6T8-28534-11796

2 vaccinations 8 coded responses 19 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 770 / TX
Registered: 2021-01-05

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

2021-01-04
Dose 1 — Moderna
2021-01-05
Registered in v-safe
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-08
Survey response — days 1–6 daily, dose 1
MedDRA: Hot flush — Feeling: Good · Fever

Free text: Woke up this morning with an extreme hot flash in a cool house. Took my temperature. No fever. Did not have another hot flash.

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

Adult check-in
2021-01-21
Survey response — day 14, dose 1
MedDRA: Office visit, Visual impairment — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Dont think it was related to the vaccine but I had problems with the eyesight in my right eye which persisted for several days. I saw an ophthalmologist on 1-12 who is monitoring me for precursor symptoms of a possible retinal detachment. · Healthcare visit (other): Doctors office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-02
Dose 2 — Moderna
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Fatigue or tiredness

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — days 1–6 daily, dose 2
MedDRA: Somnolence — Feeling: Good

Free text: Drowsiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Somnolence — Feeling: Fair · Nausea

Free text: Drowsiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-02
Survey response — day 28, dose 2
MedDRA: Back pain — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Back pain unrelated to vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-03-26
Call 1 — Left Voicemail
2021-05-04
Survey response — 3 months, dose 2
MedDRA: Asthma, Bronchitis, SARS-CoV-2 test negative — Feeling: Poor · 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, Emergency room or emergency department visit

Free text: Viral bronchitis and asthma. Tested negative for COVID

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Report sent to call center — 3 months, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-03
Survey response — 6 months, dose 2
MedDRA: Asthenia, Chills, Cough, Diarrhoea, Impaired work ability, Insomnia, Malaise, Oxygen saturation decreased, Pyrexia, Wheezing — Feeling: Good · Be unable to work or attend school

Free text: Was sick with COVID like symptoms and missed work for 5 weeks. Tested negative twice but had chills fever extreme weakness coughing constantly. Wheezing nonstop for 3 weeks, had to sleep in a chair. Low O2 sats dropped to upper 80s at times. Diarrhea

MedDRA releases: 2021-09,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-04	Moderna
2	2021-02-02	Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-08

Systemic reaction (other): Woke up this morning with an extreme hot flash in a cool house. Took my temperature. No fever. Did not have another hot flash.

Release 2 — day 14, dose 1

2021-01-21

Symptoms: Dont think it was related to the vaccine but I had problems with the eyesight in my right eye which persisted for several days. I saw an ophthalmologist on 1-12 who is monitoring me for precursor symptoms of a possible retinal detachment.

Healthcare visit (other): Doctors office visit

Release 3 — days 1–6 daily, dose 2

2021-02-05

Systemic reaction (other): Dizziness

2021-02-06

Systemic reaction (other): Drowsiness

2021-02-07

Systemic reaction (other): Drowsiness

Release 4 — day 28, dose 2

2021-03-02

Symptoms: Back pain unrelated to vaccine

Release 8 — 3 months, dose 2

2021-05-04

Symptoms: Viral bronchitis and asthma. Tested negative for COVID

Release 9 — 6 months, dose 2

2021-08-03

Symptoms: Was sick with COVID like symptoms and missed work for 5 weeks. Tested negative twice but had chills fever extreme weakness coughing constantly. Wheezing nonstop for 3 weeks, had to sleep in a chair. Low O2 sats dropped to upper 80s at times. Diarrhea cut off by CDC

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	Asthenia	✓	·	✓
SD	Asthma	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Bronchitis	✓	✓	✓
SD	Chills	✓	·	✓
SD	Cough	✓	·	✓
SD	Diarrhoea	✓	·	✓
SD	Impaired work ability	✓	·	✓
SD	Insomnia	✓	·	✓
SD	Malaise	✓	·	✓
SD	Oxygen saturation decreased	✓	·	✓
SD	Pyrexia	✓	·	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Visual impairment	✓	✓	✓
SD	Wheezing	✓	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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