6SE-11639-68500

4 vaccinations 7 coded responses 18 check-ins 6 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 985 / WA
Registered: 2021-02-10

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

2021-01-27
Dose 1 — Moderna
2021-02-10
Registered in v-safe
2021-02-10
Survey response — day 14, dose 1
MedDRA: Medical counselling, Pruritus, Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Covid Arm....red rash on arm that hsd shot. That area is warm and occasionally itchy. Called my insurance nurse hotline for advice today. Yesterday my doctor saw it and really had no comment. I found out about this reaction online last night.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-17
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-24
Dose 2 — Moderna
2021-03-03
Survey response — day 7, dose 2
MedDRA: Unevaluable event — Feeling: Good · Fatigue or tiredness, Diarrhea

Free text: I don't attribute these symptoms to the vaccine as I have other health issues.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-31
Survey response — day 35, dose 2
MedDRA: Diarrhoea, Gastrointestinal bacterial overgrowth — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Tested low bicarbonate in my blood probably due to long standing diarrhea due to SIBO. Probably not related to Covid vaccination. Trying to get my insurance to cover antibiotics.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-07
Survey response — day 42, dose 2
MedDRA: Condition aggravated, Fatigue, Pre-existing disease — Feeling: Fair

Free text: More tired but I have Parkinson's and just started a drug trial last week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-09
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-06-09
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-08-25
Survey response — 6 months, dose 2
MedDRA: Intraocular pressure increased — Feeling: Good

Free text: Been told I have IOP pressure of 25 in both eyes

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-01
Dose 3 — Moderna
2022-02-24
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-01
Dose 4 — Moderna
2022-04-25
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-04-29
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-06
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-14
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-01
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-30
Survey response — 6 months, dose 4
MedDRA: Hyposmia, Nasopharyngitis, SARS-CoV-2 test positive — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Had Covid in early August, diagnosed by home self testing. Doctor prescribed Paxlovid which I took. Symptoms were similar to a head cold. Lost some ability to smell but that seems to have returned to base level.

MedDRA releases: 2024-11 · check-in free text available
2022-09-30
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-10-03
Call 1 — Left Voicemail
2023-04-01
Survey response — 12 months, dose 4
MedDRA: COVID-19, Nasopharyngitis — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-04-01
Report sent to call center — 12 months, dose 4
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-04-04
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-27	Moderna
2	2021-02-24	Moderna
3	2021-11-01	Moderna	No
4	2022-04-01	Moderna	No

Call center

4 call center cases

3 successful · 1 unsuccessful

See the call center timeline

Free text

Release 4 — day 14, dose 1

2021-02-10

Symptoms: Covid Arm....red rash on arm that hsd shot. That area is warm and occasionally itchy. Called my insurance nurse hotline for advice today. Yesterday my doctor saw it and really had no comment. I found out about this reaction online last night.

Release 5 — day 7, dose 2

2021-03-03

Systemic reaction (other): I don't attribute these symptoms to the vaccine as I have other health issues.

Release 6 — day 35, dose 2

2021-03-31

Symptoms: Tested low bicarbonate in my blood probably due to long standing diarrhea due to SIBO. Probably not related to Covid vaccination. Trying to get my insurance to cover antibiotics.

Release 7 — day 42, dose 2

2021-04-07

Symptoms: More tired but I have Parkinson's and just started a drug trial last week.

Release 9 — 6 months, dose 2

2021-08-25

Symptoms: Been told I have IOP pressure of 25 in both eyes

Release 12 — 6 months, dose 4

2022-09-30

Symptoms: Had Covid in early August, diagnosed by home self testing. Doctor prescribed Paxlovid which I took. Symptoms were similar to a head cold. Lost some ability to smell but that seems to have returned to base level.

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	Condition aggravated	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gastrointestinal bacterial overgrowth	✓	✓	✓
SD	Hyposmia	·	·	✓
SD	Intraocular pressure increased	✓	·	✓
SD	Medical counselling	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Unevaluable event	✓	✓	✓

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