6CH-16421-44809

3 vaccinations 8 coded responses 27 check-ins 8 free-text entries 14 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 062 / CT
Registered: 2020-12-29

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

2020-12-29
Registered in v-safe
2020-12-29
Dose 1 — Moderna
2020-12-29
Health check-in — day 0, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2020-12-29
Report sent to call center — day 0, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2020-12-30
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2020-12-31
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

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

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

1 call case(s)
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-02
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-03
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-04
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Feeling abnormal — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness, brain fog

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

1 call case(s)
2021-01-05
Health check-in — day 7, dose 1
Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-05
Report sent to call center — day 7, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-26
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-01-29
Dose 2 — Moderna
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Headache, Illness, Medical counselling, Nausea, Pain, Rash, Somnolence — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, 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: Systemic reaction (other): Severe pain, severe headache, rash is large and spreading, severe nausea, sleepy and cant wake up since 2nd shot on 1-28; extremely sick. Joint pain everywhere. · Healthcare visit (other): Told to go to ER but didnt go - I was too sick. I took 2 Dilaudid pain was so severe

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-01
Survey response — days 1–6 daily, dose 2
MedDRA: Balance disorder, Brain fog, Cold-stimulus headache, Dizziness, Nasal congestion, Tinnitus — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Ringing in ears, brain fog, dizziness, off balance, stuffy nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Balance disorder, Dizziness, Feeling abnormal, Hyperhidrosis, Lymphadenopathy, Mental impairment, Tremor — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, 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: Swollen glands, brain fog, dizziness, cant think, off balance, shaky, sweaty, no energy

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

1 call case(s)
2021-02-03
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction, Office visit, Pre-existing disease — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, 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: I have adrenal insufficiency and my endocrinologist instructed me to inject a shot of dexamethasone due to the severity of my side effects and overall Symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-05
Health check-in — day 7, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-12
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-19
Health check-in — day 21, dose 2
Feeling: Poor

Adult check-in
2021-02-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-13
Health check-in — day 42, dose 2
Feeling: Poor

Adult check-in
2021-04-30
Health check-in — 3 months, dose 2
Feeling: Poor

Adult check-in
2021-05-28
Call 1 — Left Voicemail
2021-08-01
Survey response — 6 months, dose 2
MedDRA: Adrenocortical insufficiency acute, Fatigue, Hypokalaemia, Myasthenia gravis, Pancreatitis, Pneumonia aspiration, Pre-existing disease — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: I have no idea if they are related Aspiration pneumoniaPancreatitis HypokalemiaAdrenal crisisMyasthenia Gravis exacerbationExtreme fatigue

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-01
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-06
Call successful
Other
2021-09-04
Dose 3 — Moderna
2021-12-04
Survey response — 3 months, dose 3
MedDRA: Pericarditis — Feeling: Fair · Be unable to work or attend school, 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: I developed pericarditis 3 weeks or so after my booster shot

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Report sent to call center — 3 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-06
Call 2 — Left Voicemail
2022-03-08
Health check-in — 6 months, dose 3
Feeling: Poor

Adult check-in
2022-09-06
Survey response — 12 months, dose 3
MedDRA: Asthma, COVID-19, Lyme disease, Nephrolithiasis, Pancreatitis, Pericarditis, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Asthma exacerbation, pericarditis, Lyme disease, pancreatitis, kidney stones, covid

MedDRA releases: 2024-11 · check-in free text available
2022-09-06
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-09-07
Call 1 — Left Voicemail
2022-09-07
Call 1 — Left Voicemail
2022-09-07
Call 2 — Left Voicemail
2022-09-07
Call 1 — Left Voicemail
2022-09-07
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Moderna
2	2021-01-29	Moderna
3	2021-09-04	Moderna	No

Call center

14 call center cases

1 successful · 5 unsuccessful · 8 priority 2/3 (triaged and no follow up)

3 waits over 3 months for a first call

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-04

Systemic reaction (other): Dizziness, brain fog

Release 3 — days 1–6 daily, dose 2

2021-01-31

Systemic reaction (other): Severe pain, severe headache, rash is large and spreading, severe nausea, sleepy and cant wake up since 2nd shot on 1-28; extremely sick. Joint pain everywhere.

Healthcare visit (other): Told to go to ER but didnt go - I was too sick. I took 2 Dilaudid pain was so severe

2021-02-01

Systemic reaction (other): Ringing in ears, brain fog, dizziness, off balance, stuffy nose

2021-02-02

Systemic reaction (other): Swollen glands, brain fog, dizziness, cant think, off balance, shaky, sweaty, no energy

2021-02-03

Healthcare visit (other): I have adrenal insufficiency and my endocrinologist instructed me to inject a shot of dexamethasone due to the severity of my side effects and overall Symptoms

Release 9 — 6 months, dose 2

2021-08-01

Symptoms: I have no idea if they are related Aspiration pneumoniaPancreatitis HypokalemiaAdrenal crisisMyasthenia Gravis exacerbationExtreme fatigue

Release 10 — 3 months, dose 3

2021-12-04

Symptoms: I developed pericarditis 3 weeks or so after my booster shot

Release 12 — 12 months, dose 3

2022-09-06

Symptoms: Asthma exacerbation, pericarditis, Lyme disease, pancreatitis, kidney stones, covid

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	Adverse reaction	✓	✓	✓
HCVO	Illness	✓	✓	✓
HCVO	Medical counselling	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Pain	✓	✓	✓
HCVO	Pre-existing disease	✓	✓	✓
SD	Adrenocortical insufficiency acute	✓	·	✓
SD	Asthma	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	✓	·	✓
SD	Hypokalaemia	✓	·	✓
SD	Lyme disease	·	·	✓
SD	Myasthenia gravis	✓	·	✓
SD	Nephrolithiasis	·	·	✓
SD	Pancreatitis	✓	·	✓
SD	Pericarditis	·	·	✓
SD	Pneumonia aspiration	✓	·	✓
SD	Pre-existing disease	✓	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Balance disorder	✓	✓	✓
SRO	Brain fog	·	·	✓
SRO	Cold-stimulus headache	✓	✓	○
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Mental impairment	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Somnolence	✓	✓	✓
SRO	Tinnitus	✓	✓	✓
SRO	Tremor	✓	✓	✓

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