5GL-22730-80474

2 vaccinations 11 coded responses 23 check-ins 11 free-text entries 5 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 382 / TN
Registered: 2021-03-15

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-15
Registered in v-safe
2021-03-15
Dose 1 — Moderna
2021-03-15
Survey response — day 0, dose 1
MedDRA: Rhinorrhoea — Feeling: Good · Headache, Diarrhea

Free text: Runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-12
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-19
Survey response — day 35, dose 1
MedDRA: Fluid retention, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Asthma and fluid retention. Went to my doctor she gave me a steroid shot, antibiotic shot and lasix. Feeling much better! This was on 15th and 16th.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Report sent to call center — day 35, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-21
Dose 2 — Moderna
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia — Feeling: Fair · Site: Swelling, Itching · Fever · Muscle or body aches, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: I had joint pains on 21st and 22nd.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Emergency care, Feeling hot, Neck pain — Feeling: Fair · Site: Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Feeling hot and eR and neck pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Dyspnoea, Office visit — Feeling: Fair · Site: Redness, Itching · Joint pains · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): Trouble breathing and tightness in the chest. · Healthcare visit (other): My physician had to give me anothet steroid injection and a chest x-ray.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain — Feeling: Good · Joint pains, Nausea

Free text: Left ear pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — day 7, dose 2
MedDRA: Dyspnoea, Ear pain, Office visit — Feeling: Fair · Joint pains, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): Ear pain and shortness of breath. · Healthcare visit (other): Follow up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-12
Survey response — day 21, dose 2
MedDRA: Back pain, Chest discomfort, Chest pain, Dyspnoea, Ear swelling, Erythema, Middle ear effusion, Pain, Wheezing — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Wheezing, chest pressure and pain onleft upper chest pentrating through to back and shortness of breath. Fluid in ears, red and swollen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-19
Survey response — day 28, dose 2
MedDRA: Chest discomfort, Dyspnoea, Heart rate increased, Palpitations — Feeling: Fair · Be unable to do your normal daily activities

Free text: Chest tightening and shortness of breath. Heart rate rapid.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — day 35, dose 2
MedDRA: Arthralgia, Dyspnoea, Fatigue, Neck pain, Swelling, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Extreme fatigue, pain and swelling in shoulders and neck. Shortness of breath · Healthcare visit (other): She put me on antibiotics and is scheduling a ct scan of my chest.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-21
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2022-04-23
Survey response — 12 months, dose 2
MedDRA: Dizziness, Fatigue, Nausea, Palpitations — Feeling: Good · Be unable to do your normal daily activities

Free text: Lightheaded, papatations, nausea fatigued

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-15	Moderna
2	2021-04-21	Moderna

Call center

5 call center cases

5 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-15

Systemic reaction (other): Runny nose

Release 7 — day 35, dose 1

2021-04-19

Symptoms: Asthma and fluid retention. Went to my doctor she gave me a steroid shot, antibiotic shot and lasix. Feeling much better! This was on 15th and 16th.

Release 7 — days 1–6 daily, dose 2

2021-04-23

Systemic reaction (other): I had joint pains on 21st and 22nd.

2021-04-25

Systemic reaction (other): Feeling hot and eR and neck pain

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Trouble breathing and tightness in the chest.

Healthcare visit (other): My physician had to give me anothet steroid injection and a chest x-ray.

2021-04-27

Systemic reaction (other): Left ear pain

Release 8 — day 7, dose 2

2021-04-28

Systemic reaction (other): Ear pain and shortness of breath.

Healthcare visit (other): Follow up

Release 8 — day 21, dose 2

2021-05-12

Symptoms: Wheezing, chest pressure and pain onleft upper chest pentrating through to back and shortness of breath. Fluid in ears, red and swollen.

Release 8 — day 28, dose 2

2021-05-19

Symptoms: Chest tightening and shortness of breath. Heart rate rapid.

Release 8 — day 35, dose 2

2021-05-26

Symptoms: Extreme fatigue, pain and swelling in shoulders and neck. Shortness of breath

Healthcare visit (other): She put me on antibiotics and is scheduling a ct scan of my chest.

Release 11 — 12 months, dose 2

2022-04-23

Symptoms: Lightheaded, papatations, nausea fatigued

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	Office visit	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Ear swelling	✓	✓	✓
SD	Erythema	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Fluid retention	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Middle ear effusion	✓	✓	✓
SD	Nausea	·	·	✓
SD	Neck pain	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Swelling	✓	✓	✓
SD	Wheezing	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Emergency care	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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