6B5-20300-15560

4 vaccinations 18 coded responses 39 check-ins 18 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 805 / CO
Registered: 2021-04-12

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

2021-04-07
Dose 1 — Moderna
2021-04-12
Registered in v-safe
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Dehydration, Dizziness, Headache, Hot flush, Influenza like illness, Oral herpes — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: hot flashes and chills ended up with fever blister, felt dehydrated and fluish, dizzy with headaches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 1
MedDRA: Hot flush — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Hot flashes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — day 7, dose 1
MedDRA: Oral herpes — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Fever blister

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — day 14, dose 1
MedDRA: Unevaluable event — Feeling: Fair

Free text: Possible urinary issues, I think I got dehydrated. I will seek medical attention if the symptoms continue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Dose 2 — Moderna
2021-05-05
Survey response — day 0, dose 2
MedDRA: Unevaluable event — Feeling: Good · Site: Pain

Free text: The 2nd dose was given at 2 pm, it is now 4 pm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Muscle cramps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Foot, hand , arm and back cramping and spasms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-11
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms — Feeling: Fair · Site: Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Muscle cramps severe

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — day 7, dose 2
MedDRA: Muscle spasms — Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches

Free text: Muscle cramps in feet arms and hands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-27
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-03
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-09
Survey response — day 35, dose 2
MedDRA: Bronchial disorder — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Bronchial issues,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-21
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-09
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-11-03
Survey response — 6 months, dose 2
MedDRA: Ulcer — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Ulcers

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2021-11-04
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-12-08
Dose 3 — Moderna
Co-administered: Flu
2021-12-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-12
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-12-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Nausea

Adult check-in
2021-12-14
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain, Unevaluable event — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sore throat, sinus

MedDRA releases: 2024-11 · check-in free text available
2021-12-14
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-15
Survey response — day 7, dose 3
MedDRA: Oropharyngeal pain, Unevaluable event — Feeling: Poor · Fever · Chills, Muscle or body aches

Free text: Sore throat, sinus

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-12-22
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-31
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-01-07
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-01-12
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-01-19
Survey response — day 42, dose 3
MedDRA: Ulcer — Feeling: Fair · Be unable to do your normal daily activities

Free text: Ulcers

MedDRA releases: 2024-11 · check-in free text available
2022-03-09
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-05-17
Dose 4 — Moderna
2022-05-18
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-05-19
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-05-20
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-05-21
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2022-05-23
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-05-25
Health check-in — day 7, dose 4
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-31
Survey response — day 14, dose 4
MedDRA: Headache, Myalgia, Nausea, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities

Free text: Stomach, nausea,headaches, muscle aches

MedDRA releases: 2024-11 · check-in free text available
2022-06-09
Survey response — day 21, dose 4
MedDRA: Bronchitis — Feeling: Poor · Be unable to work or attend school

Free text: Bronchitis

MedDRA releases: 2024-11 · check-in free text available
2022-06-14
Survey response — day 28, dose 4
MedDRA: Bronchitis — Feeling: Fair · Be unable to work or attend school

Free text: Bronchitis

MedDRA releases: 2024-11 · check-in free text available
2022-06-21
Survey response — day 35, dose 4
MedDRA: COVID-19, Chronic obstructive pulmonary disease, Office visit, Telemedicine — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: COPD, inherited from covid · Healthcare visit (other): Both a telemed and clinic appointments

MedDRA releases: 2024-11 · check-in free text available
2022-06-21
Report sent to call center — day 35, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-06-22
Call 1 — Left Voicemail
2022-06-22
Call 1 — Left Voicemail
2022-06-22
Call 1 — Left Voicemail
2022-11-15
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Moderna
2	2021-05-05	Moderna
3	2021-12-08	Moderna	Flu
4	2022-05-17	Moderna	No

Call center

3 call center cases

2 successful · 1 unsuccessful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-12

Systemic reaction (other): hot flashes and chills ended up with fever blister, felt dehydrated and fluish, dizzy with headaches.

2021-04-13

Systemic reaction (other): Hot flashes

Release 7 — day 7, dose 1

2021-04-17

Systemic reaction (other): Fever blister

Release 7 — day 14, dose 1

2021-04-23

Symptoms: Possible urinary issues, I think I got dehydrated. I will seek medical attention if the symptoms continue.

Release 8 — day 0, dose 2

2021-05-05

Systemic reaction (other): The 2nd dose was given at 2 pm, it is now 4 pm

Release 8 — days 1–6 daily, dose 2

2021-05-06

Systemic reaction (other): Muscle cramps

2021-05-07

Systemic reaction (other): Foot, hand , arm and back cramping and spasms.

2021-05-11

Systemic reaction (other): Muscle cramps severe

Release 8 — day 7, dose 2

2021-05-13

Systemic reaction (other): Muscle cramps in feet arms and hands

Release 9 — day 35, dose 2

2021-06-09

Symptoms: Bronchial issues,

Release 10 — 6 months, dose 2

2021-11-03

Symptoms: Ulcers

Release 10 — days 1–6 daily, dose 3

2021-12-14

Systemic reaction (other): Sore throat, sinus

Release 10 — day 7, dose 3

2021-12-15

Systemic reaction (other): Sore throat, sinus

Release 10 — day 42, dose 3

2022-01-19

Symptoms: Ulcers

Release 11 — day 14, dose 4

2022-05-31

Symptoms: Stomach, nausea,headaches, muscle aches

Release 12 — day 21, dose 4

2022-06-09

Symptoms: Bronchitis

Release 12 — day 28, dose 4

2022-06-14

Symptoms: Bronchitis

Release 12 — day 35, dose 4

2022-06-21

Symptoms: COPD, inherited from covid

Healthcare visit (other): Both a telemed and clinic appointments

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	Telemedicine	·	·	✓
SD	Bronchial disorder	✓	✓	✓
SD	Bronchitis	·	·	✓
SD	Chronic obstructive pulmonary disease	·	·	✓
SD	COVID-19	·	·	✓
SD	Headache	·	·	✓
SD	Myalgia	·	·	✓
SD	Nausea	·	·	✓
SD	Ulcer	·	·	✓
SD	Unevaluable event	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Dehydration	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Influenza like illness	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Oral herpes	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Unevaluable event	✓	✓	✓

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