4X5-12294-25168

4 vaccinations 9 coded responses 29 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 983 / WA
Registered: 2021-03-10

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-12
Dose 1 — Moderna
2021-03-10
Registered in v-safe
2021-03-10
Dose 2 — Moderna
2021-03-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · Fatigue or tiredness

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-03-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-31
Survey response — day 21, dose 2
MedDRA: Chest discomfort, Cough, Pre-existing disease, Wheezing — Feeling: Good

Free text: My cough is worse. And I feel like something is all wheezy in my chest. I have to use my inhaler more v

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — day 28, dose 2
MedDRA: Cough — Feeling: Good

Free text: My cough is worse. Ive been using an inhaler which helps some.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — day 35, dose 2
MedDRA: Pain in extremity — Feeling: Good

Free text: Very sore arm. Had an MRI on it today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 42, dose 2
MedDRA: Pain in extremity — Feeling: Good

Free text: I had a really sore arm. Recently had an MRI and it turns out I have a torn something or other in my shoulder. So its not because of the vax.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Survey response — 3 months, dose 2
MedDRA: Bronchitis, Cough, Hypersensitivity, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: I have bronchitis and it may have developed because right after my last vax in March, I developed a cough that I attributed to allergies. Perhaps from that bronchitis settled in. Im on medication for it now. · Healthcare visit (other): Maybe the bronchitis is related to the final Covid vax. Not sure.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-10
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-25
Dose 3 — Moderna
Co-administered: Shingles
2021-10-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-30
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-06
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-11-11
Call 1 — Left Voicemail
2021-11-15
Call 2 — Requested Callback
2021-11-16
Call 3 — Could Not Reach Participant
2021-11-19
Call X — Left Voicemail
2021-12-26
Survey response — 3 months, dose 3
MedDRA: Office visit, Sinus disorder, Wheezing — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Wheezing and sinus problems · Healthcare visit (other): Office visit with the doctor

MedDRA releases: 2024-11 · check-in free text available
2021-12-26
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-27
Call 1 — Left Voicemail
2022-03-26
Survey response — 6 months, dose 3
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good

Free text: Return of cancer in several lymph in chest.

MedDRA releases: 2024-11 · check-in free text available
2022-04-04
Dose 4 — Moderna
2022-04-14
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-18
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-04
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-09
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-16
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-04
Survey response — 3 months, dose 4
MedDRA: Cough, Pre-existing disease, Sinusitis — Feeling: Fair

Free text: Sinusitis because of allergies. And worsening cough because of asthma.

MedDRA releases: 2024-11 · check-in free text available
2022-10-04
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2023-04-04
Survey response — 12 months, dose 4
MedDRA: Dyspnoea — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-12	Moderna
2	2021-03-10	Moderna
3	2021-09-25	Moderna	Shingles
4	2022-04-04	Moderna	No

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — day 21, dose 2

2021-03-31

Symptoms: My cough is worse. And I feel like something is all wheezy in my chest. I have to use my inhaler more v

Release 7 — day 28, dose 2

2021-04-07

Symptoms: My cough is worse. Ive been using an inhaler which helps some.

Release 7 — day 35, dose 2

2021-04-14

Symptoms: Very sore arm. Had an MRI on it today.

Release 7 — day 42, dose 2

2021-04-21

Symptoms: I had a really sore arm. Recently had an MRI and it turns out I have a torn something or other in my shoulder. So its not because of the vax.

Release 9 — 3 months, dose 2

2021-06-09

Symptoms: I have bronchitis and it may have developed because right after my last vax in March, I developed a cough that I attributed to allergies. Perhaps from that bronchitis settled in. Im on medication for it now.

Healthcare visit (other): Maybe the bronchitis is related to the final Covid vax. Not sure.

Release 10 — 3 months, dose 3

2021-12-26

Symptoms: Wheezing and sinus problems

Healthcare visit (other): Office visit with the doctor

Release 11 — 6 months, dose 3

2022-03-26

Symptoms: Return of cancer in several lymph in chest.

Release 12 — 3 months, dose 4

2022-07-04

Symptoms: Sinusitis because of allergies. And worsening cough because of asthma.

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	Bronchitis	✓	·	✓
HCVO	Office visit	·	·	✓
HCVO	Unevaluable event	○	✓	○
SD	Bronchitis	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Condition aggravated	·	·	✓
SD	Cough	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Hypersensitivity	○	✓	○
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Sinus disorder	·	·	✓
SD	Sinusitis	·	·	✓
SD	Wheezing	✓	✓	✓

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