2EA-20974-09852

2 vaccinations 9 coded responses 18 check-ins 9 free-text entries 10 call cases

Sex: —
Age at first dose: 36-40
ZIP prefix: 787 / TX
Registered: 2021-03-14

Relationship: Self
Race: Multiracial
Ethnicity: Hispanic or Latino

Timeline

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

2021-03-09
Dose 1 — Moderna
2021-03-14
Registered in v-safe
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-16
Survey response — day 7, dose 1
MedDRA: Anaemia, Pre-existing disease — Feeling: Poor · Site: Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · 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: Severe anemia but not from vaccine. Just weakened by the comorbidity.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-23
Survey response — day 14, dose 1
MedDRA: Fatigue, Lethargy — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue & lethargy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — day 21, dose 1
Feeling: Poor

Adult check-in
2021-04-06
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-04-07
Dose 2 — Moderna
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Physiotherapy, Pruritus, Telemedicine — Feeling: Poor · Site: Pain, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · 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: Systemic reaction (other): Itchiness · Healthcare visit (other): Telehealth physical therapy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Telemedicine — Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · 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: Telehealth physical therapy & others

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness · 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

Adult check-in
2021-04-12
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-16
Health check-in — day 7, dose 2
Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-04-16
Report sent to call center — day 7, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-21
Survey response — day 14, dose 2
MedDRA: Headache, Medical counselling, Office visit, Pain — 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, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Worsening headache. Very extreme. Hurts all the time, even when Im still on slightly moving around. Have only had this type of headache since the vaccination doses. · Healthcare visit (other): Telehealth physical therapy & outpatient visits

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-28
Survey response — day 21, dose 2
MedDRA: Headache, Migraine — Feeling: Fair · 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, Emergency room or emergency department visit

Free text: Headaches./migraines

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-09
Survey response — day 28, dose 2
MedDRA: Concussion, Fall, Injection site pain, Injection site pruritus, Migraine — Feeling: Fair · 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, Emergency room or emergency department visit

Free text: Migraines, sudden unexpected falls, & concussions. Plus mild yet returned itching & pain @ injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-14
Survey response — day 35, dose 2
MedDRA: Migraine — 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, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Falling injuries. Very extreme migraines.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
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)
2021-05-22
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-09
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-06
Health check-in — 6 months, dose 2
Feeling: Poor

Adult check-in
2022-01-12
Call 1 — Left Voicemail
2022-04-09
Survey response — 12 months, dose 2
MedDRA: Influenza, Influenza like illness — Feeling: Fair · 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: Flu or flu-like illness

MedDRA releases: 2024-11 · check-in free text available
2022-04-09
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-04-13
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Moderna
2	2021-04-07	Moderna

Call center

10 call center cases

10 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — day 7, dose 1

2021-03-16

Systemic reaction (other): Severe anemia but not from vaccine. Just weakened by the comorbidity.

Release 6 — day 14, dose 1

2021-03-23

Symptoms: Fatigue & lethargy

Release 7 — days 1–6 daily, dose 2

2021-04-08

Systemic reaction (other): Itchiness

Healthcare visit (other): Telehealth physical therapy

2021-04-10

Healthcare visit (other): Telehealth physical therapy & others

Release 7 — day 14, dose 2

2021-04-21

Symptoms: Worsening headache. Very extreme. Hurts all the time, even when Im still on slightly moving around. Have only had this type of headache since the vaccination doses.

Healthcare visit (other): Telehealth physical therapy & outpatient visits

Release 8 — day 21, dose 2

2021-04-28

Symptoms: Headaches./migraines

Release 8 — day 28, dose 2

2021-05-09

Symptoms: Migraines, sudden unexpected falls, & concussions. Plus mild yet returned itching & pain @ injection site.

Release 8 — day 35, dose 2

2021-05-14

Symptoms: Falling injuries. Very extreme migraines.

Release 11 — 12 months, dose 2

2022-04-09

Symptoms: Flu or flu-like illness

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	Medical counselling	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Physiotherapy	✓	·	✓
HCVO	Telemedicine	✓	✓	✓
SD	Concussion	✓	✓	✓
SD	Fall	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Influenza	·	·	✓
SD	Influenza like illness	·	·	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Lethargy	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Pain	✓	✓	✓
SRO	Anaemia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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