2JR-12995-37392

2 vaccinations 7 coded responses 19 check-ins 7 free-text entries 2 call cases

Sex: —
Age at first dose: 31-35
ZIP prefix: 291 / SC
Registered: 2021-03-12

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-11
Dose 1 — Moderna
2021-03-12
Registered in v-safe
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain, Oropharyngeal pain — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Sore throat, ear pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-18
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-03-25
Survey response — day 14, dose 1
MedDRA: Dyspepsia, Fatigue, Nausea, Pruritus — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Issues with digestion, itching, nausea, fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-09
Dose 2 — Moderna
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-16
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-07
Survey response — day 28, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: I tire more easily and haven't had much of an appetite. It's like my body is constantly getting over something.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — day 35, dose 2
MedDRA: Condition aggravated, Headache, Migraine, Pain, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: Severe headaches, body aches, migraines. I do have chronic migraines and fibromyalgia, and I feel like my symptoms have flared up recently. It could be coincidental.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Survey response — day 42, dose 2
MedDRA: Diarrhoea, Dyspepsia, Joint swelling, Peripheral swelling, Pre-existing disease — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Chronic digestive issues, reoccurring diarrhea, heartburn, swelling of the knees, legs,and ankles.

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

Adult check-in
2021-10-08
Survey response — 6 months, dose 2
MedDRA: Bronchitis, Fatigue, Laryngitis, Pre-existing disease, Respiratory symptom — Feeling: Poor · Be unable to work or attend school, 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: Chronic lung issues, extreme fatigue, constant bronchitis, reoccurring laryngitis, pneumonia-like symptoms.

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-15
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-09
Survey response — 12 months, dose 2
MedDRA: Asthma, Pre-existing disease — Feeling: Poor · Be unable to work or attend school, 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: Severe asthma issues, allergies, asthma flares, chronic bronchitis.

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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-04-12
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Moderna
2	2021-04-09	Moderna

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-12

Systemic reaction (other): Sore throat, ear pain

Release 6 — day 14, dose 1

2021-03-25

Symptoms: Issues with digestion, itching, nausea, fatigue.

Release 8 — day 28, dose 2

2021-05-07

Symptoms: I tire more easily and haven't had much of an appetite. It's like my body is constantly getting over something.

Release 8 — day 35, dose 2

2021-05-14

Symptoms: Severe headaches, body aches, migraines. I do have chronic migraines and fibromyalgia, and I feel like my symptoms have flared up recently. It could be coincidental.

Release 8 — day 42, dose 2

2021-05-21

Symptoms: Chronic digestive issues, reoccurring diarrhea, heartburn, swelling of the knees, legs,and ankles.

Release 10 — 6 months, dose 2

2021-10-08

Symptoms: Chronic lung issues, extreme fatigue, constant bronchitis, reoccurring laryngitis, pneumonia-like symptoms.

Release 11 — 12 months, dose 2

2022-04-09

Symptoms: Severe asthma issues, allergies, asthma flares, chronic bronchitis.

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	Asthma	·	·	✓
SD	Bronchitis	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dyspepsia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Joint swelling	✓	✓	✓
SD	Laryngitis	·	·	✓
SD	Migraine	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Respiratory symptom	·	·	✓
SRO	Ear pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓

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