5KK-12241-61879

2 vaccinations 7 coded responses 17 check-ins 7 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 712 / LA
Registered: 2021-01-07

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

2021-01-06
Dose 1 — Moderna
2021-01-07
Registered in v-safe
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

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 — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-01-28
Survey response — day 21, dose 1
MedDRA: Left ventricular failure, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I feel it's unrelated, but i'm in diastolic failure, per cardologist. Otherwise I'm fine thanks. · Healthcare visit (other): Cardologist clinic.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-03
Dose 2 — Moderna
2021-02-03
Health check-in — day 0, dose 2
Feeling: Fair · None

Adult check-in
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Myalgia — Feeling: Fair · Muscle or body aches

Free text: A little soreness in muscels

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: Adverse reaction — Feeling: Fair · Joint pains, Muscle or body aches

Free text: It's no unusual for me to have these symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — day 7, dose 2
Feeling: Good · None

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

Adult check-in
2021-02-24
Survey response — day 21, dose 2
MedDRA: Balance disorder, Dyspnoea, Hypertension, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Shortness of breath. High blood pressure. Unsteady in walking without walker assistsnce. I have an app't with my cardiologist 3-3-21 for follow of distolic heart failure (followup). · Healthcare visit (other): Happened to have a checkup app't.p app"t already. The visit was in the Dr.'s office.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
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)
2021-03-04
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-10
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-07
Survey response — 3 months, dose 2
MedDRA: Compression fracture, Constipation, Dehydration, Hospitalisation, Rehabilitation therapy, Spinal fracture — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, Hospitalization

Free text: Dehydrstion; compressiom fracture lower back; constipationHospstilzed; then rehab now home revoberimg.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Report sent to call center — 3 months, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-10
Call 1 — Could Not Reach Participant
2021-06-15
Call 2 — Could Not Reach Participant
2021-08-04
Survey response — 6 months, dose 2
MedDRA: COVID-19, Pneumonia — 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 · Emergency room or emergency department visit, Hospitalization

Free text: Pneumonia/covid 19

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-04
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-05
Call 1 — Could Not Reach Participant
2021-08-10
Call 2 — Could Not Reach Participant
2022-02-03
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Chest pain, Hypoaesthesia, Medical counselling, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Chest pains & joint pains in elbow to my finger tips with numbness in hands & fingers. · Healthcare visit (other): Dr. visit @ office pluse i hsve home health care.

MedDRA releases: 2024-11 · check-in free text available
2022-02-03
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-08
Call 1 — Could Not Reach Participant
2022-02-11
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Moderna
2	2021-02-03	Moderna

Call center

5 call center cases

5 unsuccessful

See the call center timeline

Free text

Release 2 — day 21, dose 1

2021-01-28

Symptoms: I feel it's unrelated, but i'm in diastolic failure, per cardologist. Otherwise I'm fine thanks.

Healthcare visit (other): Cardologist clinic.

Release 3 — days 1–6 daily, dose 2

2021-02-05

Systemic reaction (other): A little soreness in muscels

2021-02-08

Systemic reaction (other): It's no unusual for me to have these symptoms.

Release 4 — day 21, dose 2

2021-02-24

Symptoms: Shortness of breath. High blood pressure. Unsteady in walking without walker assistsnce. I have an app't with my cardiologist 3-3-21 for follow of distolic heart failure (followup).

Healthcare visit (other): Happened to have a checkup app't.p app"t already. The visit was in the Dr.'s office.

Release 8 — 3 months, dose 2

2021-05-07

Symptoms: Dehydrstion; compressiom fracture lower back; constipationHospstilzed; then rehab now home revoberimg.

Release 9 — 6 months, dose 2

2021-08-04

Symptoms: Pneumonia/covid 19

Release 11 — 12 months, dose 2

2022-02-03

Symptoms: Chest pains & joint pains in elbow to my finger tips with numbness in hands & fingers.

Healthcare visit (other): Dr. visit @ office pluse i hsve home health care.

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	Arthralgia	·	·	✓
SD	Balance disorder	✓	✓	✓
SD	Chest pain	·	·	✓
SD	Compression fracture	✓	✓	✓
SD	Constipation	✓	✓	✓
SD	COVID-19	✓	·	✓
SD	Dehydration	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Hospitalisation	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Hypoaesthesia	·	·	✓
SD	Left ventricular failure	✓	✓	✓
SD	Pneumonia	✓	·	✓
SD	Rehabilitation therapy	✓	✓	✓
SD	Spinal fracture	○	✓	○
SRO	Adverse reaction	✓	✓	✓
SRO	Myalgia	✓	✓	✓

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