5LR-31075-55775

4 vaccinations 13 coded responses 36 check-ins 13 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 921 / CA
Registered: 2021-04-22

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-04-20
Dose 1 — Moderna
2021-04-22
Registered in v-safe
2021-04-22
Survey response — days 1–6 daily, dose 1
MedDRA: Musculoskeletal stiffness — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Overall Stiffness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-25
Survey response — days 1–6 daily, dose 1
MedDRA: Musculoskeletal stiffness — Feeling: Good

Free text: Stiff neck.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — days 1–6 daily, dose 1
MedDRA: Musculoskeletal stiffness — Feeling: Good

Free text: Stiff neck is getting better. More flexibility and less oain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-18
Dose 2 — Moderna
2021-05-18
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-05-20
Survey response — days 1–6 daily, dose 2
MedDRA: Hypersomnia, Self-medication — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness

Free text: I took an Advil last night and I fell asleep for 12 hrs. I normally sleep 5-6 hrs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-05-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-25
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-29
Survey response — day 42, dose 2
MedDRA: Deafness, Ear discomfort, Excessive cerumen production, Eye discharge, Rhinorrhoea — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Runny rightside of nose, goopy right eye, wet wax compacted in right ear so pressure and loss of hearing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-06
Call 1 — Left Voicemail
2021-08-17
Survey response — 3 months, dose 2
MedDRA: Ear infection, Malaise, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Symptoms: Ear infections, not feeling as well as normal high could be due to infections. · Healthcare visit (other): Doctots Office appt.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-17
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-19
Call 1 — Could Not Reach Participant
2021-08-24
Call 2 — Could Not Reach Participant
2021-08-24
Callback requested for
2021-11-16
Survey response — 6 months, dose 2
MedDRA: Diarrhoea, Eczema eyelids, Office visit, Productive cough, Sneezing — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Diarrhea, eye eczema, sneezing and wet/productive coughing. · Healthcare visit (other): And additional eye doctor office visit.

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-17
Call 1 — Left Voicemail
2021-11-18
Call successful
Not applicable - Accidental Reporting
2021-11-29
Dose 3 — Moderna
2022-05-20
Survey response — 12 months, dose 2
MedDRA: Productive cough — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Still productive wet coughing

MedDRA releases: 2024-11 · check-in free text available
2022-05-20
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-05-23
Dose 4 — Moderna
2022-05-23
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2022-05-23
Call 1 — Left Voicemail
2022-05-24
Survey response — days 1–6 daily, dose 4
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Symptoms were worse but getting better as the day goes on

MedDRA releases: 2024-11 · check-in free text available
2022-05-25
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2022-05-28
Survey response — days 1–6 daily, dose 4
MedDRA: Cough — Feeling: Good · Fatigue or tiredness

Free text: Yesterday coughed a lot

MedDRA releases: 2024-11 · check-in free text available
2022-05-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-05-30
Survey response — day 7, dose 4
MedDRA: Cough — Feeling: Good

Free text: Occasionally Coughing

MedDRA releases: 2024-11 · check-in free text available
2022-06-06
Survey response — day 14, dose 4
MedDRA: Cough — Feeling: Good

Free text: Coughing at night is getting worse as I lay down and approach bedtime.

MedDRA releases: 2024-11 · check-in free text available
2022-06-13
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-20
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-27
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-04
Survey response — day 42, dose 4
MedDRA: Cough, Fatigue, Hypersomnia — Feeling: Fair

Free text: Wet Coughing more, since I discovered a friend tested positive. Slept a lot because tired from our out of state vacation trip. Hoping it will help me to avoid testing positive. I tested negative when I returned home.

MedDRA releases: 2024-11 · check-in free text available
2022-08-24
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-21
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-20	Moderna
2	2021-05-18	Moderna
3	2021-11-29	Moderna	No
4	2022-05-23	Moderna	No

Call center

4 call center cases

3 successful · 1 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-22

Systemic reaction (other): Overall Stiffness

2021-04-25

Systemic reaction (other): Stiff neck.

Release 8 — days 1–6 daily, dose 1

2021-04-26

Systemic reaction (other): Stiff neck is getting better. More flexibility and less oain

Release 8 — days 1–6 daily, dose 2

2021-05-20

Systemic reaction (other): I took an Advil last night and I fell asleep for 12 hrs. I normally sleep 5-6 hrs.

Release 9 — day 42, dose 2

2021-06-29

Symptoms: Runny rightside of nose, goopy right eye, wet wax compacted in right ear so pressure and loss of hearing

Release 9 — 3 months, dose 2

2021-08-17

Symptoms: Ear infections, not feeling as well as normal high could be due to infections.

Healthcare visit (other): Doctots Office appt.

Release 10 — 6 months, dose 2

2021-11-16

Symptoms: Diarrhea, eye eczema, sneezing and wet/productive coughing.

Healthcare visit (other): And additional eye doctor office visit.

Release 11 — 12 months, dose 2

2022-05-20

Symptoms: Still productive wet coughing

Release 11 — days 1–6 daily, dose 4

2022-05-24

Systemic reaction (other): Symptoms were worse but getting better as the day goes on

2022-05-28

Systemic reaction (other): Yesterday coughed a lot

Release 11 — day 7, dose 4

2022-05-30

Systemic reaction (other): Occasionally Coughing

Release 11 — day 14, dose 4

2022-06-06

Symptoms: Coughing at night is getting worse as I lay down and approach bedtime.

Release 12 — day 42, dose 4

2022-07-04

Symptoms: Wet Coughing more, since I discovered a friend tested positive. Slept a lot because tired from our out of state vacation trip. Hoping it will help me to avoid testing positive. I tested negative when I returned home.

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	✓	·	✓
SD	Cough	·	·	✓
SD	Deafness	✓	✓	✓
SD	Diarrhoea	·	·	✓
SD	Ear discomfort	✓	✓	✓
SD	Ear infection	✓	·	✓
SD	Eczema eyelids	·	·	✓
SD	Excessive cerumen production	✓	✓	✓
SD	Eye discharge	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Hypersomnia	·	·	✓
SD	Malaise	✓	·	✓
SD	Productive cough	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sneezing	·	·	✓
SRO	Adverse reaction	·	·	✓
SRO	Cough	·	·	✓
SRO	Hypersomnia	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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