6FK-32833-38545

2 vaccinations 12 coded responses 26 check-ins 12 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 480 / MI
Registered: 2021-02-26

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

2021-02-26
Registered in v-safe
2021-02-26
Dose 1 — Moderna
2021-02-26
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · 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
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: On Sat Feb 27 granddaughter drank from my straw she was Diagnosed with strep throat that late evening

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-04
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Fatigue or tiredness

Free text: Dizzy and lightheaded

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-19
Survey response — day 21, dose 1
MedDRA: Ear discomfort, Hypersensitivity, Pre-existing disease — Feeling: Fair

Free text: I dont believe this is Covid related my ears r blocked seasonal allergies are a coming in stronger this year

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Dose 2 — Moderna
2021-03-26
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Pain

Free text: Just slightly dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Pain · Nausea

Free text: Slightly dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Nausea

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache

Adult check-in
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Headache — Feeling: Good

Free text: Slight headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Ear discomfort, Headache — Feeling: Fair

Free text: Ears plugged slight headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-16
Survey response — day 21, dose 2
MedDRA: Pruritus, Sensitive skin — Feeling: Fair · Be unable to do your normal daily activities

Free text: Skin is very itchy and sensitive

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-07
Survey response — day 42, dose 2
MedDRA: Headache — Feeling: Fair

Free text: Headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-25
Survey response — 3 months, dose 2
MedDRA: Dermal cyst, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Skin cysts · Healthcare visit (other): Dr office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-25
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-30
Call 1 — Left Voicemail
2021-09-27
Survey response — 6 months, dose 2
MedDRA: Pain, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activities

Free text: Feeling sore and congested

MedDRA releases: 2024-11 · check-in free text available
2022-03-26
Survey response — 12 months, dose 2
MedDRA: Arthritis, Fatigue, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Tired more than I used to be Arthritis got in my hands · Healthcare visit (other): Dr. Visit

MedDRA releases: 2024-11 · check-in free text available
2022-03-26
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-28
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Moderna
2	2021-03-26	Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-03-01

Systemic reaction (other): On Sat Feb 27 granddaughter drank from my straw she was Diagnosed with strep throat that late evening

Release 5 — days 1–6 daily, dose 1

2021-03-04

Systemic reaction (other): Dizzy and lightheaded

Release 5 — day 21, dose 1

2021-03-19

Symptoms: I dont believe this is Covid related my ears r blocked seasonal allergies are a coming in stronger this year

Release 6 — day 0, dose 2

2021-03-26

Systemic reaction (other): Just slightly dizzy

Release 6 — days 1–6 daily, dose 2

2021-03-27

Systemic reaction (other): Slightly dizzy

2021-03-30

Systemic reaction (other): Slight headache

2021-04-01

Systemic reaction (other): Ears plugged slight headache

Release 7 — day 21, dose 2

2021-04-16

Symptoms: Skin is very itchy and sensitive

Release 8 — day 42, dose 2

2021-05-07

Symptoms: Headache

Release 9 — 3 months, dose 2

2021-06-25

Symptoms: Skin cysts

Healthcare visit (other): Dr office

Release 9 — 6 months, dose 2

2021-09-27

Symptoms: Feeling sore and congested

Release 11 — 12 months, dose 2

2022-03-26

Symptoms: Tired more than I used to be Arthritis got in my hands

Healthcare visit (other): Dr. Visit

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	Arthritis	·	·	✓
SD	Dermal cyst	✓	✓	✓
SD	Ear discomfort	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sensitive skin	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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