6YC-22228-92408

2 vaccinations 7 coded responses 20 check-ins 7 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 339 / FL
Registered: 2021-03-15

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

2021-03-10
Dose 1 — Moderna
2021-03-15
Registered in v-safe
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-17
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-03-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-07
Dose 2 — Moderna
2021-04-07
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: General symptom — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: All mild symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-14
Survey response — day 7, dose 2
MedDRA: Rhinorrhoea, Sneezing — Feeling: Good

Free text: Runny nose sneezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 14, dose 2
MedDRA: Bronchitis, Headache, Office visit, Productive cough, Pyrexia, SARS-CoV-2 test negative — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Somehow I contracted bronchitis Covid test negative chest X-ray showed no pneumonia or chf have awful cough with thick expectorant headache and fever · Healthcare visit (other): Primary care dr visit in office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-28
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-12
Survey response — day 35, dose 2
MedDRA: Bronchitis, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: After taking antibiotics for bronchitis I developed other problems but they are being taken care of and I think I will be well in a few days!! · Healthcare visit (other): Visit to dr office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-19
Survey response — day 42, dose 2
MedDRA: Chills, Cough, Dyspnoea, Medical counselling — Feeling: Poor · 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: Im very weak today I had a bad case of chills last night I was coughing also and short of breath talked with dr will have bold work done drinking pedialyte

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-07
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-08
Survey response — 6 months, dose 2
MedDRA: Office visit, Sciatica, Skin laceration, Wound treatment — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Not anything from the vaccine- just sciatica- got treatment for that and got better then fell today and tore skin on left shin bone- so will have to get that healed. · Healthcare visit (other): Saw primary care in office for wound care

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
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)
2021-10-12
Call 1 — Left Voicemail
2022-04-07
Survey response — 12 months, dose 2
MedDRA: Chest pain — Feeling: Good · 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: Soreness in upper chest

MedDRA releases: 2024-11 · check-in free text available
2022-04-07
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-11
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Moderna
2	2021-04-07	Moderna

Call center

5 call center cases

5 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-08

Systemic reaction (other): All mild symptoms

Release 7 — day 7, dose 2

2021-04-14

Systemic reaction (other): Runny nose sneezing

Release 7 — day 14, dose 2

2021-04-21

Symptoms: Somehow I contracted bronchitis Covid test negative chest X-ray showed no pneumonia or chf have awful cough with thick expectorant headache and fever

Healthcare visit (other): Primary care dr visit in office

Release 8 — day 35, dose 2

2021-05-12

Symptoms: After taking antibiotics for bronchitis I developed other problems but they are being taken care of and I think I will be well in a few days!!

Healthcare visit (other): Visit to dr office

Release 8 — day 42, dose 2

2021-05-19

Symptoms: Im very weak today I had a bad case of chills last night I was coughing also and short of breath talked with dr will have bold work done drinking pedialyte

Release 10 — 6 months, dose 2

2021-10-08

Symptoms: Not anything from the vaccine- just sciatica- got treatment for that and got better then fell today and tore skin on left shin bone- so will have to get that healed.

Healthcare visit (other): Saw primary care in office for wound care

Release 11 — 12 months, dose 2

2022-04-07

Symptoms: Soreness in upper chest

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	Wound treatment	·	·	✓
SD	Bronchitis	✓	✓	✓
SD	Chest pain	·	·	✓
SD	Chills	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Medical counselling	✓	✓	✓
SD	Productive cough	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Sciatica	·	·	✓
SD	Skin laceration	·	·	✓
SRO	General symptom	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sneezing	✓	✓	✓

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