4VB-90047-59189

2 vaccinations 6 coded responses 10 check-ins 6 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 229 / VA
Registered: 2021-03-05

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

2021-02-04
Dose 1 — Moderna
2021-03-04
Dose 2 — Moderna
2021-03-05
Registered in v-safe
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Urinary retention — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Difficulty empying bladder about 9 hours after vaccine, with duration of approx. 3 hours.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fever · Chills, Fatigue or tiredness

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-21
Survey response — day 14, dose 2
MedDRA: Dizziness, Somnolence — Feeling: Fair

Free text: Light headed, dizzy, and sleepy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — day 21, dose 2
MedDRA: Asthenia, Fatigue, Feeling cold, Malaise, Myalgia, Nausea, Office visit, Pain — Feeling: Poor · 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: Body aches, muscle pain and weakness, nausea, malaise, fatigue, cold/freezing. · Healthcare visit (other): Seen by outpatient clinic/ PCP twice this week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Report sent to call center — day 21, 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)
2021-04-08
Survey response — day 35, dose 2
MedDRA: Unevaluable event — 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, Hospitalization

Free text: Re-activated EBV/Mono with Beta Strep infection. Healthcare provider stated it might be caused by the COVID vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Report sent to call center — day 35, 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)
2021-04-18
Survey response — day 42, dose 2
MedDRA: Dizziness, Fatigue, Feeling abnormal, Headache, Neck pain, Sluggishness, Somnolence, Tinnitus — 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, Emergency room or emergency department visit

Free text: Constant head and neck pain with headache. Tinitus, dizzy, feel spacey. Tired, sleepy, sluggish.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Report sent to call center — day 42, 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)
2021-09-02
Health check-in — 6 months, dose 2
Feeling: Poor

Adult check-in
2021-12-13
Call 1 — Left Voicemail
2022-03-04
Survey response — 12 months, dose 2
MedDRA: Cough, Dizziness, Fatigue, Limb operation, Lower limb fracture, Oropharyngeal pain, Pain, Respiratory tract congestion, Tremor — 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 · Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: Cough, fatigue, sore throat, congestion, dizziness, achy, tremors. Also broken leg. · Healthcare visit (other): Surgery for broken leg

MedDRA releases: 2024-11 · check-in free text available
2022-03-04
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

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-03-08
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Moderna
2	2021-03-04	Moderna

Call center

4 call center cases

4 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-05

Systemic reaction (other): Difficulty empying bladder about 9 hours after vaccine, with duration of approx. 3 hours.

Release 6 — day 14, dose 2

2021-03-21

Symptoms: Light headed, dizzy, and sleepy.

Release 6 — day 21, dose 2

2021-03-25

Symptoms: Body aches, muscle pain and weakness, nausea, malaise, fatigue, cold/freezing.

Healthcare visit (other): Seen by outpatient clinic/ PCP twice this week.

Release 7 — day 35, dose 2

2021-04-08

Symptoms: Re-activated EBV/Mono with Beta Strep infection. Healthcare provider stated it might be caused by the COVID vaccine.

Release 7 — day 42, dose 2

2021-04-18

Symptoms: Constant head and neck pain with headache. Tinitus, dizzy, feel spacey. Tired, sleepy, sluggish.

Release 11 — 12 months, dose 2

2022-03-04

Symptoms: Cough, fatigue, sore throat, congestion, dizziness, achy, tremors. Also broken leg.

Healthcare visit (other): Surgery for broken leg

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	Limb operation	·	·	✓
HCVO	Lower limb fracture	·	·	✓
HCVO	Office visit	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Cough	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Feeling cold	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Lower limb fracture	·	·	✓
SD	Malaise	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sluggishness	✓	✓	✓
SD	Somnolence	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SD	Tremor	·	·	✓
SD	Unevaluable event	✓	✓	✓
SRO	Urinary retention	✓	✓	✓

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