4SE-25338-68116

2 vaccinations 13 coded responses 23 check-ins 13 free-text entries 9 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 744 / OK
Registered: 2021-01-06

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

2021-01-06
Registered in v-safe
2021-01-06
Dose 1 — Moderna
2021-01-06
Survey response — day 0, dose 1
MedDRA: Dysgeusia, Immediate post-injection reaction — Feeling: Fair · Site: Pain, Itching

Free text: Funny taste in mouth right after vaccine given

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: A cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
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: Cough — Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Cough

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 · Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-09
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-01-27
Survey response — day 21, dose 1
MedDRA: Back pain, Flushing, Headache — Feeling: Fair

Free text: Headaches , flushed face , back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Dose 2 — Moderna
2021-02-02
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-03
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate irregular — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Fast heartbeat

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

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-02-09
Health check-in — day 7, dose 2
Feeling: Good · Chills

Adult check-in
2021-02-18
Survey response — day 14, dose 2
MedDRA: Dyspnoea — Feeling: Good

Free text: I had a breathing issue for a few hours. I took albuterol and it resolved

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — day 21, dose 2
MedDRA: Hypoaesthesia — Feeling: Fair

Free text: Numbness in neck, shoulder area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — day 28, dose 2
MedDRA: Office visit, Oral infection, Tooth loss — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Infection in mouth causing loss of two teeth. · Healthcare visit (other): Dental

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-09
Survey response — day 35, dose 2
MedDRA: Arthralgia, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Knee and calf pain

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

1 call case(s)
2021-03-17
Survey response — day 42, dose 2
MedDRA: Goitre, Thrombosis — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Superficial blood clot in right calf , enlarged thyroid

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-06
Survey response — 3 months, dose 2
MedDRA: Palpitations, Renal failure, Spleen disorder, Splenic calcification, Splenomegaly, Thyroid disorder, 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 · Emergency room or emergency department visit

Free text: Symptoms: Enlarged spleen with calcification. Kidney failure that I have never had before. Thyroid problems that I have never had before. And heart palpitations that I am now on a monitor for · Healthcare visit (other): I am now a patient of the (b)(6) heart Institute

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
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)
2021-06-07
Call 1 — Left Voicemail
2021-06-07
Call 1 — Left Voicemail
2021-06-07
Call 1 — Left Voicemail
2021-06-07
Call 1 — Left Voicemail
2021-08-05
Survey response — 6 months, dose 2
MedDRA: Aortic arteriosclerosis, Pre-existing disease, Renal impairment, Splenic calcification, Thyroid calcification, Thyroid mass — 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, Emergency room or emergency department visit

Free text: Calcified spleen, Calcifications and a nodule on my thyroid. Low kidney function, chronic bladder infections. Calcification of the aortic arch which was not there last year December 6 none of this was there I had an abdominal CAT scan at that time.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-05
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)
2021-08-18
Call 1 — Left Voicemail
2022-02-02
Survey response — 12 months, dose 2
MedDRA: COVID-19 — 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: Covid

MedDRA releases: 2024-11 · check-in free text available
2022-02-02
Report sent to call center — 12 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-04
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Moderna
2	2021-02-02	Moderna

Call center

9 call center cases

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

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-06

Systemic reaction (other): Funny taste in mouth right after vaccine given

Release 1 — days 1–6 daily, dose 1

2021-01-07

Systemic reaction (other): A cough

2021-01-08

Systemic reaction (other): Cough

Release 2 — day 21, dose 1

2021-01-27

Symptoms: Headaches , flushed face , back pain

Release 3 — days 1–6 daily, dose 2

2021-02-03

Systemic reaction (other): Fast heartbeat

Release 4 — day 14, dose 2

2021-02-18

Symptoms: I had a breathing issue for a few hours. I took albuterol and it resolved

Release 4 — day 21, dose 2

2021-02-23

Symptoms: Numbness in neck, shoulder area

Release 4 — day 28, dose 2

2021-03-02

Symptoms: Infection in mouth causing loss of two teeth.

Healthcare visit (other): Dental

Release 5 — day 35, dose 2

2021-03-09

Symptoms: Knee and calf pain

Release 5 — day 42, dose 2

2021-03-17

Symptoms: Superficial blood clot in right calf , enlarged thyroid

Release 8 — 3 months, dose 2

2021-05-06

Symptoms: Enlarged spleen with calcification. Kidney failure that I have never had before. Thyroid problems that I have never had before. And heart palpitations that I am now on a monitor for

Healthcare visit (other): I am now a patient of the (b)(6) heart Institute

redacted (b)(6)

Release 9 — 6 months, dose 2

2021-08-05

Symptoms: Calcified spleen, Calcifications and a nodule on my thyroid. Low kidney function, chronic bladder infections. Calcification of the aortic arch which was not there last year December 6 none of this was there I had an abdominal CAT scan at that time. cut off by CDC

Release 11 — 12 months, dose 2

2022-02-02

Symptoms: Covid

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	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Aortic arteriosclerosis	✓	·	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Flushing	✓	✓	✓
SD	Goitre	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Oral infection	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Pre-existing disease	✓	·	✓
SD	Renal failure	✓	✓	✓
SD	Renal impairment	✓	·	✓
SD	Spleen disorder	○	✓	○
SD	Splenic calcification	✓	·	✓
SD	Splenomegaly	✓	✓	✓
SD	Thrombosis	✓	✓	✓
SD	Thyroid calcification	✓	·	✓
SD	Thyroid disorder	✓	✓	✓
SD	Thyroid mass	✓	·	✓
SD	Tooth loss	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Heart rate irregular	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Taste disorder	○	○	○

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