6HA-22969-97609

5 vaccinations 14 coded responses 45 check-ins 14 free-text entries 5 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 262 / WV
Registered: 2021-01-15

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

2021-01-15
Registered in v-safe
2021-01-15
Dose 1 — Moderna
2021-01-15
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: It has been a busy weekend. The fatigue and tiredness are probably due to that.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-12
Dose 2 — Moderna
2021-02-12
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Poor · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site erythema, Injection site warmth — Feeling: Fair · Site: Pain, Redness, Itching · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Tennis ball size red spot at injection site is hot to touch.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site erythema, Injection site warmth — Feeling: Fair · Site: Pain, Redness, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The injection site that was red and angry is now pink. It was hot to touch but is now just warm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness

Adult check-in
2021-02-19
Health check-in — day 7, dose 2
Feeling: Fair · Site: Itching · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-02-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-16
Survey response — 3 months, dose 2
MedDRA: Bronchitis, Cough, Laryngitis, SARS-CoV-2 test negative, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I have had a Sinus infection, laryngitis, and cough from bronchitis. I tested negative for COVID.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-13
Survey response — 6 months, dose 2
MedDRA: Arthropod bite, Asthenia, Lyme disease, Pyrexia, Vomiting — Feeling: Poor · 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: I had a high fever, vomiting(2x), 7/6/21 to7/11/21. Im getting better but still weak. I have Lyme disease from a tick bite.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-13
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-18
Call 1 — Left Voicemail
2021-10-06
Dose 3 — Moderna
2021-10-28
Survey response — day 21, dose 3
MedDRA: Cough, Pain in extremity, Pyrexia, Skin warm — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fever and coughing for a week after the booster. My arm was very sore and warm to touch but not as bad as after the 2nd shot.

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-12
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-05
Survey response — 3 months, dose 3
MedDRA: Medical counselling, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative, Sinus congestion — 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

Free text: Symptoms: Last Monday my sinus congestion turned into a full blown head and chest congestion. I didn't have a temperature until Monday night. It was 100.4. I went to (b)(6) Monday morning and they did a covid test which was negative, and prescribed Doxycy. · Healthcare visit (other): Drive through clinic

MedDRA releases: 2024-11 · check-in free text available
2022-01-05
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

1 call case(s)
2022-01-06
Call 1 — Left Voicemail
2022-06-15
Dose 4 — Moderna
2022-06-23
Health check-in — day 7, dose 4
Feeling: Fair · Site: Itching · Fatigue or tiredness

Adult check-in
2022-06-29
Survey response — day 14, dose 4
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: I feel tired most of the time. I had an endoscopy done yesterday and of course that has made it worse yesterday and today.

MedDRA releases: 2024-11 · check-in free text available
2022-07-06
Survey response — day 21, dose 4
MedDRA: Sinusitis — Feeling: Fair

Free text: Sinus infection

MedDRA releases: 2024-11 · check-in free text available
2022-07-13
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-20
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-27
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-09-23
Dose 5 — Other-Unknown
Co-administered: Flu
2022-09-23
Survey response — day 0, dose 5
MedDRA: Urinary tract infection — Feeling: Good

Free text: I'm on an antibiotic for a uti.

MedDRA releases: 2024-11 · check-in free text available
2022-09-24
Survey response — days 1–6 daily, dose 5
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Free text: Much more mild than the last 3 injection symptoms.

MedDRA releases: 2024-11 · check-in free text available
2022-09-25
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Adult check-in
2022-09-26
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2022-09-27
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-10-02
Survey response — day 7, dose 5
MedDRA: Nasopharyngitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I have a cold moving down into my chest!

MedDRA releases: 2024-11 · check-in free text available
2022-10-02
Report sent to call center — day 7, dose 5
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-04
Call 1 — Left Voicemail
2022-10-04
Call 2 — Left Voicemail
2022-10-04
Call 2 — Left Voicemail
2022-10-04
Call 1 — Left Voicemail
2022-10-07
Survey response — day 14, dose 5
MedDRA: Insomnia, Oropharyngeal pain, Self-medication — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sore throat, which may be from sinus drainage, taking Niquil at bedtime, and eating cough drops all night so I can sleep.

MedDRA releases: 2024-11 · check-in free text available
2022-10-07
Report sent to call center — day 14, dose 5
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-11
Call 2 — Could Not Reach Participant
2022-10-11
Call 3 — Could Not Reach Participant
2022-10-11
Call 3 — Could Not Reach Participant
2022-10-11
Call 2 — Could Not Reach Participant
2022-10-11
Call 1 — Could Not Reach Participant
2022-10-16
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-21
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-28
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-04
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-23
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-26
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Moderna
2	2021-02-12	Moderna
3	2021-10-06	Moderna	No
4	2022-06-15	Moderna	No
5	2022-09-23	Other-Unknown	Flu

Call center

5 call center cases

5 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-17

Systemic reaction (other): It has been a busy weekend. The fatigue and tiredness are probably due to that.

Release 4 — days 1–6 daily, dose 2

2021-02-13

Systemic reaction (other): No

2021-02-16

Systemic reaction (other): Tennis ball size red spot at injection site is hot to touch.

2021-02-17

Systemic reaction (other): The injection site that was red and angry is now pink. It was hot to touch but is now just warm.

Release 8 — 3 months, dose 2

2021-05-16

Symptoms: I have had a Sinus infection, laryngitis, and cough from bronchitis. I tested negative for COVID.

Release 9 — 6 months, dose 2

2021-08-13

Symptoms: I had a high fever, vomiting(2x), 7/6/21 to7/11/21. Im getting better but still weak. I have Lyme disease from a tick bite.

Release 10 — day 21, dose 3

2021-10-28

Symptoms: Fever and coughing for a week after the booster. My arm was very sore and warm to touch but not as bad as after the 2nd shot.

Release 10 — 3 months, dose 3

2022-01-05

Symptoms: Last Monday my sinus congestion turned into a full blown head and chest congestion. I didn't have a temperature until Monday night. It was 100.4. I went to (b)(6) Monday morning and they did a covid test which was negative, and prescribed Doxycy. cut off by CDC

Healthcare visit (other): Drive through clinic

redacted (b)(6)

Release 12 — day 14, dose 4

2022-06-29

Symptoms: I feel tired most of the time. I had an endoscopy done yesterday and of course that has made it worse yesterday and today.

Release 12 — day 21, dose 4

2022-07-06

Symptoms: Sinus infection

Release 12 — day 0, dose 5

2022-09-23

Systemic reaction (other): I'm on an antibiotic for a uti.

Release 12 — days 1–6 daily, dose 5

2022-09-24

Systemic reaction (other): Much more mild than the last 3 injection symptoms.

Release 12 — day 7, dose 5

2022-10-02

Systemic reaction (other): I have a cold moving down into my chest!

Release 12 — day 14, dose 5

2022-10-07

Symptoms: Sore throat, which may be from sinus drainage, taking Niquil at bedtime, and eating cough drops all night so I can sleep.

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	Medical counselling	·	·	✓
SD	Arthropod bite	✓	·	✓
SD	Asthenia	✓	·	✓
SD	Bronchitis	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Insomnia	·	·	✓
SD	Laryngitis	✓	✓	✓
SD	Lyme disease	✓	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Pyrexia	✓	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Self-medication	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Sinusitis	✓	✓	✓
SD	Skin warm	·	·	✓
SD	Vomiting	✓	·	✓
SRO	Adverse reaction	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Nasopharyngitis	·	·	✓
SRO	No adverse event	✓	✓	✓
SRO	Urinary tract infection	·	·	✓

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