ZUC-30218-01230

2 vaccinations 4 coded responses 22 check-ins 4 free-text entries 5 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 786 / TX
Registered: 2021-01-14

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

2021-01-14
Registered in v-safe
2021-01-14
Dose 1 — Moderna
2021-01-14
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-14
Report sent to call center — day 0, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-15
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Survey response — day 7, dose 1
MedDRA: Cough, Respiratory tract congestion — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Respiratory congestion and more coughing than usual

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — day 14, dose 1
MedDRA: Bronchitis, Cough, Fatigue, Headache, Medical counselling, Respiratory tract congestion, Specialist consultation — Feeling: Poor · Be unable to work, Get care from a doctor or other healthcare professional

Free text: Symptoms: I have bronchitis. No fever. Lots of coughing and congestion. Headaches and fatigue. I started taking Augmentin on Monday. I am a bit better today. · Healthcare visit (other): Talked to the nurse at my pulmonologist office. She talked with the doctor who prescribed Augmentin.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Report sent to call center — day 14, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-06
Survey response — day 21, dose 1
MedDRA: Condition aggravated, Pre-existing disease, Specialist consultation — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: I have had a bronchiectosis exacerbation. · Healthcare visit (other): I had an appointment with my pulmonologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-11
Dose 2 — Moderna
2021-02-11
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · Headache

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache · Be unable to do your normal daily activities

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-04
Call 1 — Left Voicemail
2022-02-14
Survey response — 12 months, dose 2
MedDRA: Condition aggravated, Fatigue, Medical counselling, Pre-existing disease, SARS-CoV-2 test negative — 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: Symptoms: I had an exacerbation of bronchiectosis, lasted over a month. I had a new symptom of extreme fatigue. I possibly was exposed to Covid and my pulmonologist thought I possibly had had it but tested negative in 2 home tests. · Healthcare visit (other): Phone call on weekend as well as phone calls once a week.

MedDRA releases: 2024-11 · check-in free text available
2022-02-14
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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-15
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-11	Moderna

Call center

5 call center cases

3 successful · 2 priority 2/3 (triaged and no follow up)

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — day 7, dose 1

2021-01-23

Systemic reaction (other): Respiratory congestion and more coughing than usual

Release 2 — day 14, dose 1

2021-01-28

Symptoms: I have bronchitis. No fever. Lots of coughing and congestion. Headaches and fatigue. I started taking Augmentin on Monday. I am a bit better today.

Healthcare visit (other): Talked to the nurse at my pulmonologist office. She talked with the doctor who prescribed Augmentin.

Release 3 — day 21, dose 1

2021-02-06

Symptoms: I have had a bronchiectosis exacerbation.

Healthcare visit (other): I had an appointment with my pulmonologist

Release 11 — 12 months, dose 2

2022-02-14

Symptoms: I had an exacerbation of bronchiectosis, lasted over a month. I had a new symptom of extreme fatigue. I possibly was exposed to Covid and my pulmonologist thought I possibly had had it but tested negative in 2 home tests.

Healthcare visit (other): Phone call on weekend as well as phone calls once a week.

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	Medical counselling	✓	✓	✓
HCVO	Specialist consultation	✓	✓	✓
SD	Bronchitis	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Medical counselling	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓

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