5M7-89214-69007

5 vaccinations 11 coded responses 31 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 601 / IL
Registered: 2021-01-13

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

2021-01-13
Registered in v-safe
2021-01-13
Dose 1 — Moderna
2021-01-13
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Eye haemorrhage — Feeling: Good · Site: Pain

Free text: A blood vessel burst in my left eye, but no idea if it's related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal discomfort — Feeling: Good

Free text: No diarrhea, but definitely intestinal distress. I forgot to mention it in earlier check-ins.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal distension — Feeling: Good

Free text: Some bloating yet.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal distension — Feeling: Good

Free text: Bloating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Survey response — day 7, dose 1
MedDRA: Abdominal distension — Feeling: Fair · Fatigue or tiredness

Free text: Bloating,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-10
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-11
Dose 2 — Moderna
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Nausea — Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Nausea and dizziness this morning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-25
Survey response — day 42, dose 2
MedDRA: Fatigue, Nausea, Office visit, Pyrexia, Rhinorrhoea — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Fever, runny nose, fatigue, nausea. I got tested and it was negative. It lasted about 3 days. · Healthcare visit (other): CVS minute clinic

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Report sent to call center — day 42, 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)
2021-05-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-15
Survey response — 6 months, dose 2
MedDRA: Chills, Cough, Pyrexia, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cough, chills, fever, runny nose. I got a rapid home covid test and tested negative. A family member tested positive. Getting a pcr tomorrow.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-12-08
Dose 3 — Moderna
2022-02-11
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-03-15
Call 1 — Left Voicemail
2022-05-04
Dose 4 — Moderna
2023-01-05
Dose 5 — Pfizer-BioNTech
2023-01-08
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2023-01-09
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2023-01-10
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fatigue or tiredness

Adult check-in
2023-02-03
Survey response — day 28, dose 5
MedDRA: Arthralgia, Oral herpes, Pre-existing disease, Thyroid disorder — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-02-09
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2023-02-16
Survey response — day 42, dose 5
MedDRA: Skin disorder — Feeling: Fair

MedDRA releases: 2024-11
2023-04-06
Survey response — 3 months, dose 5
MedDRA: Acarodermatitis, Brain fog, Condition aggravated, Fatigue, Feeling abnormal, Oral herpes, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Moderna
2	2021-02-11	Moderna
3	2021-12-08	Moderna	No
4	2022-05-04	Moderna	No
5	2023-01-05	Pfizer-BioNTech	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 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): A blood vessel burst in my left eye, but no idea if it's related.

2021-01-17

Systemic reaction (other): No diarrhea, but definitely intestinal distress. I forgot to mention it in earlier check-ins.

2021-01-18

Systemic reaction (other): Some bloating yet.

2021-01-19

Systemic reaction (other): Bloating

Release 2 — day 7, dose 1

2021-01-21

Systemic reaction (other): Bloating,

Release 4 — days 1–6 daily, dose 2

2021-02-12

Systemic reaction (other): Nausea and dizziness this morning.

Release 6 — day 42, dose 2

2021-03-25

Symptoms: Fever, runny nose, fatigue, nausea. I got tested and it was negative. It lasted about 3 days.

Healthcare visit (other): CVS minute clinic

Release 9 — 6 months, dose 2

2021-08-15

Symptoms: Cough, chills, fever, runny nose. I got a rapid home covid test and tested negative. A family member tested positive. Getting a pcr tomorrow.

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	Acarodermatitis	·	·	✓
SD	Arthralgia	·	·	✓
SD	Brain fog	·	·	✓
SD	Chills	✓	·	✓
SD	Condition aggravated	·	·	✓
SD	Cough	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	·	·	✓
SD	Nausea	✓	✓	✓
SD	Oral herpes	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	·	✓
SD	Skin disorder	·	·	✓
SD	Thyroid disorder	·	·	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Abdominal distension	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Eye haemorrhage	✓	✓	✓
SRO	Nausea	✓	✓	✓

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