2B4-31598-88855

3 vaccinations 6 coded responses 15 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 190 / PA
Registered: 2021-04-24

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

2021-03-20
Dose 1 — Moderna
2021-04-24
Registered in v-safe
2021-04-24
Dose 2 — Moderna
2021-04-24
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Diarrhea

Adult check-in
2021-07-26
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-25
Survey response — 6 months, dose 2
MedDRA: Asthenia, Fatigue — Feeling: Poor · Be unable to do your normal daily activities

Free text: I just generally feel like I'm getting weaker and weaker all the time. And extremely tired.

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Dose 3 — Moderna
2021-10-30
Health check-in — day 0, dose 3
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Chest pain, Heart rate increased, Palpitations — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Random sharp pains in my chest. And my heartbeat feels heavy, like it's pounding and fast .

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-05
Survey response — days 1–6 daily, dose 3
MedDRA: Chest discomfort, Dyspnoea — Feeling: Fair · Site: Pain, Redness, Itching · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Chest feels tight and sometimes difficult to breathe. Don't know if that's related or not.

MedDRA releases: 2024-11 · check-in free text available
2021-11-15
Survey response — day 14, dose 3
MedDRA: Asthenia, Headache, Malaise, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities

Free text: I still generally feel very weak. My chest when I try to take a deep breath, and I have headaches offen. I don't know if any of this is related to the vaccine, but I do just feel worse every day.

MedDRA releases: 2024-11 · check-in free text available
2021-12-13
Survey response — day 42, dose 3
MedDRA: Asthenia, Feeling abnormal — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: It's hard to describe, just overall feel worse and weaker each day.

MedDRA releases: 2024-11 · check-in free text available
2022-01-31
Survey response — 3 months, dose 3
MedDRA: Asthenia, Blood urine present, Dyspnoea, Fatigue — Feeling: Poor · 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: Blood in my urine since at least September. Have more doctors appointments coming up for that. Overall, I just feel worse every day. Tired, weak, difficulty breathing.

MedDRA releases: 2024-11 · check-in free text available
2022-01-31
Report sent to call center — 3 months, 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)
2022-02-03
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-20	Moderna
2	2021-04-24	Moderna
3	2021-10-30	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 10 — 6 months, dose 2

2021-10-25

Symptoms: I just generally feel like I'm getting weaker and weaker all the time. And extremely tired.

Release 10 — days 1–6 daily, dose 3

2021-10-31

Systemic reaction (other): Random sharp pains in my chest. And my heartbeat feels heavy, like it's pounding and fast .

2021-11-05

Systemic reaction (other): Chest feels tight and sometimes difficult to breathe. Don't know if that's related or not.

Release 10 — day 14, dose 3

2021-11-15

Symptoms: I still generally feel very weak. My chest when I try to take a deep breath, and I have headaches offen. I don't know if any of this is related to the vaccine, but I do just feel worse every day.

Release 10 — day 42, dose 3

2021-12-13

Symptoms: It's hard to describe, just overall feel worse and weaker each day.

Release 11 — 3 months, dose 3

2022-01-31

Symptoms: Blood in my urine since at least September. Have more doctors appointments coming up for that. Overall, I just feel worse every day. Tired, weak, difficulty breathing.

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	Asthenia	·	·	✓
SD	Blood urine present	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Feeling abnormal	·	·	✓
SD	Headache	·	·	✓
SD	Malaise	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Chest discomfort	·	·	✓
SRO	Chest pain	·	·	✓
SRO	Dyspnoea	·	·	✓
SRO	Heart rate increased	·	·	✓
SRO	Palpitations	·	·	✓

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