25X-62833-40252

3 vaccinations 10 coded responses 34 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 880 / NM
Registered: 2021-03-13

Relationship: Self
Race: American Indian or Alaska Native
Ethnicity: Hispanic or Latino

Timeline

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

2021-03-13
Registered in v-safe
2021-03-13
Dose 1 — Moderna
2021-03-13
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-20
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-03
Survey response — day 21, dose 1
MedDRA: Pre-existing disease, Urticaria — Feeling: Good

Free text: I have hives, but if the pollen is high i get them. But doing good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Dose 2 — Moderna
2021-04-10
Health check-in — day 0, dose 2
Feeling: Fair · Site: Itching · Fatigue or tiredness

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Diarrhea, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-17
Health check-in — day 7, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-24
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-01
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-08
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-15
Survey response — day 35, dose 2
MedDRA: Rash — Feeling: Fair · Be unable to do your normal daily activities

Free text: A rash that seems to go away and then i wake. There it is again. It will last for a week and then it goes away.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Survey response — day 42, dose 2
MedDRA: Alopecia, Limb discomfort, Muscle spasms, Tinnitus, Urticaria — 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: Hives, muscles spasms, legs are really heavy, ringing in ears, hair faling out

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
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)
2021-07-12
Survey response — 3 months, dose 2
MedDRA: Purpura, Rash, Urticaria — Feeling: Fair · Be unable to do your normal daily activities

Free text: A rash/hives. At times they bleed.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-09
Survey response — 6 months, dose 2
MedDRA: Limb discomfort, Tinnitus — Feeling: Fair · Be unable to do your normal daily activities

Free text: Tinnitus, its really bad. My legs feel like bricks only getting worse.

MedDRA releases: 2024-11 · check-in free text available
2021-10-23
Dose 3 — Moderna
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-30
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, Diarrhea

Adult check-in
2021-11-06
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-13
Survey response — day 21, dose 3
MedDRA: Fatigue, Feeling abnormal — Feeling: Fair · Be unable to do your normal daily activities

Free text: Not feeling up to par. Very fatigued

MedDRA releases: 2024-11 · check-in free text available
2021-11-20
Survey response — day 28, dose 3
MedDRA: Back pain, Fatigue, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Lots of fatigue, pain in legs, feet and lower back.

MedDRA releases: 2024-11 · check-in free text available
2021-11-27
Survey response — day 35, dose 3
MedDRA: Tinnitus — 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: Tinnitus all the time

MedDRA releases: 2024-11 · check-in free text available
2021-11-27
Report sent to call center — day 35, dose 3
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)
2021-11-29
Call 1 — Could Not Reach Participant
2021-12-02
Call 2 — Could Not Reach Participant
2021-12-04
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-22
Survey response — 3 months, dose 3
MedDRA: Pain in extremity, Sinus disorder — Feeling: Poor · Be unable to do your normal daily activities

Free text: Unbelievable pain in my legs and feet. Also lots of sinus issue's. Its seems the longer i go the more issues come up

MedDRA releases: 2024-11 · check-in free text available
2022-10-23
Survey response — 12 months, dose 3
MedDRA: Cyanosis, Fatigue, Limb discomfort, Medical counselling, Tinnitus — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, 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: Constant fatigue, its worse then ever. Never had thus until the covid. My legs are heavy. My toes turn blue at times. Dr. states its all in my head. Nothing wrong. Ringing in my ears does not stop All this is crazy

MedDRA releases: 2024-11 · check-in free text available
2022-10-23
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-25
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-25
Call successful
Does not wish to fill out VAERS report
2022-10-25
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-13	Moderna
2	2021-04-10	Moderna
3	2021-10-23	Moderna	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 6 — day 21, dose 1

2021-04-03

Symptoms: I have hives, but if the pollen is high i get them. But doing good

Release 8 — day 35, dose 2

2021-05-15

Symptoms: A rash that seems to go away and then i wake. There it is again. It will last for a week and then it goes away.

Release 8 — day 42, dose 2

2021-05-22

Symptoms: Hives, muscles spasms, legs are really heavy, ringing in ears, hair faling out

Release 9 — 3 months, dose 2

2021-07-12

Symptoms: A rash/hives. At times they bleed.

Release 10 — 6 months, dose 2

2021-10-09

Symptoms: Tinnitus, its really bad. My legs feel like bricks only getting worse.

Release 10 — day 21, dose 3

2021-11-13

Symptoms: Not feeling up to par. Very fatigued

Release 10 — day 28, dose 3

2021-11-20

Symptoms: Lots of fatigue, pain in legs, feet and lower back.

Release 10 — day 35, dose 3

2021-11-27

Symptoms: Tinnitus all the time

Release 11 — 3 months, dose 3

2022-01-22

Symptoms: Unbelievable pain in my legs and feet. Also lots of sinus issue's. Its seems the longer i go the more issues come up

Release 12 — 12 months, dose 3

2022-10-23

Symptoms: Constant fatigue, its worse then ever. Never had thus until the covid. My legs are heavy. My toes turn blue at times. Dr. states its all in my head. Nothing wrong. Ringing in my ears does not stop All this is crazy

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	Alopecia	✓	✓	✓
SD	Back pain	·	·	✓
SD	Cyanosis	·	·	✓
SD	Fatigue	·	·	✓
SD	Feeling abnormal	·	·	✓
SD	Limb discomfort	✓	✓	✓
SD	Medical counselling	·	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Purpura	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Sinus disorder	·	·	✓
SD	Tinnitus	✓	✓	✓
SD	Urticaria	✓	✓	✓

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