6LD-89912-54025

5 vaccinations 8 coded responses 30 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 740 / OK
Registered: 2021-01-23

Relationship: Self
Race: American Indian or Alaska Native
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-08
Dose 1 — Moderna
2021-01-23
Registered in v-safe
2021-01-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-31
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-07
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-08
Dose 2 — Moderna
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Diarrhoea, Dyspnoea, Headache, Nausea, Pre-existing disease, Somnolence — Feeling: Good · Site: Pain, Redness, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: On 8th by 3pm tired, nausea, headache. 9th i had diarrhea, muscle pain level 7 ( i am currently being treated for neck/back muscular pain)but vaccine sent it to the roof & 1st time muscle pain was worse & had shortness of breath symptoms for several hours evening after slept all weekend. Worse on 1st shot.) headache.

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: Good · Fatigue or tiredness

Adult check-in
2021-02-15
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-03
Survey response — day 21, dose 2
MedDRA: Injection site irritation, Injection site pain, Physiotherapy — Feeling: Good

Free text: Injection site muscle is super sore. I have been going to PT and the muscle at injection site is irritated. Weird.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-23
Dose 3 — Moderna
2022-02-08
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-02-22
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-28
Dose 4 — Pfizer-BioNTech
2022-05-19
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-26
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-02
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-09
Survey response — day 42, dose 4
MedDRA: Chest discomfort, Cough, Eye pruritus, Fatigue, Gastrointestinal disorder, Headache, Nasal congestion, Nasal pruritus, Oropharyngeal pain, Pollakiuria, Poor quality sleep — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: COVID symptoms- GI tract issues, bad frequent urination, itchy eyes & nasal paasage, tiredness from not sleeping well, headaches,stuffy nose, sore throat, dry cough, heavy chest, etc

MedDRA releases: 2024-11 · check-in free text available
2022-07-28
Survey response — 3 months, dose 4
MedDRA: COVID-19, Gastrointestinal disorder — Feeling: Good

Free text: GI issues since I had covid

MedDRA releases: 2024-11 · check-in free text available
2022-09-27
Dose 5 — Pfizer-BioNTech
2022-09-30
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-01
Survey response — days 1–6 daily, dose 5
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good

Free text: I have chronic back pain which worsened some since shot. But may not be related

MedDRA releases: 2024-11 · check-in free text available
2022-10-03
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2022-10-06
Health check-in — day 7, dose 5
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2022-10-11
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-18
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-25
Survey response — day 28, dose 5
MedDRA: Bronchitis, Pain, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Chronic pain has been worse for about a month. Bronchitis for 10 days just started meds yesterday.

MedDRA releases: 2024-11 · check-in free text available
2022-10-25
Report sent to call center — day 28, dose 5
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-10-26
Call 2 — Left Voicemail
2022-11-01
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-08
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-27
Survey response — 3 months, dose 5
MedDRA: Antibody test positive, Cardiac murmur, Cough, Myocardial injury, Office visit, Respiratory tract congestion, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Cardiologist for murmur and have mild heart damage not sure of name. Other cardiac test scheduled too. Cough chest congestion with antibodies for 9 days so far, taking forever to get over. Neck surgery coming up · Healthcare visit (other): (b)(6) for cardiology testing

MedDRA releases: 2024-11 · check-in free text available
2022-12-27
Report sent to call center — 3 months, dose 5
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-28
Call 3 — Left Voicemail
2022-12-28
Call 2 — Left Voicemail
2023-03-28
Survey response — 6 months, dose 5
MedDRA: Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-03-28
Report sent to call center — 6 months, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2023-03-29
Call 1 — Left Voicemail
2023-03-29
Call 1 — Left Voicemail
2023-03-29
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-08	Moderna
2	2021-02-08	Moderna
3	2021-11-23	Moderna	No
4	2022-04-28	Pfizer-BioNTech	No
5	2022-09-27	Pfizer-BioNTech	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-12

Systemic reaction (other): On 8th by 3pm tired, nausea, headache. 9th i had diarrhea, muscle pain level 7 ( i am currently being treated for neck/back muscular pain)but vaccine sent it to the roof & 1st time muscle pain was worse & had shortness of breath symptoms for several hours evening after slept all weekend. Worse on 1st shot.) headache.

Release 5 — day 21, dose 2

2021-03-03

Symptoms: Injection site muscle is super sore. I have been going to PT and the muscle at injection site is irritated. Weird.

Release 12 — day 42, dose 4

2022-06-09

Symptoms: COVID symptoms- GI tract issues, bad frequent urination, itchy eyes & nasal paasage, tiredness from not sleeping well, headaches,stuffy nose, sore throat, dry cough, heavy chest, etc

Release 12 — 3 months, dose 4

2022-07-28

Symptoms: GI issues since I had covid

Release 12 — days 1–6 daily, dose 5

2022-10-01

Systemic reaction (other): I have chronic back pain which worsened some since shot. But may not be related

Release 12 — day 28, dose 5

2022-10-25

Symptoms: Chronic pain has been worse for about a month. Bronchitis for 10 days just started meds yesterday.

Release 12 — 3 months, dose 5

2022-12-27

Symptoms: Cardiologist for murmur and have mild heart damage not sure of name. Other cardiac test scheduled too. Cough chest congestion with antibodies for 9 days so far, taking forever to get over. Neck surgery coming up

Healthcare visit (other): (b)(6) for cardiology testing

redacted (b)(6)

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	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Antibody test positive	·	·	✓
SD	Bronchitis	·	·	✓
SD	Cardiac murmur	·	·	✓
SD	Chest discomfort	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Eye pruritus	·	·	✓
SD	Fatigue	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	·	·	✓
SD	Injection site irritation	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Myocardial injury	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nasal pruritus	·	·	✓
SD	Office visit	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Physiotherapy	✓	✓	✓
SD	Pollakiuria	·	·	✓
SD	Poor quality sleep	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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