5VR-50360-01950

2 vaccinations 12 coded responses 20 check-ins 12 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 853 / AZ
Registered: 2021-02-11

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

2021-02-03
Dose 1 — Moderna
2021-02-11
Registered in v-safe
2021-02-11
Survey response — day 7, dose 1
MedDRA: Injection site warmth — Feeling: Fair · Site: Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Free text: Injection site is warm to touch

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-03
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-03-12
Dose 2 — Moderna
2021-03-12
Survey response — day 0, dose 2
MedDRA: Decreased appetite, Hypoacusis — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: No appetite, hard of hearing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Feeling abnormal, Hypoacusis — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Brain fog, hard of hearing, lightheaded

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoacusis — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Hard of hearing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoacusis — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Hard of hearing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Good · Site: Itching

Free text: Mental/memory fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-03-19
Survey response — day 7, dose 2
MedDRA: Eyelid margin crusting, Eyelid rash, Feeling abnormal, Memory impairment, Rash — Feeling: Fair · Site: Itching · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): Left lower eyelid has rash with crusty matter. Also I still have brain fog & forgetfulness · Healthcare visit (other): Mupirocin ointment 3X/day to rash for 10 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-02
Survey response — day 21, dose 2
MedDRA: Headache — Feeling: Good

Free text: Transient mild headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-23
Survey response — day 42, dose 2
MedDRA: Headache, Office visit, Specialist consultation — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Mild headache · Healthcare visit (other): Made appt with my primary care doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-11
Survey response — 3 months, dose 2
MedDRA: Lacrimation increased, Paranasal sinus discomfort — Feeling: Fair

Free text: Weepy eyes & pressure in sinuses.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-10
Survey response — 6 months, dose 2
MedDRA: Abdominal discomfort, Arthralgia, Brain fog, Chest pain, Constipation, Diarrhoea, Fatigue, Headache, Joint swelling, Office visit, Poor quality sleep, Somnolence — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Headaches continue. Mental fog continues. Gastric upsets with alternating diarrhea & constipation. Pain in right chest intermittently. Joints aching & swelling. Fatigue, Im not sleeping well at night, & I fall asleep frequently during the day. · Healthcare visit (other): In person doctor visits

MedDRA releases: 2024-11 · check-in free text available
2021-09-10
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-13
Call 1 — Left Voicemail
2022-03-12
Survey response — 12 months, dose 2
MedDRA: Apathy, Asthenia, Cough, Muscular weakness, Self-medication — Feeling: Fair · Be unable to do your normal daily activities

Free text: Weakness in my legs, and continued intermittent cough after finishing the cough suppressant. Lack of energy and lack of motivation.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-03	Moderna
2	2021-03-12	Moderna

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 4 — day 7, dose 1

2021-02-11

Systemic reaction (other): Injection site is warm to touch

Release 5 — day 0, dose 2

2021-03-12

Systemic reaction (other): No appetite, hard of hearing

Release 5 — days 1–6 daily, dose 2

2021-03-13

Systemic reaction (other): Brain fog, hard of hearing, lightheaded

2021-03-14

Systemic reaction (other): Hard of hearing

2021-03-15

Systemic reaction (other): Hard of hearing

2021-03-17

Systemic reaction (other): Mental/memory fog

Release 5 — day 7, dose 2

2021-03-19

Systemic reaction (other): Left lower eyelid has rash with crusty matter. Also I still have brain fog & forgetfulness

Healthcare visit (other): Mupirocin ointment 3X/day to rash for 10 days

Release 6 — day 21, dose 2

2021-04-02

Symptoms: Transient mild headaches

Release 7 — day 42, dose 2

2021-04-23

Symptoms: Mild headache

Healthcare visit (other): Made appt with my primary care doctor

Release 9 — 3 months, dose 2

2021-06-11

Symptoms: Weepy eyes & pressure in sinuses.

Release 9 — 6 months, dose 2

2021-09-10

Symptoms: Headaches continue. Mental fog continues. Gastric upsets with alternating diarrhea & constipation. Pain in right chest intermittently. Joints aching & swelling. Fatigue, Im not sleeping well at night, & I fall asleep frequently during the day.

Healthcare visit (other): In person doctor visits

Release 11 — 12 months, dose 2

2022-03-12

Symptoms: Weakness in my legs, and continued intermittent cough after finishing the cough suppressant. Lack of energy and lack of motivation.

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	Rash	✓	✓	✓
HCVO	Specialist consultation	✓	✓	○
SD	Abdominal discomfort	·	·	✓
SD	Apathy	·	·	✓
SD	Arthralgia	·	·	✓
SD	Asthenia	·	·	✓
SD	Brain fog	·	·	✓
SD	Chest pain	·	·	✓
SD	Constipation	·	·	✓
SD	Cough	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Joint swelling	·	·	✓
SD	Lacrimation increased	✓	✓	✓
SD	Muscular weakness	·	·	✓
SD	Paranasal sinus discomfort	✓	✓	✓
SD	Poor quality sleep	·	·	✓
SD	Self-medication	·	·	✓
SD	Somnolence	·	·	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Eyelid margin crusting	✓	✓	✓
SRO	Eyelid rash	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Hypoacusis	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Memory impairment	✓	✓	✓

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