6D2-19592-83069

2 vaccinations 6 coded responses 21 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 761 / TX
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

2021-04-09
Dose 1 — Moderna
2021-04-12
Registered in v-safe
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal discomfort, Fatigue, Headache, Middle insomnia, Nausea, Pain in extremity, Pyrexia, Self-medication — Feeling: Good

Free text: Rec'd shot on Friday; felt nauseous during night; woke with during night with 101.9 fever. Took 1 extra strength Tylenol. Woke Saturday morning with bad headache and had one almost all day, arm was a little sure on Saturday and still had upset stomach. Woke Sunday just mainly tired with slight headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Good

Free text: Better than first three days of getting shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 1
MedDRA: Nausea — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Some nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-06
Dose 2 — Moderna
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Diarrhea

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-05-13
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-20
Survey response — day 14, dose 2
MedDRA: Bronchitis, Cough, Pyrexia, Respiratory tract congestion — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Started with cough and congestion on Friday 5/14/2021 and continued to get worse over weekend. 5/17/2021 had Dr app. and diagnosed with severe cause of bronchitis. Put on nebulizer medication, steroids and inhaler. Started running fever of 101.6 Tue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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: Good

Adult check-in
2021-06-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-17
Survey response — day 42, dose 2
MedDRA: Condition aggravated, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Thinking Covid might have cause my Myasthenia Gravis to flare up · Healthcare visit (other): Visit to my neurologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
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
Call 1 — Left Voicemail
2021-08-05
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-06
Survey response — 6 months, dose 2
MedDRA: Cough, Discharge, Muscular weakness, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Constant drainage and off and on coughing. More weakness in my legs · Healthcare visit (other): Office visit with ENT

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-09
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-09	Moderna
2	2021-05-06	Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-12

Systemic reaction (other): Rec'd shot on Friday; felt nauseous during night; woke with during night with 101.9 fever. Took 1 extra strength Tylenol. Woke Saturday morning with bad headache and had one almost all day, arm was a little sure on Saturday and still had upset stomach. Woke Sunday just mainly tired with slight headache

2021-04-14

Systemic reaction (other): Better than first three days of getting shot

2021-04-15

Systemic reaction (other): Some nausea

Release 8 — day 14, dose 2

2021-05-20

Symptoms: Started with cough and congestion on Friday 5/14/2021 and continued to get worse over weekend. 5/17/2021 had Dr app. and diagnosed with severe cause of bronchitis. Put on nebulizer medication, steroids and inhaler. Started running fever of 101.6 Tue cut off by CDC

Release 9 — day 42, dose 2

2021-06-17

Symptoms: Thinking Covid might have cause my Myasthenia Gravis to flare up

Healthcare visit (other): Visit to my neurologist

Release 10 — 6 months, dose 2

2021-11-06

Symptoms: Constant drainage and off and on coughing. More weakness in my legs

Healthcare visit (other): Office visit with ENT

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	✓	✓	✓
SD	Bronchitis	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Discharge	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Middle insomnia	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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