5MT-26229-15556

4 vaccinations 19 coded responses 54 check-ins 19 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 217 / MD
Registered: 2021-03-08

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

2021-03-08
Registered in v-safe
2021-03-08
Dose 1 — Moderna
2021-03-08
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good

Free text: Injection site tender when touched

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Fever · Headache · Be unable to do your normal daily activities

Free text: My normal temp is 97.4. Today its been 98.3, 98.6

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-29
Survey response — day 21, dose 1
MedDRA: Fatigue — Feeling: Good

Free text: Fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Dose 2 — Moderna
2021-04-05
Survey response — day 0, dose 2
MedDRA: Injection site pain, Musculoskeletal stiffness — Feeling: Good · Site: Pain · Headache

Free text: Injection site is tender to the touch. Arm some stiffness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Fever · Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: My normal temp is 97.4

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good · Site: Redness · Headache

Free text: My blood pressure went from 116/62 at 7:45 am on April 5 to 86/64 at 9:53 pm on April 6 to 97/62 at 7:35 am on April 7 to 113/64 at 11:48 am on April 7.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Cardiac monitoring — Feeling: Good · Headache, Fatigue or tiredness

Free text: I am still monitoring blood pressure 3x a day per doctor's order.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Hypotension, Medical counselling — Feeling: Good · Fatigue or tiredness

Free text: Blood pressure still low. (Under 110). Doctor said to not take BP med if under 110.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — day 7, dose 2
MedDRA: Hypotension — Feeling: Good · Headache

Free text: Low blood pressure.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-17
Survey response — day 42, dose 2
MedDRA: Headache — Feeling: Fair

Free text: Headache for the past 24 hours.I am still off of Lisinopril for blood pressure.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-05
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-04
Survey response — 6 months, dose 2
MedDRA: Cough, Fatigue, Night sweats, Pre-existing disease — Feeling: Fair

Free text: Occassional night sweats even with air conditioning on. Some fatigue with periodic cough. I am still off blood pressure medication since the 2nd Moderna.

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Dose 3 — Moderna
2021-11-01
Survey response — day 0, dose 3
MedDRA: Injection site pain — Feeling: Good · Site: Pain

Free text: Just tenderness at injection site.

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Chills, Pyrexia — Feeling: Fair · Site: Pain · Fever · Chills, Headache

Free text: The chills were around 9 p.m. on Nov 1st. The fever was 2 a.m. on Nov 2nd. My normal temperature is 97.4.

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-08
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-15
Survey response — day 14, dose 3
MedDRA: Cough, Pyrexia, Rhinorrhoea — Feeling: Fair

Free text: Low grade fever, runny nose, and periodic cough.

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-29
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-06
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-13
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-31
Survey response — 3 months, dose 3
MedDRA: Blood calcium decreased, Medical counselling — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Low calcium count. Doctor ordered calcium supplement. Had to lower dose from 1200 to 600mg per day due to reaction. · Healthcare visit (other): Telephone conversation resulting in reduction of dose.

MedDRA releases: 2024-11 · check-in free text available
2022-01-31
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-30
Call 1 — Left Voicemail
2022-05-02
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-08-03
Dose 4 — Moderna
2022-08-04
Survey response — days 1–6 daily, dose 4
MedDRA: Insomnia, Pollakiuria — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sleeplessness, frequent urination

MedDRA releases: 2024-11 · check-in free text available
2022-08-05
Survey response — days 1–6 daily, dose 4
MedDRA: Blood pressure decreased — Feeling: Good · Site: Redness, Itching · Headache

Free text: Blood pressure was 98/68 at 7:56am and 116/70 at 8:46 am

MedDRA releases: 2024-11 · check-in free text available
2022-08-06
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness · Headache, Fatigue or tiredness

Adult check-in
2022-08-07
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Itching · Headache, Fatigue or tiredness

Adult check-in
2022-08-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness · Headache, Fatigue or tiredness

Adult check-in
2022-08-09
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2022-08-10
Health check-in — day 7, dose 4
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2022-08-17
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-08-25
Survey response — day 21, dose 4
MedDRA: Dry skin, Hyperhidrosis — Feeling: Good

Free text: I have dry skin and use Goldbond Diabetic lotion before bed nightly. For the past week if I use it I wake up sweating. No change in diet or the air conditioning settings.

