5QJ-13376-05622

3 vaccinations 5 coded responses 20 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 775 / TX
Registered: 2021-03-16

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

2021-03-09
Dose 1 — Moderna
2021-03-16
Registered in v-safe
2021-03-16
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-07
Dose 2 — Moderna
2021-04-07
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-09
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: Hot flush — Feeling: Good

Free text: I missed yesterdays report. Wanted to say that Ive felt hot flash type symptoms...but no fever.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-21
Survey response — day 14, dose 2
MedDRA: Fatigue, Oral herpes, Rhinorrhoea, Sneezing — Feeling: Fair

Free text: Cold sore on upper lip, runny nose, sneezing, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — day 21, dose 2
MedDRA: Brain fog, Fatigue, Headache, Massage, Medical counselling, Mobility decreased, Neck pain, Office visit, Oral herpes — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Cold sore on my lip...my dr. prescribed a med. Severe neck pain with difficulty moving my head started last week and has taken a week to improve. Massage did not help. Fatigue and brain fog daily in different frequencies. · Healthcare visit (other): Professional massage. I also spoke with my doctor in person.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
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)
2021-05-05
Survey response — day 28, dose 2
MedDRA: Back pain, Fatigue, Limb discomfort, Muscle tightness, Myalgia — Feeling: Fair

Free text: - Fatigue...I take a break and lie down when I need to...5-20 minutes helps.- Stretching needed for tightness in muscles...alleviates discomfort.(legs and feet)- Pain in upper back (stress points)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 42, dose 2
Feeling: Good

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

Adult check-in
2021-10-06
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-26
Dose 3 — Pfizer-BioNTech
2022-04-07
Survey response — 12 months, dose 2
MedDRA: Arrhythmia, Arthralgia, Brain fog, Cardiovascular disorder, Dehydration, Fatigue, Loss of consciousness, Myalgia, Office visit, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activities, 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: Chest congestion, dehydration, fatigue, passed out once (first time ever in my life), heart arrhythmia and blood circulation issue, brain fog, muscle and joint pain. These symptoms were all addressed, and I am doing much better now. · Healthcare visit (other): Dr. Office visits

MedDRA releases: 2024-11 · check-in free text available
2022-04-07
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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-04-11
Call 1 — Left Voicemail
2022-05-27
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-28
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Moderna
2	2021-04-07	Moderna
3	2021-11-26	Pfizer-BioNTech	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-11

Systemic reaction (other): I missed yesterdays report. Wanted to say that Ive felt hot flash type symptoms...but no fever.

Release 7 — day 14, dose 2

2021-04-21

Symptoms: Cold sore on upper lip, runny nose, sneezing, fatigue

Release 8 — day 21, dose 2

2021-04-28

Symptoms: Cold sore on my lip...my dr. prescribed a med. Severe neck pain with difficulty moving my head started last week and has taken a week to improve. Massage did not help. Fatigue and brain fog daily in different frequencies.

Healthcare visit (other): Professional massage. I also spoke with my doctor in person.

Release 8 — day 28, dose 2

2021-05-05

Symptoms: - Fatigue...I take a break and lie down when I need to...5-20 minutes helps.- Stretching needed for tightness in muscles...alleviates discomfort.(legs and feet)- Pain in upper back (stress points)

Release 11 — 12 months, dose 2

2022-04-07

Symptoms: Chest congestion, dehydration, fatigue, passed out once (first time ever in my life), heart arrhythmia and blood circulation issue, brain fog, muscle and joint pain. These symptoms were all addressed, and I am doing much better now.

Healthcare visit (other): Dr. Office visits

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	Massage	✓	✓	✓
HCVO	Medical counselling	✓	✓	✓
HCVO	Office visit	✓	✓	✓
SD	Arrhythmia	·	·	✓
SD	Arthralgia	·	·	✓
SD	Back pain	✓	✓	✓
SD	Brain fog	✓	✓	✓
SD	Cardiovascular disorder	·	·	✓
SD	Dehydration	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Limb discomfort	✓	✓	✓
SD	Loss of consciousness	·	·	✓
SD	Massage	✓	✓	✓
SD	Mobility decreased	✓	✓	✓
SD	Muscle tightness	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Oral herpes	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sneezing	✓	✓	✓
SRO	Hot flush	✓	✓	✓

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