6VQ-34514-17220

2 vaccinations 9 coded responses 20 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 750 / TX
Registered: 2021-01-13

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

2021-01-13
Registered in v-safe
2021-01-13
Dose 1 — Moderna
2021-01-13
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain — Feeling: Good · Site: Pain · Fever · Muscle or body aches

Free text: My lower back hurt on the Thursday and Friday. I had my shot Wednesday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain, Sinus pain — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Ears and sinuses are hurting like a sinus infection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Joint pains

Free text: Thumb joint

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea, Sinus disorder — Feeling: Good · Joint pains

Free text: Knuckle. Ears and sinuses stuff and runny.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-27
Survey response — day 14, dose 1
MedDRA: Office visit, Specialist consultation, Tooth abscess — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Tooth abscessed. · Healthcare visit (other): Dentist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-03
Survey response — day 21, dose 1
MedDRA: Fatigue, Headache, Pyrexia, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Became sick 2-1/2 weeksAfter vaccine dose #1. I had a low grade fever 1 day. Was beyond exhausted the past week. Have had a bad headache. I felt bad enough to go get tested for covid. I was negative.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-12
Dose 2 — Moderna
2021-02-17
Survey response — days 1–6 daily, dose 2
MedDRA: Body temperature increased, Malaise, Pyrexia — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · 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: I felt like shit day of shot and the 4 days following. Above are those symptoms. Fever got up to 103.4. Very sick.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-19
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-26
Survey response — day 14, dose 2
MedDRA: Ear discomfort, Fatigue — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Ears clogged up. They did this at the second week mark for my first injection. Also very very tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-05
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-04
Call 1 — Left Voicemail
2021-08-13
Survey response — 6 months, dose 2
MedDRA: Headache, Pyrexia, Respiratory tract congestion — Feeling: Good

Free text: Covid symptoms, headache, fever, congestion tested -.

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

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Moderna
2	2021-02-12	Moderna

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-16

Systemic reaction (other): My lower back hurt on the Thursday and Friday. I had my shot Wednesday.

2021-01-17

Systemic reaction (other): Ears and sinuses are hurting like a sinus infection.

2021-01-18

Systemic reaction (other): Thumb joint

2021-01-19

Systemic reaction (other): Knuckle. Ears and sinuses stuff and runny.

Release 2 — day 14, dose 1

2021-01-27

Symptoms: Tooth abscessed.

Healthcare visit (other): Dentist

Release 3 — day 21, dose 1

2021-02-03

Symptoms: Became sick 2-1/2 weeksAfter vaccine dose #1. I had a low grade fever 1 day. Was beyond exhausted the past week. Have had a bad headache. I felt bad enough to go get tested for covid. I was negative.

Release 4 — days 1–6 daily, dose 2

2021-02-17

Systemic reaction (other): I felt like shit day of shot and the 4 days following. Above are those symptoms. Fever got up to 103.4. Very sick.

Release 4 — day 14, dose 2

2021-02-26

Symptoms: Ears clogged up. They did this at the second week mark for my first injection. Also very very tired.

Release 9 — 6 months, dose 2

2021-08-13

Symptoms: Covid symptoms, headache, fever, congestion tested -.

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	·	·	✓
HCVO	Specialist consultation	✓	✓	○
SD	Ear discomfort	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	✓	·	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Tooth abscess	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Body temperature increased	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sinus disorder	✓	✓	✓
SRO	Sinus pain	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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