6Q8-13669-84912

4 vaccinations 17 coded responses 40 check-ins 17 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 325 / FL
Registered: 2021-01-28

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

2021-01-28
Registered in v-safe
2021-01-28
Dose 1 — Moderna
2021-01-28
Survey response — day 0, dose 1
MedDRA: Fatigue, Feeling hot, Flushing — Feeling: Fair · Fatigue or tiredness

Free text: Face was hot and flushed(like a mild sunburn) about an hr and 15 minutes after injection. Lasted about an hr. Have mild fatigue this evening.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-03
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Runny nose, sneezing, some coughing from head congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-11
Survey response — day 14, dose 1
MedDRA: Office visit, Oropharyngeal pain, Paranasal sinus discomfort, Rhinorrhoea, Sinus congestion, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sinus congestion, runny nose, sore throat, pressure in blocked sinus, like in the past when I have had sinus infections. Was given antibiotics for sinus infection from my drs urgent care location where patients have to go during covid pandemic.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-18
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-26
Dose 2 — Moderna
2021-02-26
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Severe Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Pyrexia — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Injection site is hot (feverish)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-21
Survey response — day 21, dose 2
MedDRA: Gastric disorder, Gastrointestinal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Began having some gastric symptoms, intestinal pain...don't think it's related to my COVID vaccination however.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-28
Survey response — 3 months, dose 2
MedDRA: Breast discomfort, Breast pain, Fatigue, Lethargy, Lymphadenopathy — Feeling: Fair · Be unable to do your normal daily activities

Free text: Lethargic & Fatigue back. About 3 wks after 2nd covid shot, developed capsular contracture in left breast of older silicone implant. Didn't think connected to shot, but now lymph nodes in neck & armpits are enlarged. Now pain/discomfort in breast.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-28
Call 1 — Could Not Reach Participant
2021-08-02
Call 2 — Could Not Reach Participant
2021-08-27
Survey response — 6 months, dose 2
MedDRA: Breast prosthesis user, Exposure to SARS-CoV-2, Implantation complication, Oedema peripheral, Office visit, SARS-CoV-2 test — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Was in contact with a COVID positive person & waiting on my test results. Still have the issue in my breast after my 2nd vaccine where I had swelling under my arm and breast implant shifted up in chest. Have diagnostic mammogram scheduled for nxt wk. · Healthcare visit (other): Dr appmt

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-27
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)
2021-08-30
Call 1 — Left Voicemail
2021-12-31
Dose 3 — Moderna
2022-02-26
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-13
Dose 4 — Moderna
2022-05-15
Survey response — days 1–6 daily, dose 4
MedDRA: Insomnia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Insomnia-cant sleep well

MedDRA releases: 2024-11 · check-in free text available
2022-05-16
Survey response — days 1–6 daily, dose 4
MedDRA: Fatigue, Insomnia, Restlessness — Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Trouble sleeping, restlessness and insomnia but tired.

MedDRA releases: 2024-11 · check-in free text available
2022-05-17
Survey response — days 1–6 daily, dose 4
MedDRA: Insomnia — Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still some insomnia

MedDRA releases: 2024-11 · check-in free text available
2022-05-18
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-19
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Forgot to mention swollen lymph nodes but had them starting day after shot and still have them under right arm and in neck.

MedDRA releases: 2024-11 · check-in free text available
2022-05-20
Survey response — day 7, dose 4
MedDRA: Lymphadenopathy — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Underarm lymph node swollen. Neck one had gone down today.

MedDRA releases: 2024-11 · check-in free text available
2022-05-27
Survey response — day 14, dose 4
MedDRA: Fatigue, Hypersomnia, Nasopharyngitis, Rhinorrhoea, Viral infection — Feeling: Fair · Be unable to do your normal daily activities

Free text: Feel like I have a cold virus. Runny noise, fatigued and sleeping more than normal.

MedDRA releases: 2024-11 · check-in free text available
2022-06-04
Survey response — day 21, dose 4
MedDRA: Fatigue, Lymphadenopathy — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue and swollen lymph nodes in neck.

