021-02-01

Systemic reaction (other): Sore throat starting

Release 3 — days 1–6 daily, dose 2

2021-02-06

Systemic reaction (other): During night

Release 5 — day 42, dose 2

2021-03-15

Symptoms: Exceeding My tired. May not have anything up fo with Covid. Dont know.

Release 11 — day 21, dose 4

2022-05-06

Symptoms: Fatigue fluctuates but low today

Healthcare visit (other): Office visit

Release 11 — day 28, dose 4

2022-05-13

Symptoms: Bronchial infection/ allergies

Release 11 — day 42, dose 4

2022-05-27

Symptoms: Severe Upper respiratory illness. Tested for Covid at two different urgent care. Negative both times. Not completely well but much better now.

Release 12 — days 1–6 daily, dose 5

2022-09-23

Systemic reaction (other): Foggy brain

2022-09-25

Systemic reaction (other): Heartburn

Release 12 — day 21, dose 5

2022-10-13

Symptoms: Dizzy nauseaus

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	Bronchitis	·	·	✓
SD	Dizziness	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Malaise	·	·	✓
SD	Nausea	·	·	✓
SD	Office visit	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Respiratory disorder	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Brain fog	·	·	✓
SRO	Dyspepsia	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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