6RB-29098-77494

5 vaccinations 7 coded responses 25 check-ins 5 free-text entries 5 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 975 / OR
Registered: 2021-04-26

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

2021-03-29
Dose 1 — Moderna
2021-04-26
Registered in v-safe
2021-04-26
Dose 2 — Moderna
2021-04-26
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-03
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness · Be unable to work

Adult check-in
2021-05-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-24
Survey response — day 28, dose 2
MedDRA: Unevaluable event — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Suspected UTI

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-31
Survey response — day 35, dose 2
MedDRA: Fatigue, Office visit, Pyrexia, Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I had to go to the Walk In Clinic last Monday and they diagnosed me with a UTI. I took an antibiotic which I think has helped. I had so much fatigue and a low grade fever, which finally got better by this past Friday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-07
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-26
Survey response — 3 months, dose 2
MedDRA: Back pain, Fatigue, Medical counselling, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative — 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 · Telehealth, virtual health, or email health consultation

Free text: In early June, I experienced an extreme low back ache and then a sore throat and runny nose which lead to a Covid test on 6-10 which was negative. My son had an exposure at school so the doctor felt the test was important. Ongoing extreme fatigue.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-26
Report sent to call center — 3 months, dose 2
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)
2021-08-03
Call 1 — Left Voicemail
2021-10-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-18
Dose 3 — Moderna
2022-04-24
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-04-26
Survey response — 12 months, dose 2
MedDRA: COVID-19, Spinal operation — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: I got Covid-19 in November 2021 and I had spine surgery almost 3 weeks ago.

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-27
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-04-27
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-04-27
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-20
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-07-18
Dose 4 — Moderna
2022-08-19
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-08-19
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-08-22
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-08-29
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-10-17
Survey response — 3 months, dose 4
MedDRA: Brain fog, COVID-19, Fatigue, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I'm recovering from Covid. Tested positive on October 9th, 2022 I'm still dealing with brain fog and fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-11-11
Dose 5 — Moderna
2023-01-16
Survey response — 6 months, dose 4
MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-02-12
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-05-12
Survey response — 6 months, dose 5
MedDRA: Medical counselling — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-05-12
Report sent to call center — 6 months, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-05-15
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-29	Moderna
2	2021-04-26	Moderna
3	2022-02-18	Moderna	No
4	2022-07-18	Moderna	No
5	2022-11-11	Moderna	No

Call center

5 call center cases

5 successful

See the call center timeline

Free text

Release 8 — day 28, dose 2

2021-05-24

Symptoms: Suspected UTI

Release 8 — day 35, dose 2

2021-05-31

Symptoms: I had to go to the Walk In Clinic last Monday and they diagnosed me with a UTI. I took an antibiotic which I think has helped. I had so much fatigue and a low grade fever, which finally got better by this past Friday.

Release 9 — 3 months, dose 2

2021-07-26

Symptoms: In early June, I experienced an extreme low back ache and then a sore throat and runny nose which lead to a Covid test on 6-10 which was negative. My son had an exposure at school so the doctor felt the test was important. Ongoing extreme fatigue.

Release 11 — 12 months, dose 2

2022-04-26

Symptoms: I got Covid-19 in November 2021 and I had spine surgery almost 3 weeks ago.

Release 12 — 3 months, dose 4

2022-10-17

Symptoms: I'm recovering from Covid. Tested positive on October 9th, 2022 I'm still dealing with brain fog and 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
SD	Back pain	✓	·	✓
SD	Brain fog	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Medical counselling	✓	·	✓
SD	Office visit	✓	✓	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pyrexia	✓	✓	✓
SD	Rhinorrhoea	✓	·	✓
SD	SARS-CoV-2 test negative	✓	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Spinal operation	·	·	✓
SD	Unevaluable event	✓	✓	✓
SD	Urinary tract infection	✓	✓	✓

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