6P8-27787-32057

2 vaccinations 13 coded responses 18 check-ins 13 free-text entries 5 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 711 / LA
Registered: 2021-04-10

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

2021-04-08
Dose 1 — Moderna
2021-04-10
Registered in v-safe
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Swelling · None

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Skin exfoliation — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Nausea · Be unable to do your normal daily activities

Free text: Skin peeling on injection arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Night sweats, Pruritus, Skin exfoliation — Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Night sweats, chills, itching and peeling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — days 1–6 daily, dose 1
MedDRA: Night sweats — Feeling: Fair · Site: Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Nightsweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — day 7, dose 1
MedDRA: Night sweats — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Nightsweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site pruritus, Injection site rash, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Red itchy rash on the arm and around the area where i had the injection site, using anti itch cream and oral medication · Healthcare visit (other): Called the office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-29
Survey response — day 21, dose 1
MedDRA: Contusion, Fatigue, Rash — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe bruising, still have the rash, still have fatigue.I will definitely not be having the scheduled vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — day 28, dose 1
MedDRA: Fatigue, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Still have remidents of covid arm rash, still some fatigue, see my dr next week before getting 2nd vaccine · Healthcare visit (other): Out pt office visit planned for next week

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Report sent to call center — day 28, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-12
Dose 2 — Moderna
2021-05-20
Survey response — day 7, dose 2
MedDRA: Wrong technique in product usage process — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Diarrhea · Be unable to do your normal daily activities

Free text: Injection was given too close to shoulder joint

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — day 14, dose 2
MedDRA: Arthralgia, Asthenia, Fatigue, Medical counselling, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Weakness/fatigue, slight fever, right shoulder pain due to the pharmacist did the injection too close to joint(made my othro dr aware)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-09
Survey response — day 28, dose 2
MedDRA: Angina pectoris, Balance disorder, Dyspnoea — Feeling: Fair

Free text: Pain around my heart, did an echo 06/08, occasional shortness of breath, unsteadiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-23
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-11
Survey response — 3 months, dose 2
MedDRA: Ageusia, Anosmia, Ear disorder, Office visit, SARS-CoV-2 test positive, Sinus disorder — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: July 29th, tested positive for covid, given z pk, doxycycline. I see my gp next week as i continue with sinus/ear issues, never ver, was told that i have to deal with the long lasting effects, no taste or smell, i am fully vax (moderna) since May · Healthcare visit (other): Walk in clinic

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-11
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-17
Call 2 — Left Voicemail
2021-11-11
Survey response — 6 months, dose 2
MedDRA: Asthenia, Blood pressure increased, Dyspnoea exertional, Fatigue, Medical counselling, Post-acute COVID-19 syndrome, Quarantine — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Ive been diagnosed with long haul covid weakness/fatigue continue, sob with slightest exertion, problems with elevated BP, sats have come back to normal levels, Ive been on 3rounds antibiotics since diagnosed with covid july 29th. · Healthcare visit (other): Phone calls to my gp after urgent care, doing quarantine

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-12
Call 2 — Could Not Reach Participant
2021-11-17
Call 3 — Left Voicemail
2022-05-14
Survey response — 12 months, dose 2
MedDRA: Asthenia, COVID-19, Dyspnoea exertional, Fatigue, Hypertension, Medical counselling, Post-acute COVID-19 syndrome, Weight increased — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Omicron in dec2021, weakness/fatigue, sob with exertion, long term covid per gp, gained 30+lbs, developed high blood pressure · Healthcare visit (other): Called my gp

MedDRA releases: 2024-11 · check-in free text available
2022-05-14
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-16
Call 1 — Left Voicemail
2022-05-16
Call 1 — Left Voicemail
2022-05-16
Call 1 — Left Voicemail
2022-05-16
Call 1 — Left Voicemail
2022-05-16
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-08	Moderna
2	2021-05-12	Moderna

Call center

5 call center cases

5 unsuccessful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-12

Systemic reaction (other): Skin peeling on injection arm

2021-04-13

Systemic reaction (other): Night sweats, chills, itching and peeling

2021-04-14

Systemic reaction (other): Nightsweats

Release 7 — day 7, dose 1

2021-04-15

Systemic reaction (other): Nightsweats

Release 7 — day 14, dose 1

2021-04-22

Symptoms: Red itchy rash on the arm and around the area where i had the injection site, using anti itch cream and oral medication

Healthcare visit (other): Called the office

Release 8 — day 21, dose 1

2021-04-29

Symptoms: Severe bruising, still have the rash, still have fatigue.I will definitely not be having the scheduled vaccine.

Release 8 — day 28, dose 1

2021-05-06

Symptoms: Still have remidents of covid arm rash, still some fatigue, see my dr next week before getting 2nd vaccine

Healthcare visit (other): Out pt office visit planned for next week

Release 8 — day 7, dose 2

2021-05-20

Systemic reaction (other): Injection was given too close to shoulder joint

Release 8 — day 14, dose 2

2021-05-26

Symptoms: Weakness/fatigue, slight fever, right shoulder pain due to the pharmacist did the injection too close to joint(made my othro dr aware)

Release 8 — day 28, dose 2

2021-06-09

Symptoms: Pain around my heart, did an echo 06/08, occasional shortness of breath, unsteadiness

Release 9 — 3 months, dose 2

2021-08-11

Symptoms: July 29th, tested positive for covid, given z pk, doxycycline. I see my gp next week as i continue with sinus/ear issues, never ver, was told that i have to deal with the long lasting effects, no taste or smell, i am fully vax (moderna) since May

Healthcare visit (other): Walk in clinic

Release 10 — 6 months, dose 2

2021-11-11

Symptoms: Ive been diagnosed with long haul covid weakness/fatigue continue, sob with slightest exertion, problems with elevated BP, sats have come back to normal levels, Ive been on 3rounds antibiotics since diagnosed with covid july 29th.

Healthcare visit (other): Phone calls to my gp after urgent care, doing quarantine

Release 11 — 12 months, dose 2

2022-05-14

Symptoms: Omicron in dec2021, weakness/fatigue, sob with exertion, long term covid per gp, gained 30+lbs, developed high blood pressure

Healthcare visit (other): Called my gp

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	·	·	✓
HCVO	Office visit	✓	·	✓
HCVO	Quarantine	·	·	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Ageusia	✓	·	✓
SD	Angina pectoris	✓	✓	✓
SD	Anosmia	✓	·	✓
SD	Arthralgia	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Balance disorder	✓	✓	✓
SD	Blood pressure increased	·	·	✓
SD	Contusion	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Dyspnoea exertional	·	·	✓
SD	Ear disorder	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Hypertension	·	·	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Medical counselling	✓	✓	✓
SD	Post-acute COVID-19 syndrome	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Rash	✓	✓	✓
SD	SARS-CoV-2 test positive	✓	·	✓
SD	Sinus disorder	✓	·	✓
SD	Weight increased	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Night sweats	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Skin exfoliation	✓	✓	✓
SRO	Wrong technique in product usage process	✓	✓	✓

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