64E-19467-53702

5 vaccinations 11 coded responses 60 check-ins 11 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 488 / MI
Registered: 2021-01-28

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

2021-01-28
Registered in v-safe
2021-01-28
Dose 1 — Moderna
2021-01-28
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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 — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Diarrhea

Adult check-in
2021-02-04
Health check-in — day 7, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-02-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-18
Survey response — day 21, dose 1
MedDRA: Diarrhoea, Fatigue — Feeling: Fair

Free text: Diarrhea, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-02
Dose 2 — Moderna
2021-03-02
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills, Headache, Joint pains

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-09
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-17
Survey response — day 14, dose 2
MedDRA: Diarrhoea, Fatigue, Headache, Pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Fatigue, aches, diarrhea, headache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — day 21, dose 2
MedDRA: Arthralgia, Chills, Headache — Feeling: Good · Be unable to do your normal daily activities

Free text: Chills, headache, joint aches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-31
Survey response — 6 months, dose 2
MedDRA: Diarrhoea, Eye injury — 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: Diarrhea Eye injury

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-31
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)
2021-10-25
Dose 3 — Moderna
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Redness, Swelling, Itching · Fever · Chills, Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Swelling, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-11-01
Health check-in — day 7, dose 3
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-11-08
Survey response — day 14, dose 3
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-11-15
Survey response — day 21, dose 3
MedDRA: Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good

Free text: sore throat, nasal drip, was exposed to others who may have COVID. I had COVID tests Nov. 8 and Nov. 14. Both negative.

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Call 1 — Left Voicemail
2021-11-22
Survey response — day 28, dose 3
MedDRA: Arthralgia, Body temperature increased, Gait disturbance, Gastrointestinal pain, Muscle spasms — Feeling: Poor · Be unable to do your normal daily activities

Free text: Pains in joints and intestines. Hard to walk. Serious spasms in muscles at night. Temp of 99.6.

MedDRA releases: 2024-11 · check-in free text available
2021-11-30
Survey response — day 35, dose 3
MedDRA: Abdominal pain, Diarrhoea, Pyrexia — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Still having diarrhea, fever and abdominal pain. Was put on antibiotics, mixed blessing took pain and fever away, left diarrhea.

MedDRA releases: 2024-11 · check-in free text available
2021-11-30
Report sent to call center — day 35, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-01
Call 1 — Left Voicemail
2021-12-06
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-24
Survey response — 3 months, dose 3
MedDRA: Abdominal pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Abdominal pain

MedDRA releases: 2024-11 · check-in free text available
2022-04-20
Dose 4 — Moderna
2022-04-20
Health check-in — day 0, dose 4
Feeling: Good · Headache

Adult check-in
2022-04-21
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2022-04-22
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Redness, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2022-04-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2022-04-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Swelling · None

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

Adult check-in
2022-04-27
Health check-in — day 7, dose 4
Feeling: Good · Site: Pain, Redness, Itching · None

Adult check-in
2022-05-04
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-11
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-18
Survey response — day 28, dose 4
MedDRA: Diarrhoea — Feeling: Good · Be unable to do your normal daily activities

Free text: Intestinal diarrhea

MedDRA releases: 2024-11 · check-in free text available
2022-05-26
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-01
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-20
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-08
Dose 5 — Moderna
2022-09-15
Health check-in — day 7, dose 5
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2022-09-22
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-09-29
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-07
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-14
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-20
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-08
Survey response — 3 months, dose 5
MedDRA: Abdominal pain, Chills, Irritable bowel syndrome — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Pain abdomen. IBSD. Chills

MedDRA releases: 2024-11 · check-in free text available
2022-12-08
Report sent to call center — 3 months, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-12-09
Call 2 — Left Voicemail
2022-12-09
Call 2 — Left Voicemail
2022-12-09
Call 1 — Left Voicemail
2023-03-09
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-28	Moderna
2	2021-03-02	Moderna
3	2021-10-25	Moderna	No
4	2022-04-20	Moderna	No
5	2022-09-08	Moderna	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 4 — day 21, dose 1

2021-02-18

Symptoms: Diarrhea, fatigue

Release 5 — day 14, dose 2

2021-03-17

Symptoms: Fatigue, aches, diarrhea, headache.

Release 6 — day 21, dose 2

2021-03-23

Symptoms: Chills, headache, joint aches.

Release 9 — 6 months, dose 2

2021-08-31

Symptoms: Diarrhea Eye injury

Release 10 — day 14, dose 3

2021-11-08

Symptoms: Sore throat

Release 10 — day 21, dose 3

2021-11-15

Symptoms: sore throat, nasal drip, was exposed to others who may have COVID. I had COVID tests Nov. 8 and Nov. 14. Both negative.

Release 10 — day 28, dose 3

2021-11-22

Symptoms: Pains in joints and intestines. Hard to walk. Serious spasms in muscles at night. Temp of 99.6.

Release 10 — day 35, dose 3

2021-11-30

Symptoms: Still having diarrhea, fever and abdominal pain. Was put on antibiotics, mixed blessing took pain and fever away, left diarrhea.

Release 11 — 3 months, dose 3

2022-01-24

Symptoms: Abdominal pain

Release 11 — day 28, dose 4

2022-05-18

Symptoms: Intestinal diarrhea

Release 12 — 3 months, dose 5

2022-12-08

Symptoms: Pain abdomen. IBSD. Chills

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 pain	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Body temperature increased	·	·	✓
SD	Chills	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Eye injury	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Gait disturbance	·	·	✓
SD	Gastrointestinal pain	·	·	✓
SD	Headache	✓	✓	✓
SD	Irritable bowel syndrome	·	·	✓
SD	Muscle spasms	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓

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