6SV-72951-10470

5 vaccinations 9 coded responses 32 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 121 / NY
Registered: 2021-02-01

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-31
Dose 1 — Moderna
2021-02-01
Registered in v-safe
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Joint pains

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — day 7, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-02-14
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-28
Dose 2 — Moderna
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Diarrhea, Abdominal pain

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Chills, Joint pains

Adult check-in
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Feeling hot — Feeling: Good · Site: Pain · Diarrhea

Free text: Feeling very hot but no fever, followed by feeling chilled. On with a fleece, then off with it a few minutes later.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea, Abdominal pain

Adult check-in
2021-03-09
Survey response — day 7, dose 2
MedDRA: Decreased appetite, Hyperhidrosis, Skin burning sensation — Feeling: Fair

Free text: No appetite. Excessive sweating. Skin felt like it was burning, mostly on legs and feet.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — day 14, dose 2
Feeling: Good

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

Adult check-in
2021-03-28
Survey response — day 28, dose 2
MedDRA: Abdominal pain upper, Diarrhoea — Feeling: Fair

Free text: Diarrhea for 2 days now and some stomach pain.

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

Adult check-in
2021-04-12
Survey response — day 42, dose 2
MedDRA: Diarrhoea, Hypertension, Musculoskeletal chest pain, Nausea — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Nausea, diarrhea, high blood pressure, pain in right side under ribs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-31
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-07
Call 2 — Left Voicemail
2021-11-10
Dose 3 — Moderna
2022-03-03
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-05
Dose 4 — Moderna
2022-05-12
Survey response — 6 months, dose 3
MedDRA: Chills, Fatigue, Pain, Pain in extremity, Pyrexia — Feeling: Good · Be unable to do your normal daily activities

Free text: Fever, fatigue chills, body aches and sore arm after 2nd booster received.

MedDRA releases: 2024-11 · check-in free text available
2022-10-04
Dose 5 — Moderna
2022-10-06
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Swelling · Headache, Joint pains

Adult check-in
2022-10-09
Survey response — days 1–6 daily, dose 5
MedDRA: Ear pain — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Free text: Pain in the outer part of my right ear.

MedDRA releases: 2024-11 · check-in free text available
2022-10-11
Health check-in — day 7, dose 5
Feeling: Good · Diarrhea

Adult check-in
2022-10-18
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-25
Survey response — day 21, dose 5
MedDRA: Chills, Fatigue, Gastrointestinal disorder, Headache, Oropharyngeal pain, Pain, SARS-CoV-2 test positive — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: I tested positive for Covid. Chills, aches, loose stomach, headache, fatugue, sore throat.

MedDRA releases: 2024-11 · check-in free text available
2022-10-25
Report sent to call center — day 21, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-10-26
Call 1 — Left Voicemail
2022-10-26
Call 1 — Left Voicemail
2022-11-02
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-11-10
Survey response — day 35, dose 5
MedDRA: Dysphonia, Nausea, Respiratory tract congestion — Feeling: Fair

Free text: Congestion, hoarse voice and nausea.

MedDRA releases: 2024-11 · check-in free text available
2022-11-16
Survey response — day 42, dose 5
MedDRA: Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Diarrhea.

MedDRA releases: 2024-11 · check-in free text available
2023-04-11
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-31	Moderna
2	2021-02-28	Moderna
3	2021-11-10	Moderna	No
4	2022-05-05	Moderna	No
5	2022-10-04	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 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Feeling very hot but no fever, followed by feeling chilled. On with a fleece, then off with it a few minutes later.

Release 5 — day 7, dose 2

2021-03-09

Systemic reaction (other): No appetite. Excessive sweating. Skin felt like it was burning, mostly on legs and feet.

Release 6 — day 28, dose 2

2021-03-28

Symptoms: Diarrhea for 2 days now and some stomach pain.

Release 7 — day 42, dose 2

2021-04-12

Symptoms: Nausea, diarrhea, high blood pressure, pain in right side under ribs.

Release 11 — 6 months, dose 3

2022-05-12

Symptoms: Fever, fatigue chills, body aches and sore arm after 2nd booster received.

Release 12 — days 1–6 daily, dose 5

2022-10-09

Systemic reaction (other): Pain in the outer part of my right ear.

Release 12 — day 21, dose 5

2022-10-25

Symptoms: I tested positive for Covid. Chills, aches, loose stomach, headache, fatugue, sore throat.

Release 12 — day 35, dose 5

2022-11-10

Symptoms: Congestion, hoarse voice and nausea.

Release 12 — day 42, dose 5

2022-11-16

Symptoms: Diarrhea.

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	Abdominal pain upper	✓	✓	✓
SD	Chills	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dysphonia	·	·	✓
SD	Fatigue	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	·	·	✓
SD	Hypertension	✓	✓	✓
SD	Musculoskeletal chest pain	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Ear pain	·	·	✓
SRO	Feeling hot	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Skin burning sensation	✓	✓	✓

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