58H-52777-39035

3 vaccinations 9 coded responses 27 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 814 / CO
Registered: 2021-02-06

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
2021-02-06
Registered in v-safe
2021-02-06
Survey response — days 1–6 daily, dose 1
MedDRA: Tongue disorder — Feeling: Fair · Headache

Free text: Very slight tongue feeling thick

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-11
Survey response — day 7, dose 1
MedDRA: Headache, Seasonal allergy — Feeling: Fair · Headache

Free text: Headache probably seasonal allergies.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-04
Dose 2 — Moderna
2021-03-04
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Poor · Site: Swelling · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Foggy head

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Free text: Foggy brain

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 · Site: Itching · None

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity, Pre-existing disease, Procedural site reaction — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Strange event; severe pain at site of surgery on top of foot yesterday and again today. Cant explain. Most likely a coincident and NOT related to vaccination but have never had such severe pain at that site ever.

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

Adult check-in
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Headache

Free text: I believe it is allergies starting time. Mold and grasses have "budded" so to speak

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-04
Survey response — 3 months, dose 2
MedDRA: Gastrointestinal disorder, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Not related but both of us are suffering intestinal problems. Gall bladder infection for husband and me-- stomach sensitivity. You asked but we realize just a coincident. · Healthcare visit (other): Husband is going to have surgery in the next week or so.

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

1 call case(s)
2021-09-02
Survey response — 6 months, dose 2
MedDRA: Stress — Feeling: Fair

Free text: Unexpected death of husband; much stress on my health but regarding Covid- okay.will want the booster if and when it comes out.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-03
Dose 3 — Moderna
2022-03-04
Survey response — 12 months, dose 2
MedDRA: Hyperhidrosis, Lethargy, Malaise, Pyrexia — Feeling: Good · Be unable to do your normal daily activities

Free text: Think i got the omnicron. Was exposed by someonw who thinks Covid is a government hoax. She claimed she had a cold but 2 1/2 daysater, i was sick; ight fever, sweats and lethargic for about 2 days

MedDRA releases: 2024-11 · check-in free text available
2022-04-14
Call 1 — Left Voicemail
2022-05-08
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-08-05
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2023-02-04
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Moderna
2	2021-03-04	Moderna
3	2022-02-03	Moderna	No

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-06

Systemic reaction (other): Very slight tongue feeling thick

Release 4 — day 7, dose 1

2021-02-11

Systemic reaction (other): Headache probably seasonal allergies.

Release 5 — days 1–6 daily, dose 2

2021-03-05

Systemic reaction (other): Foggy head

2021-03-06

Systemic reaction (other): Foggy brain

2021-03-08

Systemic reaction (other): Strange event; severe pain at site of surgery on top of foot yesterday and again today. Cant explain. Most likely a coincident and NOT related to vaccination but have never had such severe pain at that site ever.

2021-03-10

Systemic reaction (other): I believe it is allergies starting time. Mold and grasses have "budded" so to speak

Release 8 — 3 months, dose 2

2021-06-04

Symptoms: Not related but both of us are suffering intestinal problems. Gall bladder infection for husband and me-- stomach sensitivity. You asked but we realize just a coincident.

Healthcare visit (other): Husband is going to have surgery in the next week or so.

Release 9 — 6 months, dose 2

2021-09-02

Symptoms: Unexpected death of husband; much stress on my health but regarding Covid- okay.will want the booster if and when it comes out.

Release 11 — 12 months, dose 2

2022-03-04

Symptoms: Think i got the omnicron. Was exposed by someonw who thinks Covid is a government hoax. She claimed she had a cold but 2 1/2 daysater, i was sick; ight fever, sweats and lethargic for about 2 days

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	Gastrointestinal disorder	✓	✓	✓
SD	Hyperhidrosis	·	·	✓
SD	Lethargy	·	·	✓
SD	Malaise	·	·	✓
SD	Pyrexia	·	·	✓
SD	Stress	✓	·	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Procedural site reaction	✓	✓	✓
SRO	Seasonal allergy	✓	✓	✓
SRO	Tongue disorder	✓	✓	✓

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