MedDRA releases: 2024-11 · check-in free text available
2022-08-31
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-09-07
Survey response — day 35, dose 4
MedDRA: Hyperhidrosis — Feeling: Good

Free text: Still can't use lotion without sweating.

MedDRA releases: 2024-11 · check-in free text available
2022-09-16
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-11-04
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-02-03
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-08	Moderna
2	2021-04-05	Moderna
3	2021-11-01	Moderna	No
4	2022-08-03	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-09

Systemic reaction (other): Injection site tender when touched

2021-03-12

Systemic reaction (other): My normal temp is 97.4. Today its been 98.3, 98.6

Release 6 — day 21, dose 1

2021-03-29

Symptoms: Fatigue

Release 6 — day 0, dose 2

2021-04-05

Systemic reaction (other): Injection site is tender to the touch. Arm some stiffness.

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): My normal temp is 97.4

2021-04-07

Systemic reaction (other): My blood pressure went from 116/62 at 7:45 am on April 5 to 86/64 at 9:53 pm on April 6 to 97/62 at 7:35 am on April 7 to 113/64 at 11:48 am on April 7.

2021-04-09

Systemic reaction (other): I am still monitoring blood pressure 3x a day per doctor's order.

2021-04-11

Systemic reaction (other): Blood pressure still low. (Under 110). Doctor said to not take BP med if under 110.

Release 7 — day 7, dose 2

2021-04-12

Systemic reaction (other): Low blood pressure.

Release 8 — day 42, dose 2

2021-05-17

Symptoms: Headache for the past 24 hours.I am still off of Lisinopril for blood pressure.

Release 10 — 6 months, dose 2

2021-10-04

Symptoms: Occassional night sweats even with air conditioning on. Some fatigue with periodic cough. I am still off blood pressure medication since the 2nd Moderna.

Release 10 — day 0, dose 3

2021-11-01

Systemic reaction (other): Just tenderness at injection site.

Release 10 — days 1–6 daily, dose 3

2021-11-02

Systemic reaction (other): The chills were around 9 p.m. on Nov 1st. The fever was 2 a.m. on Nov 2nd. My normal temperature is 97.4.

Release 10 — day 14, dose 3

2021-11-15

Symptoms: Low grade fever, runny nose, and periodic cough.

Release 11 — 3 months, dose 3

2022-01-31

Symptoms: Low calcium count. Doctor ordered calcium supplement. Had to lower dose from 1200 to 600mg per day due to reaction.

Healthcare visit (other): Telephone conversation resulting in reduction of dose.

Release 12 — days 1–6 daily, dose 4

2022-08-04

Systemic reaction (other): Sleeplessness, frequent urination

2022-08-05

Systemic reaction (other): Blood pressure was 98/68 at 7:56am and 116/70 at 8:46 am

Release 12 — day 21, dose 4

2022-08-25

Symptoms: I have dry skin and use Goldbond Diabetic lotion before bed nightly. For the past week if I use it I wake up sweating. No change in diet or the air conditioning settings.

Release 12 — day 35, dose 4

2022-09-07

Symptoms: Still can't use lotion without sweating.

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	·	·	✓
SD	Blood calcium decreased	·	·	✓
SD	Cough	·	·	✓
SD	Dry skin	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hyperhidrosis	·	·	✓
SD	Medical counselling	·	·	✓
SD	Night sweats	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SRO	Blood pressure decreased	·	·	✓
SRO	Cardiac monitoring	✓	✓	✓
SRO	Chills	·	·	✓
SRO	Hypotension	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Insomnia	·	·	✓
SRO	Medical counselling	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Pollakiuria	·	·	✓
SRO	Pyrexia	·	·	✓
SRO	Unevaluable event	✓	✓	✓

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