29X-18116-68525

3 vaccinations 9 coded responses 23 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 201 / VA
Registered: 2021-03-27

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

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

2021-03-27
Registered in v-safe
2021-03-27
Dose 1 — Moderna
2021-03-27
Survey response — day 0, dose 1
MedDRA: Muscle spasms, Myosclerosis — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Toes and fingers cramped and muscles behind thigh hardened only only left side about 3 hrs after vaccination but dissipated after half hr.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · Muscle or body aches

Adult check-in
2021-03-29
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Pre-existing disease — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I also received chemo today so that could be a contributor to fatigue and tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-03
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-30
Dose 2 — Moderna
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Poor · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Bp 182/92 at 3am

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis, Pyrexia — Feeling: Good · Site: Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Fever broke at 2am with sweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Good · Site: Redness, Swelling, Itching

Free text: Tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · None

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

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-05-07
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-05-14
Health check-in — day 14, dose 2
Feeling: Good

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

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

Adult check-in
2021-06-06
Survey response — day 35, dose 2
MedDRA: Blood urine, Pain, Urinary tract infection — 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: A severe UTI including bleeding when urinating. Ive never ever had one before. Lots of pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-06
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-11
Survey response — day 42, dose 2
MedDRA: Cystitis, Kidney infection, Urinary tract infection — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: UTI bladder and kidney infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-03
Dose 3 — Moderna
2021-09-05
Call 1 — Left Voicemail
2021-09-06
Call 2 — Left Voicemail
2021-10-29
Survey response — 6 months, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: I had a flare up of interstitial cystitis.

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-04
Survey response — 6 months, dose 3
MedDRA: COVID-19 — Feeling: Fair · 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, Emergency room or emergency department visit

Free text: Covid 19

MedDRA releases: 2024-11 · check-in free text available
2022-03-04
Report sent to call center — 6 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 · Emergency room or emergency department visit · 1 call case(s)
2022-03-07
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-27	Moderna
2	2021-04-30	Moderna
3	2021-09-03	Moderna	No

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-27

Systemic reaction (other): Toes and fingers cramped and muscles behind thigh hardened only only left side about 3 hrs after vaccination but dissipated after half hr.

Release 6 — days 1–6 daily, dose 1

2021-03-29

Systemic reaction (other): I also received chemo today so that could be a contributor to fatigue and tiredness

Release 8 — days 1–6 daily, dose 2

2021-05-01

Systemic reaction (other): Bp 182/92 at 3am

2021-05-02

Systemic reaction (other): Fever broke at 2am with sweats

2021-05-03

Systemic reaction (other): Tiredness

Release 8 — day 35, dose 2

2021-06-06

Symptoms: A severe UTI including bleeding when urinating. Ive never ever had one before. Lots of pain

Release 9 — day 42, dose 2

2021-06-11

Symptoms: UTI bladder and kidney infection

Release 10 — 6 months, dose 2

2021-10-29

Symptoms: I had a flare up of interstitial cystitis.

Release 11 — 6 months, dose 3

2022-03-04

Symptoms: Covid 19

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	Blood urine	✓	✓	✓
SD	Condition aggravated	·	·	✓
SD	COVID-19	·	·	✓
SD	Cystitis	·	·	✓
SD	Kidney infection	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Urinary tract infection	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Myosclerosis	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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