5WY-86958-49876

3 vaccinations 14 coded responses 31 check-ins 14 free-text entries 6 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 279 / NC
Registered: 2021-01-30

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

2021-01-16
Dose 1 — Moderna
2021-01-30
Registered in v-safe
2021-01-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-06
Survey response — day 21, dose 1
MedDRA: Haemorrhage, Office visit, Varicose vein — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: A varacose vein bleed. EMT came bandaged it up. Went to Doctor next morning. Im keeping pressure on it and will check with him next week. · Healthcare visit (other): My primary care physician.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-13
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-17
Dose 2 — Moderna
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Office visit — Feeling: Fair · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): My lower back hurts. That is where my pain has settled. · Healthcare visit (other): Office visit tomorrow.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-24
Survey response — day 7, dose 2
MedDRA: Office visit, Pain — Feeling: Fair · Joint pains, Muscle or body aches · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): I saw my chiropractor. Got adjusted feeling better. Not so achie · Healthcare visit (other): Office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

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

Adult check-in
2021-03-10
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-17
Survey response — day 28, dose 2
MedDRA: Chills — Feeling: Fair · Be unable to do your normal daily activities

Free text: I get chills two or three times a day. I

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-19
Survey response — 3 months, dose 2
MedDRA: Phlebectomy, Varicose vein ruptured — Feeling: Good · 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: Varicose veins have burst externally and internally. Had procedure for them. · Healthcare visit (other): Phelebectomy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-11
Call 1 — Left Voicemail
2021-08-18
Survey response — 6 months, dose 2
MedDRA: Medical procedure, Thrombosis, Vein rupture — 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: Not related to the COVID-19 shots. Had procedure on leg for bursting veins; followed by blood clots. On blood thinner. Plan to get booster

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-18
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

1 call case(s)
2021-08-19
Call 1 — Left Voicemail
2021-10-28
Dose 3 — Moderna
2021-10-28
Survey response — day 0, dose 3
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Good · Fatigue or tiredness

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site pruritus — Feeling: Good

Free text: The site of injection itched last evening for a short time.

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-11
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-02
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-09
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-27
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-28
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-31
Survey response — 12 months, dose 3
MedDRA: Atrial fibrillation, Emergency care, Office visit — Feeling: Poor · 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: Symptoms: In September I was diagnosed with a-fib after spending a night in emergency room. Am now on blood thinner and a beta blocker. YUK! · Healthcare visit (other): Cardiologist

MedDRA releases: 2024-11 · check-in free text available
2022-10-31
Report sent to call center — 12 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-11-01
Call 1 — Left Voicemail
2022-11-01
Call 1 — Left Voicemail
2022-11-01
Call 1 — Left Voicemail
2022-11-01
Call 2 — Left Voicemail
2022-11-01
Call 2 — Left Voicemail
2022-11-01
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-16	Moderna
2	2021-02-17	Moderna
3	2021-10-28	Moderna	No

Call center

6 call center cases

6 unsuccessful

3 waits over 3 months for a first call

See the call center timeline

Free text

Release 3 — day 21, dose 1

2021-02-06

Symptoms: A varacose vein bleed. EMT came bandaged it up. Went to Doctor next morning. Im keeping pressure on it and will check with him next week.

Healthcare visit (other): My primary care physician.

Release 4 — days 1–6 daily, dose 2

2021-02-23

Systemic reaction (other): My lower back hurts. That is where my pain has settled.

Healthcare visit (other): Office visit tomorrow.

Release 4 — day 7, dose 2

2021-02-24

Systemic reaction (other): I saw my chiropractor. Got adjusted feeling better. Not so achie

Healthcare visit (other): Office visit

Release 5 — day 28, dose 2

2021-03-17

Symptoms: I get chills two or three times a day. I

Release 8 — 3 months, dose 2

2021-05-19

Symptoms: Varicose veins have burst externally and internally. Had procedure for them.

Healthcare visit (other): Phelebectomy

Release 9 — 6 months, dose 2

2021-08-18

Symptoms: Not related to the COVID-19 shots. Had procedure on leg for bursting veins; followed by blood clots. On blood thinner. Plan to get booster

Release 10 — day 0, dose 3

2021-10-28

Systemic reaction (other): No

Release 10 — days 1–6 daily, dose 3

2021-10-29

Systemic reaction (other): No

2021-10-30

Systemic reaction (other): No

2021-10-31

Systemic reaction (other): No

2021-11-01

Systemic reaction (other): The site of injection itched last evening for a short time.

2021-11-02

Systemic reaction (other): No

2021-11-03

Systemic reaction (other): No

Release 12 — 12 months, dose 3

2022-10-31

Symptoms: In September I was diagnosed with a-fib after spending a night in emergency room. Am now on blood thinner and a beta blocker. YUK!

Healthcare visit (other): Cardiologist

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	Phlebectomy	✓	✓	✓
SD	Atrial fibrillation	·	·	✓
SD	Chills	✓	✓	✓
SD	Emergency care	·	·	✓
SD	Haemorrhage	✓	✓	✓
SD	Medical procedure	✓	·	✓
SD	Thrombosis	✓	·	✓
SD	Varicose vein	✓	✓	✓
SD	Varicose vein ruptured	✓	✓	✓
SD	Vein rupture	✓	·	✓
SRO	Back pain	✓	✓	✓
SRO	Injection site pruritus	·	·	✓
SRO	No adverse event	·	·	✓
SRO	Pain	✓	✓	✓

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