5VT-23538-90723

4 vaccinations 5 coded responses 31 check-ins 5 free-text entries 6 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 770 / TX
Registered: 2021-01-13

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-01-13
Registered in v-safe
2021-01-13
Dose 1 — Moderna
2021-01-13
Health check-in — day 0, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-01-14
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-15
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Pain — Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Feeling much better then felt achiness and tired after taking a bath. Took Tylenol severe flu and cold and felt better. Ugh!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-18
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-21
Survey response — day 7, dose 1
MedDRA: Nasopharyngitis — Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness

Free text: Feel like I have a head cold now. Ugh!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-03
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-10
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-11
Dose 2 — Moderna
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-13
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-03
Dose 3 — Moderna
2022-02-11
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-21
Dose 4 — Moderna
2022-04-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2022-04-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Itching · None

Adult check-in
2022-05-02
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-05
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-12
Survey response — day 21, dose 4
MedDRA: Abdominal distension, Diarrhoea, Flatulence, Vomiting — Feeling: Fair

Free text: Vomiting and diarrhea for two days. Very bloated and gassy.

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-26
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-02
Survey response — day 42, dose 4
MedDRA: Emergency care, Enteritis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Not sure if this is a side affect but I have enteritis. It started about 4 weeks ago and got progressively worse until I ended up in the ER on May 31st. Thought I'd mention it.

MedDRA releases: 2024-11 · check-in free text available
2022-06-02
Report sent to call center — day 42, 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

Emergency room or emergency department visit · 1 call case(s)
2022-06-03
Call 1 — Left Voicemail
2022-07-21
Survey response — 3 months, dose 4
MedDRA: SARS-CoV-2 test positive — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Tested positive for COVID-19 for the 3rd time.

MedDRA releases: 2024-11 · check-in free text available
2022-07-21
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-22
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-22
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-20
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-21
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Moderna
2	2021-02-11	Moderna
3	2021-10-03	Moderna	No
4	2022-04-21	Moderna	No

Call center

6 call center cases

2 successful · 4 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-16

Systemic reaction (other): Feeling much better then felt achiness and tired after taking a bath. Took Tylenol severe flu and cold and felt better. Ugh!

Release 2 — day 7, dose 1

2021-01-21

Systemic reaction (other): Feel like I have a head cold now. Ugh!

Release 11 — day 21, dose 4

2022-05-12

Symptoms: Vomiting and diarrhea for two days. Very bloated and gassy.

Release 11 — day 42, dose 4

2022-06-02

Symptoms: Not sure if this is a side affect but I have enteritis. It started about 4 weeks ago and got progressively worse until I ended up in the ER on May 31st. Thought I'd mention it.

Release 12 — 3 months, dose 4

2022-07-21

Symptoms: Tested positive for COVID-19 for the 3rd time.

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	Diarrhoea	·	·	✓
SD	Emergency care	·	·	✓
SD	Enteritis	·	·	✓
SD	Flatulence	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Vomiting	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Pain	✓	✓	✓

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