2G4-16165-89550

4 vaccinations 12 coded responses 32 check-ins 12 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 890 / NV
Registered: 2021-01-15

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-15
Registered in v-safe
2021-01-15
Dose 1 — Moderna
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Feeling abnormal, Feeling cold, Pain in extremity — Feeling: Fair · Site: Pain, Itching · Chills, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Cold . I had shivers yesterday and today, and both my arms are sore. Its a but strange. I stayed in bed. Just felt blah.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills, Nausea, Diarrhea

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-18
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Pigmentation disorder, Skin discolouration — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site

Free text: Mom has gotten dark spots on soles of feet (both)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain — Feeling: Fair · Site: Itching · Chills, Rash, not including the immediate area around the injection site

Free text: Mom had abdominal pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Survey response — day 7, dose 1
MedDRA: Pruritus, Rash — Feeling: Good · Site: Itching · Diarrhea, Rash, not including the immediate area around the injection site

Free text: Rash/itching is. On and off not constant

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-05
Survey response — day 21, dose 1
MedDRA: Pruritus — Feeling: Fair

Free text: Itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Dose 2 — Moderna
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Rhinorrhoea — Feeling: Good · Site: Itching · Muscle or body aches, Rash, not including the immediate area around the injection site

Free text: Runny nose could be allergies though

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia, Pruritus, Urticaria — Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Free text: Last night itching got severe with hives. Hard to fall asleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — day 7, dose 2
MedDRA: No adverse event — Feeling: Good · Site: Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-14
Survey response — 3 months, dose 2
MedDRA: Fatigue, Flank pain — Feeling: Fair

Free text: Soreness in left side, tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-13
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-10
Dose 3 — Moderna
Co-administered: Flu
2022-02-13
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-19
Dose 4 — Moderna
2022-04-24
Survey response — days 1–6 daily, dose 4
MedDRA: Headache — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Headache

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Health check-in — day 7, dose 4
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-05-03
Survey response — day 14, dose 4
MedDRA: Fatigue — Feeling: Good

Free text: Tiredness

MedDRA releases: 2024-11 · check-in free text available
2022-05-11
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-18
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-24
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-31
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-21
Survey response — 3 months, dose 4
MedDRA: Myalgia — Feeling: Fair

Free text: Muscle Aches

MedDRA releases: 2024-11 · check-in free text available
2022-10-18
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-19
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Moderna
2	2021-02-12	Moderna
3	2021-11-10	Moderna	Flu
4	2022-04-19	Moderna	No

Call center

2 call center cases

2 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-16

Systemic reaction (other): Cold . I had shivers yesterday and today, and both my arms are sore. Its a but strange. I stayed in bed. Just felt blah.

2021-01-19

Systemic reaction (other): Mom has gotten dark spots on soles of feet (both)

2021-01-21

Systemic reaction (other): Mom had abdominal pain

Release 2 — day 7, dose 1

2021-01-22

Systemic reaction (other): Rash/itching is. On and off not constant

Release 3 — day 21, dose 1

2021-02-05

Symptoms: Itching

Release 4 — days 1–6 daily, dose 2

2021-02-16

Systemic reaction (other): Runny nose could be allergies though

2021-02-17

Systemic reaction (other): Last night itching got severe with hives. Hard to fall asleep

Release 4 — day 7, dose 2

2021-02-19

Systemic reaction (other): No

Release 8 — 3 months, dose 2

2021-05-14

Symptoms: Soreness in left side, tiredness

Release 11 — days 1–6 daily, dose 4

2022-04-24

Systemic reaction (other): Headache

Release 11 — day 14, dose 4

2022-05-03

Symptoms: Tiredness

Release 12 — 3 months, dose 4

2022-07-21

Symptoms: Muscle Aches

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	Fatigue	✓	✓	✓
SD	Flank pain	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Pruritus	✓	✓	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Headache	·	·	✓
SRO	Insomnia	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pigmentation disorder	○	✓	○
SRO	Pruritus	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Skin discolouration	✓	·	✓
SRO	Urticaria	✓	✓	✓

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