6WW-19434-80796

2 vaccinations 7 coded responses 23 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 479 / IN
Registered: 2021-03-14

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

2021-03-14
Registered in v-safe
2021-03-14
Dose 1 — Moderna
2021-03-14
Survey response — day 0, dose 1
MedDRA: Eye pain — Feeling: Good · Fatigue or tiredness

Free text: Eyes feel a little sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-04
Survey response — day 21, dose 1
MedDRA: Ear infection, Sinusitis — Feeling: Good

Free text: Ear/sinus infection

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

Adult check-in
2021-04-18
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-04-20
Dose 2 — Moderna
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-27
Survey response — day 7, dose 2
MedDRA: Skin discolouration — Feeling: Fair · Fatigue or tiredness

Free text: I have tiny pinprick spots on my arms and belly..they do not hurt, or itch. And they are not raised.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-18
Survey response — day 28, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Exhaustion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-03
Survey response — day 42, dose 2
MedDRA: Urinary tract infection — Feeling: Good · 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: UTI... how to get multiple Scripts of antibiotics to get rid of it

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-20
Survey response — 3 months, dose 2
MedDRA: Bladder disorder, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Ive had continuing issues with my bladder since the vaccine. · Healthcare visit (other): I made an appointment to see my obgyn

MedDRA releases: 2024-11 · check-in free text available
2021-07-20
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-26
Call 1 — Left Voicemail
2021-10-21
Survey response — 6 months, dose 2
MedDRA: Bladder disorder — Feeling: Good · 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 don't know if it has anything to do with the vaccine but I've had a lot of bladder issues since my second vaccine. But it will not stop me from getting the booster.

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-23
Call 1 — Left Voicemail
2022-04-20
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-14	Moderna
2	2021-04-20	Moderna

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-14

Systemic reaction (other): Eyes feel a little sore

Release 6 — day 21, dose 1

2021-04-04

Symptoms: Ear/sinus infection

Release 8 — day 7, dose 2

2021-04-27

Systemic reaction (other): I have tiny pinprick spots on my arms and belly..they do not hurt, or itch. And they are not raised.

Release 8 — day 28, dose 2

2021-05-18

Symptoms: Exhaustion

Release 8 — day 42, dose 2

2021-06-03

Symptoms: UTI... how to get multiple Scripts of antibiotics to get rid of it

Release 9 — 3 months, dose 2

2021-07-20

Symptoms: Ive had continuing issues with my bladder since the vaccine.

Healthcare visit (other): I made an appointment to see my obgyn

Release 10 — 6 months, dose 2

2021-10-21

Symptoms: I don't know if it has anything to do with the vaccine but I've had a lot of bladder issues since my second vaccine. But it will not stop me from getting the booster.

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	Unevaluable event	·	·	✓
SD	Bladder disorder	·	·	✓
SD	Ear infection	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SD	Urinary tract infection	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Skin discolouration	✓	✓	✓

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