54C-20126-33800

4 vaccinations 16 coded responses 51 check-ins 16 free-text entries 4 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 220 / VA
Registered: 2021-01-05

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

2021-01-05
Registered in v-safe
2021-01-05
Dose 1 — Moderna
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-04
Dose 2 — Moderna
2021-02-04
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Mood altered — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Free text: Moody

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — days 1–6 daily, dose 2
MedDRA: Mood swings — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Emotional moodiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Hypertension — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: High BP

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Hypertension — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness · Be unable to work

Free text: High blood pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Hypertension — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: High BP

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-02-11
Health check-in — day 7, dose 2
Feeling: Good · Site: Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-02-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-04
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-16
Call 1 — Left Voicemail
2021-08-07
Survey response — 6 months, dose 2
MedDRA: Postmenopausal haemorrhage — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Menstrual bleeding after menopause

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-07
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-27
Dose 3 — Moderna
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend school

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Chills, Headache

Adult check-in
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Pyrexia — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Feverish yesterday evening after no fever all day

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Dizziness - not today but I forgot to report it days ago

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-03
Call 1 — Left Voicemail
2021-11-11
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-17
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-24
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-01
Survey response — day 35, dose 3
MedDRA: Fatigue, Pyrexia, Sinus congestion — Feeling: Fair

Free text: Low fever, congestion in nasal sinuses, fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Survey response — day 42, dose 3
MedDRA: Chills, Disturbance in attention, Dyspnoea, Fatigue, Headache, Pyrexia, Unevaluable event, Wheezing — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional

Free text: Symptoms: Headache, fatigue, difficulty concentrating, shortness of breath and wheezing, low fever (just a degree or so, fluctuating), occasional chills · Healthcare visit (other): COVID test scheduled for next Fri

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Report sent to call center — day 42, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-09
Call 1 — Left Voicemail
2022-01-28
Survey response — 3 months, dose 3
MedDRA: Fatigue, Headache, Nasopharyngitis, Pyrexia — Feeling: Fair · Be unable to work or attend school

Free text: A cold with headache, fatigue, low fever

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
Dose 4 — Moderna
2022-04-23
Health check-in — day 0, dose 4
Feeling: Fair · Diarrhea

Adult check-in
2022-04-24
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2022-04-25
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness

Adult check-in
2022-04-26
Survey response — days 1–6 daily, dose 4
MedDRA: Erythema, Feeling hot — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Free text: Redness on arm is warm

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Redness, Itching · Fatigue or tiredness

Adult check-in
2022-04-28
Survey response — days 1–6 daily, dose 4
MedDRA: Depression — Feeling: Fair · Fatigue or tiredness

Free text: Depression

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Survey response — days 1–6 daily, dose 4
MedDRA: Depression — Feeling: Fair · Fatigue or tiredness

Free text: Depression

MedDRA releases: 2024-11 · check-in free text available
2022-04-30
Health check-in — day 7, dose 4
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-05-07
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-14
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-21
Survey response — day 28, dose 4
MedDRA: Diarrhoea — Feeling: Fair

Free text: Diarrhea

MedDRA releases: 2024-11 · check-in free text available
2022-05-28
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-04
Survey response — day 42, dose 4
MedDRA: Diarrhoea, Unevaluable event — 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: Symptoms: Persistent recurrent diarrhea · Healthcare visit (other): Outpatient PCP appointment next Wednesday

MedDRA releases: 2024-11 · check-in free text available
2022-06-04
Report sent to call center — day 42, dose 4
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)
2022-06-06
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-06
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-06
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-06
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-23
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-22
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2023-04-25
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-05	Moderna
2	2021-02-04	Moderna
3	2021-10-27	Moderna	No
4	2022-04-23	Moderna	No

Call center

4 call center cases

4 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-05

Systemic reaction (other): Moody

2021-02-06

Systemic reaction (other): Emotional moodiness

2021-02-07

Systemic reaction (other): High BP

2021-02-08

Systemic reaction (other): High blood pressure

2021-02-09

Systemic reaction (other): High BP

Release 9 — 6 months, dose 2

2021-08-07

Symptoms: Menstrual bleeding after menopause

Release 10 — days 1–6 daily, dose 3

2021-10-31

Systemic reaction (other): Feverish yesterday evening after no fever all day

2021-11-02

Systemic reaction (other): Dizziness - not today but I forgot to report it days ago

Release 10 — day 35, dose 3

2021-12-01

Symptoms: Low fever, congestion in nasal sinuses, fatigue

Release 10 — day 42, dose 3

2021-12-08

Symptoms: Headache, fatigue, difficulty concentrating, shortness of breath and wheezing, low fever (just a degree or so, fluctuating), occasional chills

Healthcare visit (other): COVID test scheduled for next Fri

Release 11 — 3 months, dose 3

2022-01-28

Symptoms: A cold with headache, fatigue, low fever

Release 11 — days 1–6 daily, dose 4

2022-04-26

Systemic reaction (other): Redness on arm is warm

2022-04-28

Systemic reaction (other): Depression

2022-04-29

Systemic reaction (other): Depression

Release 11 — day 28, dose 4

2022-05-21

Symptoms: Diarrhea

Release 11 — day 42, dose 4

2022-06-04

Symptoms: Persistent recurrent diarrhea

Healthcare visit (other): Outpatient PCP appointment next Wednesday

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	Unevaluable event	·	·	✓
SD	Chills	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Disturbance in attention	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Postmenopausal haemorrhage	✓	·	✓
SD	Pyrexia	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Wheezing	·	·	✓
SRO	Depression	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Erythema	·	·	✓
SRO	Feeling hot	·	·	✓
SRO	Hypertension	✓	✓	✓
SRO	Mood altered	✓	✓	✓
SRO	Mood swings	✓	✓	✓
SRO	Pyrexia	·	·	✓

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