66S-70217-33395

5 vaccinations 12 coded responses 50 check-ins 11 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 497 / MI
Registered: 2021-02-25

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
Registered in v-safe
2021-02-25
Dose 1 — Moderna
2021-02-25
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Diarrhea

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-03-04
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Survey response — day 14, dose 1
MedDRA: Injection site bruising — Feeling: Good

Free text: Large bruise at injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-25
Dose 2 — Moderna
2021-03-25
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-26
Survey response — days 1–6 daily, dose 2
MedDRA: Multiple sclerosis, Myalgia, Pain, Pre-existing disease — Feeling: Fair · Site: Swelling · Fever · Joint pains, Muscle or body aches

Free text: I also get these muscle and body aches from my M.S. but they are more severe today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · None

Adult check-in
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Free text: Last evening and now I've been having strange feelings throughout my body. Not quite sure what is going on but if they get any worse tonight I may go to ER.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Free text: Feeling much better than the last two days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling, Itching · None

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

Adult check-in
2021-04-01
Health check-in — day 7, dose 2
Feeling: Fair · Site: Swelling, Itching · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-09
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: Good

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

Adult check-in
2021-05-06
Survey response — day 42, dose 2
MedDRA: Urinary tract infection — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Severe urinary tract infection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-24
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-23
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-22
Dose 3 — Moderna
Co-administered: Flu
2021-10-29
Survey response — day 7, dose 3
MedDRA: Hospitalisation, Urinary tract infection — Feeling: Fair · Fever · Fatigue or tiredness, Diarrhea, Abdominal pain · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: I was admitted to my local hospital yesterday evening because of a severe UTI which started going toxic. In no way we're my symptoms related to my booster shot which I had a week ago today along my with my yearly flu shot.

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Report sent to call center — day 7, dose 3
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2021-11-02
Call 3 — Left Voicemail
2021-11-07
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-14
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-20
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-05
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-22
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-24
Survey response — 6 months, dose 3
MedDRA: COVID-19, Malaise, Quarantine — Feeling: Fair · 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: Even though I am vaccinated & boosted I now have COVID-19 and have two more days left on my quarantine. Can't wait to get my freedom back and feel completely well again.

MedDRA releases: 2024-11 · check-in free text available
2022-04-24
Report sent to call center — 6 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)
2022-04-25
Call 2 — Left Voicemail
2022-05-25
Dose 4 — Moderna
2022-05-25
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2022-05-27
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Poor · Site: Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: None

MedDRA releases: 2024-11 · check-in free text available
2022-05-31
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Itching · None

Adult check-in
2022-06-05
Health check-in — day 7, dose 4
Feeling: Good · Site: Itching · None

Adult check-in
2022-06-15
Survey response — day 21, dose 4
MedDRA: Laboratory test abnormal, Nephrolithiasis — Feeling: Good

Free text: Medical tests have shown that I have an extremely large kidney stone which will never pass so I must have surgery to remove it.

MedDRA releases: 2024-11 · check-in free text available
2022-06-23
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-02
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-06
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-30
Survey response — 3 months, dose 4
MedDRA: COVID-19, Living in residential institution, Malaise, Medical counselling — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Quite sick with COVID 19. · Healthcare visit (other): Nursing home.

MedDRA releases: 2024-11 · check-in free text available
2022-08-30
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-08-31
Call 2 — Left Voicemail
2022-08-31
Call 2 — Left Voicemail
2022-08-31
Call 3 — Left Voicemail
2022-08-31
Call 2 — Left Voicemail
2022-11-23
Survey response — 6 months, dose 4
MedDRA: Urinary tract infection — Feeling: Fair

Free text: Numerous UTI'S which are not responding to certain antibiotics so now I am receiving IV antibiotics every 6 hours for a week that we hope will solve the problem.

MedDRA releases: 2024-11 · check-in free text available
2023-01-16
Dose 5 — Moderna
2023-01-16
Health check-in — day 0, dose 5
Feeling: Good · Site: Pain · Headache

Adult check-in
2023-01-17
Survey response — days 1–6 daily, dose 5
MedDRA: Insomnia, Living in residential institution — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-01-17
Report sent to call center — days 1–6 daily, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2023-01-18
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2023-01-18
Call 1 — Left Voicemail
2023-01-18
Call 1 — Left Voicemail
2023-01-18
Call 1 — Left Voicemail
2023-01-18
Call 1 — Left Voicemail
2023-01-18
Call 1 — Left Voicemail
2023-01-19
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness, Itching · Fever · Chills, Headache, Fatigue or tiredness

Adult check-in
2023-01-20
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Redness, Itching · Headache, Fatigue or tiredness

Adult check-in
2023-01-21
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2023-01-25
Health check-in — day 7, dose 5
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-25	Moderna
2	2021-03-25	Moderna
3	2021-10-22	Moderna	Flu
4	2022-05-25	Moderna	No
5	2023-01-16	Moderna	No

Call center

5 call center cases

5 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — day 14, dose 1

2021-03-12

Symptoms: Large bruise at injection site.

Release 6 — days 1–6 daily, dose 2

2021-03-26

Systemic reaction (other): I also get these muscle and body aches from my M.S. but they are more severe today.

2021-03-28

Systemic reaction (other): Last evening and now I've been having strange feelings throughout my body. Not quite sure what is going on but if they get any worse tonight I may go to ER.

2021-03-29

Systemic reaction (other): Feeling much better than the last two days.

Release 8 — day 42, dose 2

2021-05-06

Symptoms: Severe urinary tract infection.

Release 10 — day 7, dose 3

2021-10-29

Systemic reaction (other): I was admitted to my local hospital yesterday evening because of a severe UTI which started going toxic. In no way we're my symptoms related to my booster shot which I had a week ago today along my with my yearly flu shot.

Release 11 — 6 months, dose 3

2022-04-24

Symptoms: Even though I am vaccinated & boosted I now have COVID-19 and have two more days left on my quarantine. Can't wait to get my freedom back and feel completely well again.

Release 11 — days 1–6 daily, dose 4

2022-05-27

Systemic reaction (other): None

Release 12 — day 21, dose 4

2022-06-15

Symptoms: Medical tests have shown that I have an extremely large kidney stone which will never pass so I must have surgery to remove it.

Release 12 — 3 months, dose 4

2022-08-30

Symptoms: Quite sick with COVID 19.

Healthcare visit (other): Nursing home.

Release 12 — 6 months, dose 4

2022-11-23

Symptoms: Numerous UTI'S which are not responding to certain antibiotics so now I am receiving IV antibiotics every 6 hours for a week that we hope will solve the problem.

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	Living in residential institution	·	·	✓
HCVO	Medical counselling	·	·	✓
SD	COVID-19	·	·	✓
SD	Injection site bruising	✓	✓	✓
SD	Laboratory test abnormal	·	·	✓
SD	Malaise	·	·	✓
SD	Nephrolithiasis	·	·	✓
SD	Quarantine	·	·	✓
SD	Urinary tract infection	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Hospitalisation	·	·	✓
SRO	Insomnia	·	·	✓
SRO	Multiple sclerosis	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Urinary tract infection	·	·	✓

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