2BJ-14879-84893

2 vaccinations 13 coded responses 22 check-ins 13 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 221 / VA
Registered: 2021-02-12

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

2021-02-11
Dose 1 — Moderna
2021-02-12
Registered in v-safe
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-13
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches

Free text: Icey day pain, arthritic painW/ joints and muscles

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Headache, Myalgia, Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches

Free text: The headaches, muscle and joint pain is related to Psoriatic Arthritis, Arthritis.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea exertional — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I am having oxygen issues getting winded after exhertinfenergt

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Not related to the COVid19, symptomatic for arthritis, Hydrocephalus,kidney and urinary disease

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: The symptoms described are not due to injection , I am currently having possible Neurological symptoms.Thank

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — day 7, dose 1
MedDRA: Hydrocephalus, Pre-existing disease — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Associated with my active Hydrocephalus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-04
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-12
Dose 2 — Moderna
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Pre-existing disease, Psoriatic arthropathy — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Joint pain could be exasperated by my psoriatic arthritis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Colostomy, Diarrhoea, Nausea, Office visit, Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Nurse practitioner- subscribed Zofran for nausea, the diarrhea will work it self out. I have a colostomy, so keeping track of Diarrhea for now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Free text: Numbness in extremities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Free text: Still numbness in extremities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-19
Survey response — day 7, dose 2
MedDRA: Hypoaesthesia — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Numbness in extremities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-02
Survey response — day 21, dose 2
MedDRA: Urinary tract infection — Feeling: Fair

Free text: Urinary Tract IntectinNot connected to COVid19. I did have a kidney transplant in 2014,so I m immune compromised. I follow what my transplant team requires; no large crowds. If needed go into stores during off peak times, double mask. 6 ft apart.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-16
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-23
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-09-12
Survey response — 6 months, dose 2
MedDRA: Hernia, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Two hernias pressing beneath Ostomies. · Healthcare visit (other): Have an upcoming appointment with a general surgeon September 21@(b)(6)

MedDRA releases: 2024-11 · check-in free text available
2021-09-12
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-13
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-11	Moderna
2	2021-03-12	Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-13

Systemic reaction (other): Icey day pain, arthritic painW/ joints and muscles

2021-02-14

Systemic reaction (other): The headaches, muscle and joint pain is related to Psoriatic Arthritis, Arthritis.

2021-02-15

Systemic reaction (other): I am having oxygen issues getting winded after exhertinfenergt

2021-02-16

Systemic reaction (other): Not related to the COVid19, symptomatic for arthritis, Hydrocephalus,kidney and urinary disease

2021-02-17

Systemic reaction (other): The symptoms described are not due to injection , I am currently having possible Neurological symptoms.Thank

Release 4 — day 7, dose 1

2021-02-18

Systemic reaction (other): Associated with my active Hydrocephalus

Release 5 — days 1–6 daily, dose 2

2021-03-14

Systemic reaction (other): Joint pain could be exasperated by my psoriatic arthritis

2021-03-15

Healthcare visit (other): Nurse practitioner- subscribed Zofran for nausea, the diarrhea will work it self out. I have a colostomy, so keeping track of Diarrhea for now.

2021-03-16

Systemic reaction (other): Numbness in extremities

2021-03-17

Systemic reaction (other): Still numbness in extremities

Release 5 — day 7, dose 2

2021-03-19

Systemic reaction (other): Numbness in extremities

Release 6 — day 21, dose 2

2021-04-02

Symptoms: Urinary Tract IntectinNot connected to COVid19. I did have a kidney transplant in 2014,so I m immune compromised. I follow what my transplant team requires; no large crowds. If needed go into stores during off peak times, double mask. 6 ft apart.

Release 9 — 6 months, dose 2

2021-09-12

Symptoms: Two hernias pressing beneath Ostomies.

Healthcare visit (other): Have an upcoming appointment with a general surgeon September 21@(b)(6)

redacted (b)(6)

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	Colostomy	○	✓	○
HCVO	Diarrhoea	✓	✓	✓
HCVO	Nausea	✓	✓	✓
HCVO	Office visit	○	✓	○
HCVO	Pre-existing disease	✓	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Hernia	·	·	✓
SD	Urinary tract infection	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Dyspnoea exertional	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hydrocephalus	○	✓	○
SRO	Hypoaesthesia	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Psoriatic arthropathy	✓	✓	✓

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