54W-26101-43567

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

Sex: Female
Age at first dose: 61-65
ZIP prefix: 221 / VA
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

2021-01-13
Registered in v-safe
2021-01-13
Dose 1 — Moderna
2021-01-14
Survey response — days 1–6 daily, dose 1
MedDRA: Delusion, Pyrexia, Tremor — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Shaking. Fever delusions

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
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)
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-15
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)
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Eye pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Eye pain. Likely unrelated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Eye pain — Feeling: Fair · Site: Pain · Joint pains

Free text: My left eye still hurts. Will see Opthomolo weds.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Survey response — day 7, dose 1
MedDRA: Eye pain — Feeling: Good · Fatigue or tiredness

Free text: I had eye pain. Saw doc. Close to glaucoma. Will need surgery

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — day 14, dose 1
MedDRA: Eye pain, Pyrexia — Feeling: Good

Free text: Cant remember if I said this. Went to eye doc for the eye pain sx that started with the Vax fever. Narrow angle channels got worse. Must have surgery to prevent glaucoma. I said my hi temp was 102. That was after I imprv enough to take temp. Was more

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-10
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-12
Dose 2 — Moderna
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia — Feeling: Good · Site: Pain, Redness, Itching · Fatigue or tiredness, Abdominal pain

Free text: Insomnia last night. Unrelated?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-14
Survey response — 3 months, dose 2
MedDRA: Gastrointestinal disorder — Feeling: Good

Free text: Gastrointestinal problems. Maybe a virus.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-13
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-12
Survey response — 12 months, dose 2
MedDRA: Chills, Cough, Exposure to SARS-CoV-2, Fatigue, Illness, Malaise — Feeling: Good · Be unable to do your normal daily activities

Free text: January had brief illness following a solid and verified COVID-19 exposure. Unable to get tested to verify whether I had COVID but the timing tracks. 4 days after prolonged exposure. Sick one day with fatigue and chills and two nights of a cough

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Moderna
2	2021-02-12	Moderna

Call center

2 call center cases

2 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-14

Systemic reaction (other): Shaking. Fever delusions

2021-01-16

Systemic reaction (other): Eye pain. Likely unrelated

2021-01-18

Systemic reaction (other): My left eye still hurts. Will see Opthomolo weds.

Release 2 — day 7, dose 1

2021-01-22

Systemic reaction (other): I had eye pain. Saw doc. Close to glaucoma. Will need surgery

Release 2 — day 14, dose 1

2021-01-27

Symptoms: Cant remember if I said this. Went to eye doc for the eye pain sx that started with the Vax fever. Narrow angle channels got worse. Must have surgery to prevent glaucoma. I said my hi temp was 102. That was after I imprv enough to take temp. Was more cut off by CDC

Release 4 — days 1–6 daily, dose 2

2021-02-13

Systemic reaction (other): Dizzy

2021-02-15

Systemic reaction (other): Insomnia last night. Unrelated?

Release 8 — 3 months, dose 2

2021-05-14

Symptoms: Gastrointestinal problems. Maybe a virus.

Release 11 — 12 months, dose 2

2022-02-12

Symptoms: January had brief illness following a solid and verified COVID-19 exposure. Unable to get tested to verify whether I had COVID but the timing tracks. 4 days after prolonged exposure. Sick one day with fatigue and chills and two nights of a cough

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
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Eye pain	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Gastrointestinal disorder	✓	✓	✓
SD	Illness	·	·	✓
SD	Malaise	·	·	✓
SD	Pyrexia	✓	✓	✓
SRO	Delusion	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Tremor	✓	✓	✓

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