5UZ-12731-23044

4 vaccinations 8 coded responses 28 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 235 / VA
Registered: 2021-03-02

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

2021-02-25
Dose 1 — Moderna
2021-03-02
Registered in v-safe
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-04
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-11
Survey response — day 14, dose 1
MedDRA: Dizziness, Feeling abnormal, Headache, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Possible UTI- headache, dizziness, issues with bathroom, general not feeling good · Healthcare visit (other): GP's office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-20
Survey response — day 21, dose 1
MedDRA: Fungal infection, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Developed a major yeast infection · Healthcare visit (other): Regular doctor visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-25
Dose 2 — Moderna
2021-03-25
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Good · Site: Swelling · Fatigue or tiredness

Free text: It's only been 2 hours :)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — day 7, dose 2
Feeling: Fair · None

Adult check-in
2021-04-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-07
Survey response — day 42, dose 2
MedDRA: Feeling abnormal, Impaired work ability — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Generally feeling poorly, had to take off work and get extra sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Survey response — 3 months, dose 2
MedDRA: Bladder spasm, Malaise, Myalgia, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Not feeling well- unknown origin; sore muscles; severe bladder spasms · Healthcare visit (other): Primary care visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-28
Call 1 — Left Voicemail
2021-09-23
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-19
Dose 3 — Moderna
2022-03-25
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-26
Dose 4 — Moderna
2022-04-30
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-05-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-02
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

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

Adult check-in
2022-06-07
Survey response — day 42, dose 4
MedDRA: COVID-19 — Feeling: Fair · Be unable to do your normal daily activities

Free text: Had Covid, mild case

MedDRA releases: 2024-11 · check-in free text available
2022-07-26
Survey response — 3 months, dose 4
MedDRA: COVID-19, Pertussis, Sinusitis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, 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: While traveling in Ireland, contracted pertussis AND Covid, then a sinus infection. Still recovering

MedDRA releases: 2024-11 · check-in free text available
2022-07-26
Report sent to call center — 3 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-27
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-26
Survey response — 6 months, dose 4
MedDRA: Malaise, Respiratory symptom, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Have been sick with something respiratory but tested negative for Covid

MedDRA releases: 2024-11 · check-in free text available
2023-04-27
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-25	Moderna
2	2021-03-25	Moderna
3	2021-11-19	Moderna	No
4	2022-04-26	Moderna	No

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 5 — day 14, dose 1

2021-03-11

Symptoms: Possible UTI- headache, dizziness, issues with bathroom, general not feeling good

Healthcare visit (other): GP's office

Release 6 — day 21, dose 1

2021-03-20

Symptoms: Developed a major yeast infection

Healthcare visit (other): Regular doctor visit

Release 6 — day 0, dose 2

2021-03-25

Systemic reaction (other): It's only been 2 hours :)

Release 8 — day 42, dose 2

2021-05-07

Symptoms: Generally feeling poorly, had to take off work and get extra sleep

Release 9 — 3 months, dose 2

2021-06-24

Symptoms: Not feeling well- unknown origin; sore muscles; severe bladder spasms

Healthcare visit (other): Primary care visit

Release 11 — day 42, dose 4

2022-06-07

Symptoms: Had Covid, mild case

Release 12 — 3 months, dose 4

2022-07-26

Symptoms: While traveling in Ireland, contracted pertussis AND Covid, then a sinus infection. Still recovering

Release 12 — 6 months, dose 4

2022-10-26

Symptoms: Have been sick with something respiratory but tested negative for Covid

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	Bladder spasm	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Fungal infection	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Impaired work ability	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pertussis	·	·	✓
SD	Respiratory symptom	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinusitis	·	·	✓
SRO	No adverse event	✓	✓	✓

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