6DB-11354-28132

2 vaccinations 8 coded responses 21 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 802 / CO
Registered: 2020-12-30

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2020-12-30
Registered in v-safe
2020-12-30
Dose 1 — Moderna
2020-12-30
Health check-in — day 0, dose 1
Feeling: Fair · Fever · Headache

Adult check-in
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Asthma, Back pain, Chills, Dyspnoea, Oropharyngeal pain, Pre-existing disease — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Free text: Just yesterday evening I got chills, trouble breathing, sore coarse throat, and today it's still a bit sore, and i have asthma so I definitely can tell when it don't feel normal . Also today my back is hurting really bad like very achy . Lower back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Headache, Muscle or body aches, Abdominal pain

Adult check-in
2021-01-06
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Survey response — day 14, dose 1
MedDRA: Back pain, Chest discomfort, Chest pain, Dyspnoea, Fatigue, Headache, Nasopharyngitis, Oesophageal pain, Pain, Rhinorrhoea, Throat tightness, Vision blurred — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: I had body aches , runny nose , like a cold, back hurts , hard time breathing , headache, very very tired, blurred vision , tightness of chest and throat felt like a blockage feeling and burning down the esophagus and upper chest .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Report sent to call center — day 14, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-20
Survey response — day 21, dose 1
MedDRA: Cough, Nausea, Pain, Pruritus — Feeling: Fair

Free text: I have a lot of itchiness, more nausea at times , slight soreness / With miner little cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — day 28, dose 1
MedDRA: Fatigue, Nasopharyngitis, Pain, Rhinorrhoea, Sneezing — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: A lot of sneezing and runny nose. Body aches had a cold with all kinds of symptoms last week. Tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Dose 2 — Moderna
2021-02-03
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Site: Itching · Muscle or body aches

Free text: Shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — day 7, dose 2
Feeling: Fair · Site: Itching · Fever · Headache, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-02-11
Survey response — day 14, dose 2
MedDRA: Dyspnoea, Fatigue, Pain — Feeling: Good · Be unable to work, 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: Hard time breathing , body aches , fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Report sent to call center — day 14, 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)
2021-02-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-04
Survey response — day 35, dose 2
MedDRA: Abdominal pain upper, Diarrhoea, Somnolence — Feeling: Good

Free text: Ive had a lot of stomachache, diarrhea, sleepiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — day 42, dose 2
MedDRA: Abdominal pain upper, Headache, Nausea — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Headache , nausea , stomachache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-07-20
Call 1 — Could Not Reach Participant
2021-07-23
Call 2 — Left Voicemail
2021-07-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-28
Health check-in — 12 months, dose 2
Feeling: Poor

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-01-28	Moderna

Call center

2 call center cases

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

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-31

Systemic reaction (other): Just yesterday evening I got chills, trouble breathing, sore coarse throat, and today it's still a bit sore, and i have asthma so I definitely can tell when it don't feel normal . Also today my back is hurting really bad like very achy . Lower back

Release 1 — day 14, dose 1

2021-01-13

Symptoms: I had body aches , runny nose , like a cold, back hurts , hard time breathing , headache, very very tired, blurred vision , tightness of chest and throat felt like a blockage feeling and burning down the esophagus and upper chest .

Release 2 — day 21, dose 1

2021-01-20

Symptoms: I have a lot of itchiness, more nausea at times , slight soreness / With miner little cough

Release 2 — day 28, dose 1

2021-01-27

Symptoms: A lot of sneezing and runny nose. Body aches had a cold with all kinds of symptoms last week. Tiredness

Release 3 — days 1–6 daily, dose 2

2021-02-03

Systemic reaction (other): Shortness of breath

Release 4 — day 14, dose 2

2021-02-11

Symptoms: Hard time breathing , body aches , fatigue

Release 5 — day 35, dose 2

2021-03-04

Symptoms: Ive had a lot of stomachache, diarrhea, sleepiness

Release 5 — day 42, dose 2

2021-03-11

Symptoms: Headache , nausea , stomachache

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 upper	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Oesophageal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sneezing	✓	✓	✓
SD	Somnolence	✓	✓	✓
SD	Throat tightness	✓	✓	✓
SD	Vision blurred	✓	✓	✓
SRO	Asthma	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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