6G8-24638-20757

4 vaccinations 11 coded responses 34 check-ins 11 free-text entries 4 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 799 / TX
Registered: 2021-01-07

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

Q2H-23644-72293 Child or adolescent in my care · Male · 2021-12-10

JJR-31386-95200 Child or adolescent in my care · Female · 2021-12-10

Timeline

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

2021-01-05
Dose 1 — Moderna
2021-01-07
Registered in v-safe
2021-01-07
Survey response — days 1–6 daily, dose 1
MedDRA: Tachycardia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Tachycardia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
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)
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-12
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-19
Survey response — day 14, dose 1
MedDRA: Hypokinesia, Injection site pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Significant left upper arm pain near injection site. Came on suddenly about 7 days post vaccine and lasted 2 days then stopped. I couldnt use my arm well during that period.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — day 21, dose 1
MedDRA: Injection site pain, Pharyngitis streptococcal — Feeling: Poor · 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: Strep throat; Im also still having pain at the injection site on my left shoulder.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Report sent to call center — day 21, dose 1
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)
2021-02-02
Dose 2 — Moderna
2021-02-02
Survey response — day 0, dose 2
MedDRA: Hypoaesthesia — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: Facial numbness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Facial numbness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, 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
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · 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

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
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

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea, Abdominal pain

Adult check-in
2021-02-09
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-23
Survey response — day 21, dose 2
MedDRA: Injection site pain — Feeling: Good

Free text: Some soreness at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-03
Call 2 — Left Voicemail
2021-08-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-07
Dose 3 — Moderna
2021-12-10
Survey response — days 1–6 daily, dose 3
MedDRA: Pyrexia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fever

MedDRA releases: 2024-11 · check-in free text available
2021-12-11
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-12
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-13
Survey response — days 1–6 daily, dose 3
MedDRA: Gastrooesophageal reflux disease — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: GERD

MedDRA releases: 2024-11 · check-in free text available
2021-12-14
Health check-in — day 7, dose 3
Feeling: Poor · Headache, Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-21
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-28
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-06
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-11
Survey response — day 35, dose 3
MedDRA: Oropharyngeal pain, Pyrexia, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sore throat, congestion, fever

MedDRA releases: 2024-11 · check-in free text available
2022-03-08
Survey response — 3 months, dose 3
MedDRA: Anaemia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Anemia

MedDRA releases: 2024-11 · check-in free text available
2022-03-08
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-10
Call 1 — Left Voicemail
2022-03-10
Call 1 — Left Voicemail
2022-10-13
Dose 4 — Pfizer-BioNTech
2022-11-27
Survey response — day 42, dose 4
MedDRA: Brain fog, COVID-19, Postural orthostatic tachycardia syndrome, Pyrexia, Respiratory symptom — 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

Free text: Covidfever, Upper respiratory symptoms, brain fog, cardiac complications (postural tachycardia)

MedDRA releases: 2024-11 · check-in free text available
2022-11-27
Report sent to call center — day 42, dose 4
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 · 1 call case(s)
2022-11-28
Call 3 — Left Voicemail
2022-11-28
Call 2 — Left Voicemail
2022-11-28
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-05	Moderna
2	2021-02-02	Moderna
3	2021-12-07	Moderna	No
4	2022-10-13	Pfizer-BioNTech	No

Call center

4 call center cases

3 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

2021-01-07

Systemic reaction (other): Tachycardia

Release 2 — day 14, dose 1

2021-01-19

Symptoms: Significant left upper arm pain near injection site. Came on suddenly about 7 days post vaccine and lasted 2 days then stopped. I couldnt use my arm well during that period.

Release 2 — day 21, dose 1

2021-01-26

Symptoms: Strep throat; Im also still having pain at the injection site on my left shoulder.

Release 3 — day 0, dose 2

2021-02-02

Systemic reaction (other): Facial numbness

Release 3 — days 1–6 daily, dose 2

2021-02-03

Systemic reaction (other): Facial numbness

Release 4 — day 21, dose 2

2021-02-23

Symptoms: Some soreness at injection site

Release 10 — days 1–6 daily, dose 3

2021-12-10

Systemic reaction (other): Fever

2021-12-13

Systemic reaction (other): GERD

Release 10 — day 35, dose 3

2022-01-11

Symptoms: Sore throat, congestion, fever

Release 11 — 3 months, dose 3

2022-03-08

Symptoms: Anemia

Release 12 — day 42, dose 4

2022-11-27

Symptoms: Covidfever, Upper respiratory symptoms, brain fog, cardiac complications (postural tachycardia)

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	Anaemia	·	·	✓
SD	Brain fog	·	·	✓
SD	COVID-19	·	·	✓
SD	Hypokinesia	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pharyngitis streptococcal	✓	✓	✓
SD	Postural orthostatic tachycardia syndrome	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory symptom	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SRO	Gastrooesophageal reflux disease	·	·	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Pyrexia	·	·	✓
SRO	Tachycardia	✓	✓	✓

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