2HK-23759-25489

2 vaccinations 12 coded responses 21 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 352 / AL
Registered: 2021-03-04

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

2021-03-04
Registered in v-safe
2021-03-04
Dose 1 — Moderna
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Itching · Muscle or body aches, Nausea

Adult check-in
2021-03-13
Health check-in — day 7, dose 1
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-03-18
Survey response — day 14, dose 1
MedDRA: Dyspnoea, Fatigue, Wheezing — Feeling: Fair · Be unable to do your normal daily activities

Free text: Shortness of breath and wheezing. Tiredness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-04-05
Dose 2 — Moderna
2021-04-05
Survey response — day 0, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: I am due to start my home igg Iv infusions tomorrow, Wednesday and Thursday. Some of these symptoms can be related to cdip- I cant be sure.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Wheezing — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Slight wheezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Blood pressure decreased, Hypotension — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Low blood pressure- 92/45

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Very sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Laryngitis, Nasal abscess, Upper-airway cough syndrome — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Larayngitis, profuse nasal drip in throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — day 7, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-10
Survey response — day 35, dose 2
MedDRA: Fatigue, Insomnia — Feeling: Fair

Free text: Increased fatigue. Having trouble staying asleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Survey response — day 42, dose 2
MedDRA: Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Copious sinus drainage along with muscle aches all over body

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-05
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-04
Survey response — 6 months, dose 2
MedDRA: Paranasal sinus hypersecretion, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Excess sinus drainage and infection

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-11
Call 1 — Left Voicemail
2021-10-11
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-05
Survey response — 12 months, dose 2
MedDRA: Muscle spasms — Feeling: Fair

Free text: Muscle cramps

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-04	Moderna
2	2021-04-05	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — day 14, dose 1

2021-03-18

Symptoms: Shortness of breath and wheezing. Tiredness.

Release 6 — day 0, dose 2

2021-04-05

Systemic reaction (other): I am due to start my home igg Iv infusions tomorrow, Wednesday and Thursday. Some of these symptoms can be related to cdip- I cant be sure.

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Slight wheezing

2021-04-07

Systemic reaction (other): Low blood pressure- 92/45

2021-04-09

Systemic reaction (other): Weakness

2021-04-10

Systemic reaction (other): Very sore throat

2021-04-11

Systemic reaction (other): Larayngitis, profuse nasal drip in throat

Release 7 — day 7, dose 2

2021-04-12

Systemic reaction (other): Shortness of breath

Release 8 — day 35, dose 2

2021-05-10

Symptoms: Increased fatigue. Having trouble staying asleep

Release 8 — day 42, dose 2

2021-05-17

Symptoms: Copious sinus drainage along with muscle aches all over body

Release 10 — 6 months, dose 2

2021-10-04

Symptoms: Excess sinus drainage and infection

Release 11 — 12 months, dose 2

2022-04-05

Symptoms: Muscle cramps

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	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Muscle spasms	·	·	✓
SD	Pain	✓	✓	✓
SD	Paranasal sinus hypersecretion	·	·	✓
SD	Sinusitis	·	·	✓
SD	Wheezing	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Blood pressure decreased	○	✓	○
SRO	Dyspnoea	✓	✓	✓
SRO	Hypotension	✓	·	✓
SRO	Laryngitis	✓	·	✓
SRO	Nasal abscess	○	✓	○
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Upper-airway cough syndrome	✓	·	✓
SRO	Wheezing	✓	✓	✓

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