592-23742-41543

2 vaccinations 7 coded responses 12 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 750 / TX
Registered: 2021-01-26

Relationship: Self
Race: White
Ethnicity: N/A

Timeline

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

2021-01-16
Dose 1 — Moderna
2021-01-26
Registered in v-safe
2021-01-26
Survey response — day 7, dose 1
MedDRA: Tinnitus — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: tinitis LOA

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-06
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-10
Dose 2 — Moderna
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Medical counselling, Tinnitus, Urinary tract infection — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): ringing in ears ,? uti · Healthcare visit (other): only left a message dr too busy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling, Itching · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-24
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-03
Survey response — day 21, dose 2
MedDRA: Fatigue — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Why do i feel tired a lot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-12
Survey response — day 28, dose 2
MedDRA: Fatigue, Lethargy, Listless, Malaise — Feeling: Fair · Be unable to do your normal daily activities

Free text: Just generally tired , malaise and lethargy. also listlessness . mostly tired .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-25
Survey response — day 42, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Be unable to do your normal daily activities

Free text: I still feel lousy .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — 3 months, dose 2
MedDRA: Decreased appetite, Dysphonia, Office visit, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: I AM HOARSE MY VOICE IS HURTING . H/A. Sometimes my appetite is not good . It may not be related to my vaccinations. but I like to mention my health status . I am presently attending my drs and going to physical therapy 2xaweek. for fractures tibia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-30
Call 1 — Left Voicemail
2021-08-11
Survey response — 6 months, dose 2
MedDRA: Angina pectoris, Fatigue, Migraine with aura, Office visit, Pre-existing disease, Sinus disorder, Visual impairment — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: I have had sinusitis like s/s . h/as issues with vission.I tire easily. My Angina issues are more prevalent. Sometimes migraine like aura in my eyes. · Healthcare visit (other): Drs office visits

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

1 call case(s)
2021-08-17
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-16	Moderna
2	2021-02-10	Moderna

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — day 7, dose 1

2021-01-26

Systemic reaction (other): tinitis LOA

Release 4 — days 1–6 daily, dose 2

2021-02-12

Systemic reaction (other): ringing in ears ,? uti

Healthcare visit (other): only left a message dr too busy

Release 5 — day 21, dose 2

2021-03-03

Symptoms: Why do i feel tired a lot.

Release 5 — day 28, dose 2

2021-03-12

Symptoms: Just generally tired , malaise and lethargy. also listlessness . mostly tired .

Release 6 — day 42, dose 2

2021-03-25

Symptoms: I still feel lousy .

Release 8 — 3 months, dose 2

2021-05-14

Symptoms: I AM HOARSE MY VOICE IS HURTING . H/A. Sometimes my appetite is not good . It may not be related to my vaccinations. but I like to mention my health status . I am presently attending my drs and going to physical therapy 2xaweek. for fractures tibia cut off by CDC

Release 9 — 6 months, dose 2

2021-08-11

Symptoms: I have had sinusitis like s/s . h/as issues with vission.I tire easily. My Angina issues are more prevalent. Sometimes migraine like aura in my eyes.

Healthcare visit (other): Drs office visits

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	Angina pectoris	✓	·	✓
SD	Decreased appetite	✓	✓	✓
SD	Dysphonia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Lethargy	✓	✓	✓
SD	Listless	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Migraine with aura	✓	·	✓
SD	Office visit	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Sinus disorder	✓	·	✓
SD	Visual impairment	✓	·	✓
SRO	Tinnitus	✓	✓	✓
SRO	Urinary tract infection	✓	✓	✓

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