6LV-11972-47724

6 vaccinations 15 coded responses 41 check-ins 14 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 755 / TX
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: Fair · Headache, Muscle or body aches

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-22
Survey response — day 7, dose 1
MedDRA: Exposure to SARS-CoV-2 — Feeling: Poor · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Was exposed to covid on 1/19/21. Had first dose of vaccine on 1/15/21. So far covid test began but having one Monday which will be 6 days from exposure.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — day 14, dose 1
MedDRA: Back pain, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaches and low back pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-11
Dose 2 — Moderna
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness · Joint pains, Muscle or body aches

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Abdominal pain

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Joint pains, Abdominal pain

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-18
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Abdominal pain

Adult check-in
2021-02-25
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-04
Survey response — day 21, dose 2
MedDRA: Pain in extremity — Feeling: Fair

Free text: Calves hurting.

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

Adult check-in
2021-03-19
Survey response — day 35, dose 2
MedDRA: Diarrhoea — Feeling: Fair

Free text: Loose stools

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — day 42, dose 2
MedDRA: Pain in extremity — Feeling: Fair

Free text: Left leg hurts in shin area....

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — 3 months, dose 2
MedDRA: Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Leg pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-08-23
Dose 3 — Pfizer-BioNTech
2021-11-22
Survey response — 3 months, dose 3
MedDRA: Drug hypersensitivity, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Allergic reaction to an immulogicial drug, gayzyva · Healthcare visit (other): Onocology infusion

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-30
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-12-16
Dose 4 — Pfizer-BioNTech
2022-02-21
Survey response — 6 months, dose 3
MedDRA: Fatigue — Feeling: Poor · Be unable to do your normal daily activities

Free text: Severe fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-06-18
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-06-28
Dose 5 — Moderna
2022-06-28
Health check-in — day 0, dose 5
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-06-29
Survey response — days 1–6 daily, dose 5
MedDRA: Pre-existing disease — Feeling: Fair · Fatigue or tiredness

Free text: Allergies

MedDRA releases: 2024-11 · check-in free text available
2022-06-30
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-07-01
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2022-07-02
Survey response — days 1–6 daily, dose 5
MedDRA: Pre-existing disease — Feeling: Poor · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Severe allergies I guess

MedDRA releases: 2024-11 · check-in free text available
2022-07-13
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-07-26
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-08-02
Survey response — day 35, dose 5
MedDRA: Headache, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: After being exposed last Friday, I have developed sore throat and headache.

MedDRA releases: 2024-11 · check-in free text available
2022-08-09
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-09-20
Dose 6 — Pfizer-BioNTech
Co-administered: Flu
2022-09-27
Survey response — 3 months, dose 5
MedDRA: Arthralgia, Asthenia, Constipation, Nausea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Lots of joint pain, low energy, constipation and nausea

MedDRA releases: 2024-11 · check-in free text available
2022-10-12
Health check-in — day 21, dose 6
Feeling: Good

Adult check-in
2022-10-18
Survey response — day 28, dose 6
MedDRA: Cough, Discharge, Headache — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Cough, headache, drainage

MedDRA releases: 2024-11 · check-in free text available
2022-10-18
Report sent to call center — day 28, dose 6
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-19
Call 2 — Left Voicemail
2022-10-25
Health check-in — day 35, dose 6
Feeling: Good

Adult check-in
2022-11-01
Health check-in — day 42, dose 6
Feeling: Good

Adult check-in
2022-12-20
Survey response — 3 months, dose 6
MedDRA: Arthralgia — Feeling: Fair

Free text: Joint pain

MedDRA releases: 2024-11 · check-in free text available
2023-03-21
Survey response — 6 months, dose 6
MedDRA: Fatigue, Palpitations, Unevaluable event — Feeling: Poor · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-03-21
Report sent to call center — 6 months, dose 6
Get care from a doctor or other healthcare professional

1 call case(s)
2023-03-22
Call 1 — Left Voicemail
2023-03-22
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Moderna
2	2021-02-11	Moderna
3	2021-08-23	Pfizer-BioNTech	No
4	2021-12-16	Pfizer-BioNTech	No
5	2022-06-28	Moderna	No
6	2022-09-20	Pfizer-BioNTech	Flu

Call center

3 call center cases

1 successful · 2 unsuccessful

See the call center timeline

Free text

Release 2 — day 7, dose 1

2021-01-22

Systemic reaction (other): Was exposed to covid on 1/19/21. Had first dose of vaccine on 1/15/21. So far covid test began but having one Monday which will be 6 days from exposure.

Release 3 — day 14, dose 1

2021-01-29

Symptoms: Headaches and low back pain.

Release 5 — day 21, dose 2

2021-03-04

Symptoms: Calves hurting.

Release 6 — day 35, dose 2

2021-03-19

Symptoms: Loose stools

Release 6 — day 42, dose 2

2021-03-25

Symptoms: Left leg hurts in shin area....

Release 8 — 3 months, dose 2

2021-05-13

Symptoms: Leg pain

Release 10 — 3 months, dose 3

2021-11-22

Symptoms: Allergic reaction to an immulogicial drug, gayzyva

Healthcare visit (other): Onocology infusion

Release 11 — 6 months, dose 3

2022-02-21

Symptoms: Severe fatigue.

Release 12 — days 1–6 daily, dose 5

2022-06-29

Systemic reaction (other): Allergies

2022-07-02

Systemic reaction (other): Severe allergies I guess

Release 12 — day 35, dose 5

2022-08-02

Symptoms: After being exposed last Friday, I have developed sore throat and headache.

Release 12 — 3 months, dose 5

2022-09-27

Symptoms: Lots of joint pain, low energy, constipation and nausea

Release 12 — day 28, dose 6

2022-10-18

Symptoms: Cough, headache, drainage

Release 12 — 3 months, dose 6

2022-12-20

Symptoms: Joint pain

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	Unevaluable event	·	·	✓
SD	Arthralgia	·	·	✓
SD	Asthenia	·	·	✓
SD	Back pain	✓	✓	✓
SD	Constipation	·	·	✓
SD	Cough	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Discharge	·	·	✓
SD	Drug hypersensitivity	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Palpitations	·	·	✓
SRO	Exposure to SARS-CoV-2	✓	✓	✓
SRO	Pre-existing disease	·	·	✓

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