4RM-26740-70388

5 vaccinations 10 coded responses 37 check-ins 10 free-text entries 7 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 890 / NV
Registered: 2021-01-17

Relationship: Self
Race: Multiracial
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
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-17
Report sent to call center — day 0, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-18
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-24
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-31
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-07
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-14
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-21
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-02-28
Health check-in — day 42, dose 1
Feeling: Good

Adult check-in
2021-03-02
Dose 2 — Moderna
2021-03-04
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
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Diarrhea

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — day 7, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-03-16
Survey response — day 14, dose 2
MedDRA: Diarrhoea, Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Extreme fatigue and diarrhea.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — day 21, dose 2
MedDRA: Diarrhoea — Feeling: Good

Free text: Diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — day 28, dose 2
MedDRA: Colon cancer recurrent, Condition aggravated, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Recurrence of colon cancer.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-06
Survey response — day 35, dose 2
MedDRA: Condition aggravated, Disease recurrence, Neoplasm malignant, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Cancer recurrence

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-10
Call 1 — Left Voicemail
2021-08-31
Survey response — 6 months, dose 2
MedDRA: Malignant neoplasm progression, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Recurrence of cancer · Healthcare visit (other): Oncologist - Im not certain the vaccine cause the recurrence, but it happened shortly after receiving my Covid vaccine. Just want to provide info for further study.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-31
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-02
Call 1 — Left Voicemail
2021-11-12
Dose 3 — Moderna
2022-02-14
Dose 4 — Moderna
2022-03-04
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-09-30
Dose 5 — Moderna
2022-10-02
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-03
Survey response — days 1–6 daily, dose 5
MedDRA: Tinnitus — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Ringing in ears - moderate

MedDRA releases: 2024-11 · check-in free text available
2022-10-04
Survey response — days 1–6 daily, dose 5
MedDRA: Cough, Rhinorrhoea — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school

Free text: Cough and runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-10-05
Survey response — days 1–6 daily, dose 5
MedDRA: Cough, Nasal congestion, Respiratory tract congestion — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness, Diarrhea · 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, nasal congestion & cough

MedDRA releases: 2024-11 · check-in free text available
2022-10-05
Report sent to call center — days 1–6 daily, dose 5
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)
2022-10-06
Survey response — days 1–6 daily, dose 5
MedDRA: Cough, Dyspnoea, Nasal congestion, Respiratory tract congestion — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cough, chest and nasal congestion, shortness of Breath

MedDRA releases: 2024-11 · check-in free text available
2022-10-06
Call 1 — Left Voicemail
2022-10-06
Call 2 — Left Voicemail
2022-10-06
Call 2 — Left Voicemail
2022-10-06
Call 1 — Left Voicemail
2022-10-07
Health check-in — day 7, dose 5
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-10-14
Survey response — day 14, dose 5
MedDRA: Cyst, Hypersensitivity, Infected cyst, Office visit, Pre-existing disease — 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: Developed an infected cyst on chest. Saw physician and treated with antibiotics. Also developed bad allergies and was Rx oral prednisone

MedDRA releases: 2024-11 · check-in free text available
2022-10-14
Report sent to call center — day 14, dose 5
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)
2022-10-17
Call 2 — Left Voicemail
2022-10-17
Call 3 — Left Voicemail
2022-10-17
Call 3 — Left Voicemail
2022-10-17
Call 2 — Left Voicemail
2022-10-17
Call 1 — Left Voicemail
2022-10-28
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-04
Health check-in — day 35, dose 5
Feeling: Good

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

Adult check-in
2023-03-31
Health check-in — 6 months, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-17	Moderna
2	2021-03-02	Moderna
3	2021-11-12	Moderna	No
4	2022-02-14	Moderna	No
5	2022-09-30	Moderna	No

Call center

7 call center cases

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

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — day 14, dose 2

2021-03-16

Symptoms: Extreme fatigue and diarrhea.

Release 6 — day 21, dose 2

2021-03-23

Symptoms: Diarrhea

Release 6 — day 28, dose 2

2021-03-30

Symptoms: Recurrence of colon cancer.

Release 7 — day 35, dose 2

2021-04-06

Symptoms: Cancer recurrence

Release 9 — 6 months, dose 2

2021-08-31

Symptoms: Recurrence of cancer

Healthcare visit (other): Oncologist - Im not certain the vaccine cause the recurrence, but it happened shortly after receiving my Covid vaccine. Just want to provide info for further study.

Release 12 — days 1–6 daily, dose 5

2022-10-03

Systemic reaction (other): Ringing in ears - moderate

2022-10-04

Systemic reaction (other): Cough and runny nose

2022-10-05

Systemic reaction (other): Chest, nasal congestion & cough

2022-10-06

Systemic reaction (other): Cough, chest and nasal congestion, shortness of Breath

Release 12 — day 14, dose 5

2022-10-14

Symptoms: Developed an infected cyst on chest. Saw physician and treated with antibiotics. Also developed bad allergies and was Rx oral prednisone

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	Malignant neoplasm progression	✓	·	✓
HCVO	Office visit	✓	·	✓
HCVO	Pre-existing disease	✓	·	✓
SD	Colon cancer recurrent	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Cyst	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Disease recurrence	○	✓	○
SD	Fatigue	✓	✓	✓
SD	Hypersensitivity	·	·	✓
SD	Infected cyst	·	·	✓
SD	Malignant neoplasm progression	✓	·	✓
SD	Neoplasm malignant	○	✓	○
SD	Office visit	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Recurrent cancer	○	·	○
SRO	Cough	·	·	✓
SRO	Dyspnoea	·	·	✓
SRO	Nasal congestion	·	·	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Tinnitus	·	·	✓

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