6XQ-18198-93657

6 vaccinations 13 coded responses 37 check-ins 12 free-text entries 7 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 334 / FL
Registered: 2021-02-07

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

2020-12-31
Dose 1 — Moderna
2021-01-28
Dose 2 — Moderna
2021-02-07
Registered in v-safe
2021-02-07
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-11
Survey response — day 14, dose 2
MedDRA: Asthenia, Dizziness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Was extremely dizzy around 8 days after taking 2nd vaccine. Feel weak at times.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — day 21, dose 2
MedDRA: Decreased appetite, Headache — Feeling: Fair

Free text: Mild headache everyday and no appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-05
Survey response — day 35, dose 2
MedDRA: Condition aggravated, Dyspnoea, Pre-existing disease, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Have a lung condition but seems to be bothering me with shortness of breath more since I took second shot. · Healthcare visit (other): My doctor. Changed meds but feel the same

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-12
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-04-29
Survey response — 3 months, dose 2
MedDRA: Condition aggravated, Pre-existing disease, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: My lung condition seems to have gotten worse. · Healthcare visit (other): Sent cat scan and reports to my doctor in New York.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-31
Survey response — 6 months, dose 2
MedDRA: Fall, Loss of consciousness, Office visit, Rib fracture, Sternal fracture — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Blacked out for a few seconds and fell down a flight of steps. Fractured 3 ribs and fractured bone in chest. · Healthcare visit (other): Doctors visit and scans

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-31
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-03
Call 1 — Left Voicemail
2021-10-26
Dose 3 — Moderna
2021-10-27
Survey response — days 1–6 daily, dose 3
MedDRA: Hypertension — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Very high blood pressure last night

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Swelling · Fever · None

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Feeling cold — Feeling: Good · Chills

Free text: Just feeling cold all day

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-01
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair

Free text: Swollen glands in the neck both sides

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-09
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-14
Call successful
Does not wish to fill out VAERS report
2021-11-14
Call successful
Does not wish to fill out VAERS report
2021-11-16
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-25
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-02
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-09
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-27
Survey response — 3 months, dose 3
MedDRA: Dyspnoea, Office visit, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I have ASTHMA AND COPD. AFTER 2nd shot my reaction that night was breathing issues. Still having a hard time getting it under control. · Healthcare visit (other): Doctors office

MedDRA releases: 2024-11 · check-in free text available
2022-01-27
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-01
Call 1 — Left Voicemail
2022-04-05
Dose 4 — Moderna
2022-04-19
Survey response — day 14, dose 4
MedDRA: Condition aggravated, Office visit, Pancreatic disorder, Pre-existing disease, Thyroid mass, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Breathing issues are worse. Developed a nodule on my thyroid and something they are watching on my pancreas · Healthcare visit (other): Tests

MedDRA releases: 2024-11 · check-in free text available
2022-04-19
Report sent to call center — day 14, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-20
Call successful
Does not wish to fill out VAERS report
2022-04-20
Call successful
Does not wish to fill out VAERS report
2022-04-26
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-03
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-12
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-18
Health check-in — day 42, dose 4
Feeling: Good

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

Adult check-in
2022-09-22
Dose 5 — Moderna
2022-10-04
Survey response — 6 months, dose 4
MedDRA: Blood pressure inadequately controlled, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Blood pressure that is extremely hard to control · Healthcare visit (other): Doctors office

MedDRA releases: 2024-11 · check-in free text available
2022-10-04
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-05
Call 1 — Left Voicemail
2022-10-29
Survey response — day 35, dose 5
MedDRA: Blood pressure abnormal, Lung disorder, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Lungs and blood pressure issues. · Healthcare visit (other): Doctors office

MedDRA releases: 2024-11 · check-in free text available
2022-10-29
Report sent to call center — day 35, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-31
Call 2 — Left Voicemail
2022-10-31
Call 1 — Left Voicemail
2022-11-05
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-11-14
Call successful
Does not wish to fill out VAERS report
2022-12-22
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-25
Health check-in — 6 months, dose 5
Feeling: Fair

Adult check-in
2023-04-29
Dose 6 — Moderna
2023-05-08
Health check-in — day 7, dose 6
Feeling: Fair · None

Adult check-in
2023-05-14
Survey response — day 14, dose 6
MedDRA: Abdominal pain upper — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-05-22
Health check-in — day 21, dose 6
Feeling: Good

Adult check-in
2023-05-29
Health check-in — day 28, dose 6
Feeling: Good

Adult check-in
2023-06-15
Health check-in — day 42, dose 6
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-31	Moderna
2	2021-01-28	Moderna
3	2021-10-26	Moderna	No
4	2022-04-05	Moderna	No
5	2022-09-22	Moderna	No
6	2023-04-29	Moderna	No

Call center

7 call center cases

5 successful · 2 unsuccessful

See the call center timeline

Free text

Release 4 — day 14, dose 2

2021-02-11

Symptoms: Was extremely dizzy around 8 days after taking 2nd vaccine. Feel weak at times.

Release 4 — day 21, dose 2

2021-02-18

Symptoms: Mild headache everyday and no appetite

Release 5 — day 35, dose 2

2021-03-05

Symptoms: Have a lung condition but seems to be bothering me with shortness of breath more since I took second shot.

Healthcare visit (other): My doctor. Changed meds but feel the same

Release 8 — 3 months, dose 2

2021-04-29

Symptoms: My lung condition seems to have gotten worse.

Healthcare visit (other): Sent cat scan and reports to my doctor in New York.

Release 9 — 6 months, dose 2

2021-07-31

Symptoms: Blacked out for a few seconds and fell down a flight of steps. Fractured 3 ribs and fractured bone in chest.

Healthcare visit (other): Doctors visit and scans

Release 10 — days 1–6 daily, dose 3

2021-10-27

Systemic reaction (other): Very high blood pressure last night

2021-10-30

Systemic reaction (other): Just feeling cold all day

2021-11-01

Systemic reaction (other): Swollen glands in the neck both sides

Release 11 — 3 months, dose 3

2022-01-27

Symptoms: I have ASTHMA AND COPD. AFTER 2nd shot my reaction that night was breathing issues. Still having a hard time getting it under control.

Healthcare visit (other): Doctors office

Release 11 — day 14, dose 4

2022-04-19

Symptoms: Breathing issues are worse. Developed a nodule on my thyroid and something they are watching on my pancreas

Healthcare visit (other): Tests

Release 12 — 6 months, dose 4

2022-10-04

Symptoms: Blood pressure that is extremely hard to control

Healthcare visit (other): Doctors office

Release 12 — day 35, dose 5

2022-10-29

Symptoms: Lungs and blood pressure issues.

Healthcare visit (other): Doctors office

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	Unevaluable event	✓	✓	✓
SD	Abdominal pain upper	·	·	✓
SD	Asthenia	✓	✓	✓
SD	Blood pressure abnormal	·	·	✓
SD	Blood pressure inadequately controlled	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Decreased appetite	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fall	✓	·	✓
SD	Headache	✓	✓	✓
SD	Loss of consciousness	✓	·	✓
SD	Lung disorder	·	·	✓
SD	Office visit	·	·	✓
SD	Pancreatic disorder	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rib fracture	✓	·	✓
SD	Sternal fracture	✓	·	✓
SD	Thyroid mass	·	·	✓
SRO	Feeling cold	·	·	✓
SRO	Hypertension	·	·	✓
SRO	Lymphadenopathy	·	·	✓

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