52B-28779-34415

3 vaccinations 16 coded responses 35 check-ins 15 free-text entries 5 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 363 / AL
Registered: 2021-01-13

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

2021-01-12
Dose 1 — Moderna
2021-01-13
Registered in v-safe
2021-01-13
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Poor · Site: Pain · Fever · 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: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising — Feeling: Good · Fatigue or tiredness

Free text: Bruising at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-01-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-02
Survey response — day 21, dose 1
MedDRA: Asthenia, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Achy and no energy at all. Not like me to be this way

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Dose 2 — Moderna
2021-02-09
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Respiratory tract congestion — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Medical counselling — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Called and spoke with my nurse. Got phenergan

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Report sent to call center — days 1–6 daily, 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)
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Diarrhoea, Hyperhidrosis — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Sweating with the diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-15
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus, Rash, Thermal burn — Feeling: Fair · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Rash on buttock. Mild from first vaccine and now worse with second. Burns and itches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — day 7, dose 2
MedDRA: Rash — Feeling: Fair · Rash, not including the immediate area around the injection site

Free text: Still rash on buttock

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-02
Survey response — day 21, dose 2
MedDRA: Headache — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Severe headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-11
Survey response — 3 months, dose 2
MedDRA: Office visit, Tooth disorder — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Teeth falling apart since covid vaccine. Having to get all pulled. I will not get another covid vaccine ever. · Healthcare visit (other): Dentist. already got 4 pulled. Getting all pulled.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
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)
2021-06-10
Call 2 — Left Voicemail
2021-08-10
Survey response — 6 months, dose 2
MedDRA: Denture wearer, Loss of employment, Migraine, Office visit, Tooth extraction — 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

Free text: Symptoms: Since vaccine my top teeth all needed pulling and had to get dentures. Lost my job as result. Also started having migranes. · Healthcare visit (other): Lots of dental work

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-10
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)
2021-08-16
Call 3 — Left Voicemail
2022-01-05
Dose 3 — Moderna
2022-01-06
Survey response — days 1–6 daily, dose 3
MedDRA: Musculoskeletal stiffness, Neck pain — Feeling: Fair · Site: Pain · Headache, Joint pains · Be unable to do your normal daily activities

Free text: Neck pain. Feels real stiff

MedDRA releases: 2024-11 · check-in free text available
2022-01-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2022-01-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Rash, not including the immediate area around the injection site

Adult check-in
2022-01-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-12
Health check-in — day 7, dose 3
Feeling: Good · Site: Redness, Itching · Rash, not including the immediate area around the injection site

Adult check-in
2022-01-16
Call 2 — Left Voicemail
2022-01-20
Survey response — day 14, dose 3
MedDRA: Rash — Feeling: Fair · Be unable to do your normal daily activities

Free text: Rash on face and neck. Have not done anything different except get booster

MedDRA releases: 2024-11 · check-in free text available
2022-01-26
Survey response — day 21, dose 3
MedDRA: Rash — Feeling: Fair · Be unable to do your normal daily activities

Free text: Rash is getting worse. Now on other side of neck and on face. Not using or doing anything differently

MedDRA releases: 2024-11 · check-in free text available
2022-02-02
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-09
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-19
Survey response — day 42, dose 3
MedDRA: Rash — Feeling: Good

Free text: Rash on neck

MedDRA releases: 2024-11 · check-in free text available
2022-04-08
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2023-01-05
Survey response — 12 months, dose 3
MedDRA: Office visit, Rash — Feeling: Good · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-01-05
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2023-01-06
Call 1 — Left Voicemail
2023-01-06
Call 1 — Left Voicemail
2023-01-06
Call 1 — Left Voicemail
2023-01-06
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-12	Moderna
2	2021-02-09	Moderna
3	2022-01-05	Moderna	No

Call center

5 call center cases

4 unsuccessful · 1 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 1 — days 1–6 daily, dose 1

2021-01-13

Systemic reaction (other): Brain fog

Release 2 — days 1–6 daily, dose 1

2021-01-18

Systemic reaction (other): Bruising at injection site

Release 3 — day 21, dose 1

2021-02-02

Symptoms: Achy and no energy at all. Not like me to be this way

Release 3 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Congestion

Release 4 — days 1–6 daily, dose 2

2021-02-11

Healthcare visit (other): Called and spoke with my nurse. Got phenergan

2021-02-12

Systemic reaction (other): Sweating with the diarrhea

2021-02-15

Systemic reaction (other): Rash on buttock. Mild from first vaccine and now worse with second. Burns and itches

Release 4 — day 7, dose 2

2021-02-16

Systemic reaction (other): Still rash on buttock

Release 4 — day 21, dose 2

2021-03-02

Symptoms: Severe headaches

Release 8 — 3 months, dose 2

2021-05-11

Symptoms: Teeth falling apart since covid vaccine. Having to get all pulled. I will not get another covid vaccine ever.

Healthcare visit (other): Dentist. already got 4 pulled. Getting all pulled.

Release 9 — 6 months, dose 2

2021-08-10

Symptoms: Since vaccine my top teeth all needed pulling and had to get dentures. Lost my job as result. Also started having migranes.

Healthcare visit (other): Lots of dental work

Release 10 — days 1–6 daily, dose 3

2022-01-06

Systemic reaction (other): Neck pain. Feels real stiff

Release 10 — day 14, dose 3

2022-01-20

Symptoms: Rash on face and neck. Have not done anything different except get booster

Release 11 — day 21, dose 3

2022-01-26

Symptoms: Rash is getting worse. Now on other side of neck and on face. Not using or doing anything differently

Release 11 — day 42, dose 3

2022-02-19

Symptoms: Rash on neck

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	Medical counselling	✓	✓	✓
HCVO	Office visit	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Denture wearer	✓	·	✓
SD	Headache	✓	✓	✓
SD	Loss of employment	✓	·	✓
SD	Migraine	✓	·	✓
SD	Pain	✓	✓	✓
SD	Rash	·	·	✓
SD	Tooth disorder	✓	✓	✓
SD	Tooth extraction	✓	·	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Musculoskeletal stiffness	·	·	✓
SRO	Neck pain	·	·	✓
SRO	Pruritus	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Thermal burn	✓	✓	✓

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