5U2-12402-13424

4 vaccinations 10 coded responses 40 check-ins 9 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 452 / OH
Registered: 2021-01-26

Relationship: Self
Race: Black or African American
Ethnicity: N/A

Timeline

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

2021-01-25
Dose 1 — Moderna
2021-01-26
Registered in v-safe
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-08
Survey response — day 14, dose 1
MedDRA: Blood glucose increased, Tinnitus — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Elevated blood sugar and pressure. Also right ear noises

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-15
Survey response — day 21, dose 1
MedDRA: Blood glucose increased, Ear discomfort, Headache, Hypertension — Feeling: Good

Free text: High blood sugars and blood pressure. Ear stops up, slihht headache daily upon raising

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Dose 2 — Moderna
2021-02-22
Health check-in — day 0, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Chills, Fatigue or tiredness

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Chills, Fatigue or tiredness

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-01
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-24
Survey response — 3 months, dose 2
MedDRA: Blood magnesium decreased, Constipation — Feeling: Good

Free text: Low magnesium levels, today constipated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-17
Call successful
Does not wish to fill out VAERS report
2021-08-23
Survey response — 6 months, dose 2
MedDRA: Dizziness, Emergency care — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Had huge dizzy spell, went to EU but couldn't find any reason for it.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-23
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-27
Call 1 — Left Voicemail
2021-11-04
Dose 3 — Moderna
2022-02-22
Survey response — 12 months, dose 2
MedDRA: Asthenia, Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Always seems to be tired, little energy.

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
Dose 4 — Moderna
2022-05-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-05-06
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-05-07
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-09
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-10
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-11
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-18
Survey response — day 14, dose 4
MedDRA: Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea, Sneezing — Feeling: Poor · 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: Has terrible cold, throat was sore, sneezing constantly nose running often.

MedDRA releases: 2024-11 · check-in free text available
2022-05-18
Report sent to call center — day 14, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-19
Call 1 — Left Voicemail
2022-05-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-26
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-06-01
Survey response — day 28, dose 4
MedDRA: Fatigue, Urinary tract infection — Feeling: Fair · Be unable to do your normal daily activities

Free text: Uti took antibiotic for 5days. Very tired

MedDRA releases: 2024-11 · check-in free text available
2022-06-08
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-15
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-03
Survey response — 3 months, dose 4
MedDRA: Abdominal distension, Chills, Diarrhoea — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Diarrhea, chills, distended abdomen0

MedDRA releases: 2024-11 · check-in free text available
2022-08-03
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-08-04
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-02
Survey response — 6 months, dose 4
MedDRA: Gastrointestinal disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Having bowel and stomach issues

MedDRA releases: 2024-11 · check-in free text available
2023-05-04
Survey response — 12 months, dose 4
MedDRA: Fatigue, Muscle spasms — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-05-04
Report sent to call center — 12 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
2023-05-05
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-25	Moderna
2	2021-02-22	Moderna
3	2021-11-04	Moderna	No
4	2022-05-04	Moderna	No

Call center

5 call center cases

5 successful

See the call center timeline

Free text

Release 3 — day 14, dose 1

2021-02-08

Symptoms: Elevated blood sugar and pressure. Also right ear noises

Release 4 — day 21, dose 1

2021-02-15

Symptoms: High blood sugars and blood pressure. Ear stops up, slihht headache daily upon raising

Release 8 — 3 months, dose 2

2021-05-24

Symptoms: Low magnesium levels, today constipated

Release 9 — 6 months, dose 2

2021-08-23

Symptoms: Had huge dizzy spell, went to EU but couldn't find any reason for it.

Release 11 — 12 months, dose 2

2022-02-22

Symptoms: Always seems to be tired, little energy.

Release 11 — day 14, dose 4

2022-05-18

Symptoms: Has terrible cold, throat was sore, sneezing constantly nose running often.

Release 11 — day 28, dose 4

2022-06-01

Symptoms: Uti took antibiotic for 5days. Very tired

Release 12 — 3 months, dose 4

2022-08-03

Symptoms: Diarrhea, chills, distended abdomen0

Release 12 — 6 months, dose 4

2022-11-02

Symptoms: Having bowel and stomach issues

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
SD	Abdominal distension	·	·	✓
SD	Asthenia	·	·	✓
SD	Blood glucose increased	✓	✓	✓
SD	Blood magnesium decreased	✓	✓	✓
SD	Chills	·	·	✓
SD	Constipation	✓	✓	✓
SD	Diarrhoea	·	·	✓
SD	Dizziness	✓	·	✓
SD	Ear discomfort	✓	✓	✓
SD	Emergency care	✓	·	✓
SD	Fatigue	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Muscle spasms	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sneezing	·	·	✓
SD	Tinnitus	✓	✓	✓
SD	Urinary tract infection	·	·	✓

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