5S9-16450-24871

4 vaccinations 10 coded responses 25 check-ins 10 free-text entries 8 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 802 / CO
Registered: 2021-04-14

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-19
Dose 1 — Moderna
2021-04-14
Registered in v-safe
2021-04-14
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-16
Dose 2 — Moderna
2021-04-30
Survey response — day 14, dose 2
MedDRA: Arthritis, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: My arthritis pain started increasing in my knees so, I had to start injections in my knees.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-07
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-14
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-28
Survey response — day 42, dose 2
MedDRA: Heart rate increased, Hypertension, Pain, Pain in jaw, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Major pain in my jaw and body. Super high blood pressure and pulse. · Healthcare visit (other): This event was at 2AM. Called for appt.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-16
Survey response — 3 months, dose 2
MedDRA: Breast cancer — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: I have been diagnosed with breast cancer.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-16
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-23
Call 1 — Left Voicemail
2021-10-15
Survey response — 6 months, dose 2
MedDRA: Breast cancer — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Breast cancer.

MedDRA releases: 2024-11 · check-in free text available
2021-10-15
Report sent to call center — 6 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 · 1 call case(s)
2021-10-19
Call 2 — Left Voicemail
2021-10-22
Call 3 — Could Not Reach Participant
2021-11-02
Dose 3 — Moderna
2022-04-16
Survey response — 12 months, dose 2
MedDRA: Office visit, Peripheral swelling — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: Severe swelling in legs and feet. · Healthcare visit (other): Doctor's office visit.

MedDRA releases: 2024-11 · check-in free text available
2022-04-16
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-04-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-04-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-04-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-04-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-10
Survey response — 6 months, dose 3
MedDRA: Eyelid ptosis, Horner's syndrome — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Horners Syndrome in my right eve. Eyelid is droopy.

MedDRA releases: 2024-11 · check-in free text available
2022-05-10
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-11
Call 1 — Left Voicemail
2022-05-17
Dose 4 — Pfizer-BioNTech
2022-05-17
Health check-in — day 0, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-05-18
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-19
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-20
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · None

Adult check-in
2022-05-22
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-23
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-24
Health check-in — day 7, dose 4
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-31
Survey response — day 14, dose 4
MedDRA: Axillary pain, Breast conserving surgery, Lymphoedema, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: I developed a tremendous pain in my left armpit. I had a lumpectomy and I now have lymphodema. I don't this pain has anything to do with the booster shot!

MedDRA releases: 2024-11 · check-in free text available
2022-06-07
Survey response — day 21, dose 4
MedDRA: Depressed mood, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: My sister died Sunday morning so I am depressed. I am having pain in my calves.

MedDRA releases: 2024-11 · check-in free text available
2022-06-14
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-06-21
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-06-28
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-08-16
Survey response — 3 months, dose 4
MedDRA: Arthralgia, Joint swelling, Oedema, Office visit, Pain in extremity, Peripheral swelling — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Massive swelling and pain in calves, ankles and feet. Edema is the diagnosis. · Healthcare visit (other): Dr'sfffice Visit

MedDRA releases: 2024-11 · check-in free text available
2022-08-16
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-08-17
Call 1 — Left Voicemail
2022-08-17
Call 1 — Left Voicemail
2022-08-17
Call 2 — Left Voicemail
2022-08-17
Call 1 — Left Voicemail
2022-08-17
Call 1 — Left Voicemail
2022-08-17
Call 2 — Left Voicemail
2022-08-17
Call 1 — Left Voicemail
2022-11-17
Survey response — 6 months, dose 4
MedDRA: Blepharospasm, Oedema peripheral, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: My right eye is jumping and twitching. I have seen two eye doctors this week. I have developed serious edema in my lower legs.

MedDRA releases: 2024-11 · check-in free text available
2022-11-17
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-18
Call 3 — Left Voicemail
2022-11-18
Call 2 — Left Voicemail
2022-11-18
Call 1 — Left Voicemail
2023-05-17
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-19	Moderna
2	2021-04-16	Moderna
3	2021-11-02	Moderna	No
4	2022-05-17	Pfizer-BioNTech	No

Call center

8 call center cases

5 successful · 3 unsuccessful

3 waits over 3 months for a first call

See the call center timeline

Free text

Release 8 — day 14, dose 2

2021-04-30

Symptoms: My arthritis pain started increasing in my knees so, I had to start injections in my knees.

Release 8 — day 42, dose 2

2021-05-28

Symptoms: Major pain in my jaw and body. Super high blood pressure and pulse.

Healthcare visit (other): This event was at 2AM. Called for appt.

Release 9 — 3 months, dose 2

2021-07-16

Symptoms: I have been diagnosed with breast cancer.

Release 10 — 6 months, dose 2

2021-10-15

Symptoms: Breast cancer.

Release 11 — 12 months, dose 2

2022-04-16

Symptoms: Severe swelling in legs and feet.

Healthcare visit (other): Doctor's office visit.

Release 11 — 6 months, dose 3

2022-05-10

Symptoms: Horners Syndrome in my right eve. Eyelid is droopy.

Release 11 — day 14, dose 4

2022-05-31

Symptoms: I developed a tremendous pain in my left armpit. I had a lumpectomy and I now have lymphodema. I don't this pain has anything to do with the booster shot!

Release 11 — day 21, dose 4

2022-06-07

Symptoms: My sister died Sunday morning so I am depressed. I am having pain in my calves.

Release 12 — 3 months, dose 4

2022-08-16

Symptoms: Massive swelling and pain in calves, ankles and feet. Edema is the diagnosis.

Healthcare visit (other): Dr'sfffice Visit

Release 12 — 6 months, dose 4

2022-11-17

Symptoms: My right eye is jumping and twitching. I have seen two eye doctors this week. I have developed serious edema in my lower legs.

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	·	·	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Arthritis	✓	✓	✓
SD	Axillary pain	·	·	✓
SD	Blepharospasm	·	·	✓
SD	Breast cancer	✓	·	✓
SD	Breast conserving surgery	·	·	✓
SD	Depressed mood	·	·	✓
SD	Eyelid ptosis	·	·	✓
SD	Heart rate increased	✓	✓	✓
SD	Horner's syndrome	·	·	✓
SD	Hypertension	✓	✓	✓
SD	Joint swelling	·	·	✓
SD	Lymphoedema	·	·	✓
SD	Oedema	·	·	✓
SD	Oedema peripheral	·	·	✓
SD	Office visit	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Pain in jaw	✓	✓	✓
SD	Peripheral swelling	·	·	✓
SD	Pre-existing disease	✓	✓	✓

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