ZZQ-27327-96744

5 vaccinations 18 coded responses 61 check-ins 18 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 773 / TX
Registered: 2021-02-27

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-27
Registered in v-safe
2021-02-27
Dose 1 — Moderna
2021-02-27
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · Diarrhea

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Good · Site: Pain, Swelling

Free text: Itch but no rash.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Muscle or body aches

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — day 7, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-20
Survey response — day 21, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Health condition non related to Covid vaccine. Was bitten by a dog Thursday 3/18. Had to get a tetanus shot. How long need I wait to get my second Covid vaccine?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-27
Survey response — day 28, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Other health condition! Dog bite/tetanus shot on 3/18. Pharmacy suggested new date for 2nd vaccine of 4/1.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Report sent to call center — day 28, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-01
Dose 2 — Moderna
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

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

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — day 7, dose 2
MedDRA: No adverse event — Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-01
Survey response — 3 months, dose 2
MedDRA: Weight decreased — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Weight loss

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-01
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-06
Call 1 — Left Voicemail
2021-09-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-30
Dose 3 — Moderna
2021-10-30
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling · None

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2021-11-06
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-13
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-20
Survey response — day 21, dose 3
MedDRA: Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Body aches

MedDRA releases: 2024-11 · check-in free text available
2021-11-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-04
Survey response — day 35, dose 3
MedDRA: Abdominal pain upper, Decreased appetite, Diarrhoea — Feeling: Fair

Free text: Loss of appetite, stomach cramps, diahrrea

MedDRA releases: 2024-11 · check-in free text available
2021-12-11
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-29
Survey response — 3 months, dose 3
MedDRA: Pre-existing disease, Sinusitis — Feeling: Good · Be unable to do your normal daily activities

Free text: Sinusitis and seasonal allergies!

MedDRA releases: 2024-11 · check-in free text available
2022-05-05
Dose 4 — Moderna
2022-05-07
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-18
Survey response — day 7, dose 4
MedDRA: Decreased appetite, Fatigue — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: No appetite, excessive fatigue for past 2 weeks.

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Health check-in — day 14, dose 4
Feeling: Poor

Adult check-in
2022-05-26
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-06-02
Survey response — day 28, dose 4
MedDRA: Asthenia, Decreased appetite, Diarrhoea, Dizziness, Injection site pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Still feeling weak dizzy, pain in muscle where injection was given and diarrhea. Little to no appetite.

MedDRA releases: 2024-11 · check-in free text available
2022-06-10
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-06-16
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-08-04
Survey response — 3 months, dose 4
MedDRA: Anaemia — Feeling: Good · Be unable to do your normal daily activities

Free text: Anemia

MedDRA releases: 2024-11 · check-in free text available
2022-10-03
Dose 5 — Moderna
Co-administered: Flu
2022-10-03
Health check-in — day 0, dose 5
Feeling: Fair · None

Adult check-in
2022-10-04
Survey response — days 1–6 daily, dose 5
MedDRA: No adverse event — Feeling: Good · Site: Pain, Swelling

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-10-05
Survey response — days 1–6 daily, dose 5
MedDRA: No adverse event — Feeling: Good · Site: Redness, Swelling

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-10-06
Survey response — days 1–6 daily, dose 5
MedDRA: Discomfort — Feeling: Good · Fatigue or tiredness

Free text: Soreness but not pain

MedDRA releases: 2024-11 · check-in free text available
2022-10-07
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-08
Survey response — days 1–6 daily, dose 5
MedDRA: No adverse event — Feeling: Good · Fatigue or tiredness

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-10-09
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-10
Health check-in — day 7, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-17
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-24
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-31
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-07
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-14
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-02
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2023-04-03
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-27	Moderna
2	2021-04-01	Moderna
3	2021-10-30	Moderna	No
4	2022-05-05	Moderna	No
5	2022-10-03	Moderna	Flu

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-03-01

Systemic reaction (other): Itch but no rash.

Release 5 — days 1–6 daily, dose 1

2021-03-05

Systemic reaction (other): No

Release 5 — day 7, dose 1

2021-03-06

Systemic reaction (other): No

Release 6 — day 21, dose 1

2021-03-20

Symptoms: Health condition non related to Covid vaccine. Was bitten by a dog Thursday 3/18. Had to get a tetanus shot. How long need I wait to get my second Covid vaccine?

Release 6 — day 28, dose 1

2021-03-27

Symptoms: Other health condition! Dog bite/tetanus shot on 3/18. Pharmacy suggested new date for 2nd vaccine of 4/1.

Release 7 — days 1–6 daily, dose 2

2021-04-07

Systemic reaction (other): No

Release 7 — day 7, dose 2

2021-04-08

Systemic reaction (other): No

Release 9 — 3 months, dose 2

2021-07-01

Symptoms: Weight loss

Release 10 — day 21, dose 3

2021-11-20

Symptoms: Body aches

Release 10 — day 35, dose 3

2021-12-04

Symptoms: Loss of appetite, stomach cramps, diahrrea

Release 11 — 3 months, dose 3

2022-01-29

Symptoms: Sinusitis and seasonal allergies!

Release 11 — day 7, dose 4

2022-05-18

Systemic reaction (other): No appetite, excessive fatigue for past 2 weeks.

Release 11 — day 28, dose 4

2022-06-02

Symptoms: Still feeling weak dizzy, pain in muscle where injection was given and diarrhea. Little to no appetite.

Release 12 — 3 months, dose 4

2022-08-04

Symptoms: Anemia

Release 12 — days 1–6 daily, dose 5

2022-10-04

Systemic reaction (other): No

2022-10-05

Systemic reaction (other): No

2022-10-06

Systemic reaction (other): Soreness but not pain

2022-10-08

Systemic reaction (other): No

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
SD	Abdominal pain upper	·	·	✓
SD	Anaemia	·	·	✓
SD	Asthenia	·	·	✓
SD	Decreased appetite	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dizziness	·	·	✓
SD	Injection site pain	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Sinusitis	·	·	✓
SD	Unevaluable event	✓	✓	✓
SD	Weight decreased	✓	✓	✓
SRO	Decreased appetite	·	·	✓
SRO	Discomfort	·	·	✓
SRO	Fatigue	·	·	✓
SRO	No adverse event	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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