MedDRA releases: 2024-11 · check-in free text available
2022-06-10
Survey response — day 28, dose 4
MedDRA: Fatigue, Headache, Lymphadenopathy, Nasal congestion — Feeling: Good · Be unable to do your normal daily activities

Free text: Mild headache and slight nasal congestion. Swollen neck lymph nodes. Fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-06-17
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-24
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-08-12
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-11-11
Survey response — 6 months, dose 4
MedDRA: Breast discomfort, Fatigue, Reaction to previous exposure to any vaccine, Scar discomfort — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: More discomfort in left breast from more scar tissue around my breast implant after lymph nodes under my arm swelled very badly after first vaccine. Seem to have more ongoing fatigue

MedDRA releases: 2024-11 · check-in free text available
2023-05-13
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-28	Moderna
2	2021-02-26	Moderna
3	2021-12-31	Moderna	No
4	2022-05-13	Moderna	No

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-28

Systemic reaction (other): Face was hot and flushed(like a mild sunburn) about an hr and 15 minutes after injection. Lasted about an hr. Have mild fatigue this evening.

Release 3 — days 1–6 daily, dose 1

2021-02-03

Systemic reaction (other): Runny nose, sneezing, some coughing from head congestion

Release 4 — day 14, dose 1

2021-02-11

Symptoms: Sinus congestion, runny nose, sore throat, pressure in blocked sinus, like in the past when I have had sinus infections. Was given antibiotics for sinus infection from my drs urgent care location where patients have to go during covid pandemic.

Release 4 — days 1–6 daily, dose 2

2021-02-27

Systemic reaction (other): Severe Dizziness

2021-02-28

Systemic reaction (other): Injection site is hot (feverish)

Release 6 — day 21, dose 2

2021-03-21

Symptoms: Began having some gastric symptoms, intestinal pain...don't think it's related to my COVID vaccination however.

Release 8 — 3 months, dose 2

2021-05-28

Symptoms: Lethargic & Fatigue back. About 3 wks after 2nd covid shot, developed capsular contracture in left breast of older silicone implant. Didn't think connected to shot, but now lymph nodes in neck & armpits are enlarged. Now pain/discomfort in breast. cut off by CDC

Release 9 — 6 months, dose 2

2021-08-27

Symptoms: Was in contact with a COVID positive person & waiting on my test results. Still have the issue in my breast after my 2nd vaccine where I had swelling under my arm and breast implant shifted up in chest. Have diagnostic mammogram scheduled for nxt wk. cut off by CDC

Healthcare visit (other): Dr appmt

Release 11 — days 1–6 daily, dose 4

2022-05-15

Systemic reaction (other): Insomnia-cant sleep well

2022-05-16

Systemic reaction (other): Trouble sleeping, restlessness and insomnia but tired.

2022-05-17

Systemic reaction (other): Still some insomnia

2022-05-19

Systemic reaction (other): Forgot to mention swollen lymph nodes but had them starting day after shot and still have them under right arm and in neck.

Release 11 — day 7, dose 4

2022-05-20

Systemic reaction (other): Underarm lymph node swollen. Neck one had gone down today.

Release 11 — day 14, dose 4

2022-05-27

Symptoms: Feel like I have a cold virus. Runny noise, fatigued and sleeping more than normal.

Release 11 — day 21, dose 4

2022-06-04

Symptoms: Fatigue and swollen lymph nodes in neck.

Release 12 — day 28, dose 4

2022-06-10

Symptoms: Mild headache and slight nasal congestion. Swollen neck lymph nodes. Fatigue.

Release 12 — 6 months, dose 4

2022-11-11

Symptoms: More discomfort in left breast from more scar tissue around my breast implant after lymph nodes under my arm swelled very badly after first vaccine. Seem to have more ongoing fatigue

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	✓	·	✓
SD	Breast discomfort	✓	✓	✓
SD	Breast pain	✓	✓	✓
SD	Breast prosthesis user	✓	·	✓
SD	Exposure to SARS-CoV-2	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Gastric disorder	✓	✓	✓
SD	Gastrointestinal pain	✓	✓	✓
SD	Headache	·	·	✓
SD	Hypersomnia	·	·	✓
SD	Implantation complication	✓	·	✓
SD	Lethargy	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oedema peripheral	✓	·	✓
SD	Office visit	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Paranasal sinus discomfort	✓	✓	✓
SD	Reaction to previous exposure to any vaccine	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	SARS-CoV-2 test	✓	·	✓
SD	Scar discomfort	·	·	✓
SD	Sinus congestion	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SD	Viral infection	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Insomnia	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Pyrexia	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Restlessness	·	·	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sneezing	✓	✓	✓

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