2R9-17258-93094

4 vaccinations 22 coded responses 41 check-ins 21 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 787 / TX
Registered: 2020-12-30

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

2020-12-30
Registered in v-safe
2020-12-30
Dose 1 — Moderna
2020-12-30
Survey response — day 0, dose 1
MedDRA: Dysgeusia, Immediate post-injection reaction — Feeling: Fair · Headache

Free text: Immediately upon receiving vaccine experienced strong taste in my mouth. It continues somewhat through the day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Taste disorder — Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches

Free text: Taste still off but fetting better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Survey response — days 1–6 daily, dose 1
MedDRA: Dysgeusia, Myalgia — Feeling: Fair · Site: Swelling · Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: Sudden severe muscle pain in isolated area that passes fairly quickly. Strange taste is gone.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Headache

Adult check-in
2021-01-04
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion, Sneezing — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I think this is Texas Cedar Fever. As no fever but stuffed up and sneezing

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

1 call case(s)
2021-01-06
Health check-in — day 7, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-01-15
Survey response — day 14, dose 1
MedDRA: Anaphylaxis treatment, Arthralgia, Fatigue, Myalgia, Pyrexia — 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: Fever 101.5 joint pain. Fatigue muscle pain. Received antibiotic amoxicillin that did drop fever in 24 hours to normal. Still experiencing fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-21
Survey response — day 21, dose 1
MedDRA: Arthralgia, Nausea, Pyrexia — Feeling: Good · Be unable to do your normal daily activities

Free text: Fever 101.5/aches in joints / nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Dose 2 — Moderna
2021-01-27
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus, Self-medication, Swelling — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I took an antihistamine and the severe itching and swelling dropped down

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Headache

Free text: Just some odd dizziness but it is nearly gone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-02-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-02-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-03
Survey response — day 35, dose 2
MedDRA: Arthralgia, Asthenia, Fatigue, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Joint and muscle pain at a 10Fatigue and weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Call 1 — Left Voicemail
2021-03-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-28
Survey response — 3 months, dose 2
MedDRA: Pharyngitis, Pneumonia, Sinusitis — Feeling: Good · Be unable to work, 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: Had severe lung/throat/sinus infection. Had to use antibiotics and inhaler.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Report sent to call center — 3 months, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-30
Survey response — 6 months, dose 2
MedDRA: Pyrexia, Respiratory symptom — Feeling: Good · 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: rsv like symptoms with fever. 2 times

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-30
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-04
Call 2 — Left Voicemail
2021-09-24
Dose 3 — Moderna
2021-09-24
Survey response — day 0, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling, Itching · Headache, Fatigue or tiredness

Free text: neck glands swollen

MedDRA releases: 2024-11 · check-in free text available
2021-09-25
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-09-26
Survey response — days 1–6 daily, dose 3
MedDRA: Hyperhidrosis — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: sweats

MedDRA releases: 2024-11 · check-in free text available
2021-09-27
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Back pain, Body temperature increased, Chills, Eye pain, Fatigue, Neck pain, Pain, Pain in extremity — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: very tired and fever keeps fluctuating between 98.2 and 100. chills and body aches and pain moving around. Particularly to hands, back, neck and hips. eyes hurt

MedDRA releases: 2024-11 · check-in free text available
2021-09-28
Survey response — days 1–6 daily, dose 3
MedDRA: Dry skin, Fatigue, Headache, Night sweats, Pain, Pyrexia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I finally sweated all night and had to change clothes twice. My skin is so dry. Today, I have beaten fevers, but I just hit a wall of fatigue at 3pm today. Headaches are better but it was a rough 4 days. The pain seemed to move indiscriminately into

MedDRA releases: 2024-11 · check-in free text available
2021-09-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-09-30
Survey response — days 1–6 daily, dose 3
MedDRA: Eye pain, Headache, Pre-existing disease, Sneezing — Feeling: Fair · Headache, Fatigue or tiredness

Free text: chronic eye and head pain. lots of sneezing unsure if related

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-10-09
Survey response — day 14, dose 3
MedDRA: Cough, Headache, Sneezing — Feeling: Good

Free text: Cough and sneezing with headaches

MedDRA releases: 2024-11 · check-in free text available
2021-10-15
Survey response — day 21, dose 3
MedDRA: Arthralgia, Back pain, Sinusitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: sinus infection. joint back pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-23
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-05
Survey response — day 42, dose 3
MedDRA: Arthralgia, Myalgia — Feeling: Good · Be unable to do your normal daily activities

Free text: joint and muscles pain

MedDRA releases: 2024-11 · check-in free text available
2021-12-26
Survey response — 3 months, dose 3
MedDRA: Cough, Sinusitis — Feeling: Good · Be unable to do your normal daily activities

Free text: I continue to have sinus infections and a cough. I get over it and three -4 weeks later it returns. never had this scenario before

MedDRA releases: 2024-11 · check-in free text available
2022-01-11
Call 1 — Left Voicemail
2022-03-25
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-06
Dose 4 — Moderna
2022-04-14
Health check-in — day 7, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-05-12
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-18
Survey response — day 42, dose 4
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: reoccurring fatigue and tiredness

MedDRA releases: 2024-11 · check-in free text available
2022-07-06
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-06
Survey response — 12 months, dose 4
MedDRA: COVID-19, SARS-CoV-2 test positive — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-01-27	Moderna
3	2021-09-24	Moderna	No
4	2022-04-06	Moderna	No

Call center

5 call center cases

5 unsuccessful

See the call center timeline

Free text

Release 1 — day 0, dose 1

2020-12-30

Systemic reaction (other): Immediately upon receiving vaccine experienced strong taste in my mouth. It continues somewhat through the day

Release 1 — days 1–6 daily, dose 1

2020-12-31

Systemic reaction (other): Taste still off but fetting better

2021-01-02

Systemic reaction (other): Sudden severe muscle pain in isolated area that passes fairly quickly. Strange taste is gone.

2021-01-04

Systemic reaction (other): I think this is Texas Cedar Fever. As no fever but stuffed up and sneezing

Release 2 — day 14, dose 1

2021-01-15

Symptoms: Fever 101.5 joint pain. Fatigue muscle pain. Received antibiotic amoxicillin that did drop fever in 24 hours to normal. Still experiencing fatigue

Release 2 — day 21, dose 1

2021-01-21

Symptoms: Fever 101.5/aches in joints / nausea

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): I took an antihistamine and the severe itching and swelling dropped down

2021-02-02

Systemic reaction (other): Just some odd dizziness but it is nearly gone

Release 5 — day 35, dose 2

2021-03-03

Symptoms: Joint and muscle pain at a 10Fatigue and weakness

Release 8 — 3 months, dose 2

2021-04-28

Symptoms: Had severe lung/throat/sinus infection. Had to use antibiotics and inhaler.

Release 9 — 6 months, dose 2

2021-07-30

Symptoms: rsv like symptoms with fever. 2 times

Release 9 — day 0, dose 3

2021-09-24

Systemic reaction (other): neck glands swollen

Release 9 — days 1–6 daily, dose 3

2021-09-26

Systemic reaction (other): sweats

2021-09-27

Systemic reaction (other): very tired and fever keeps fluctuating between 98.2 and 100. chills and body aches and pain moving around. Particularly to hands, back, neck and hips. eyes hurt

2021-09-28

Systemic reaction (other): I finally sweated all night and had to change clothes twice. My skin is so dry. Today, I have beaten fevers, but I just hit a wall of fatigue at 3pm today. Headaches are better but it was a rough 4 days. The pain seemed to move indiscriminately into cut off by CDC

2021-09-30

Systemic reaction (other): chronic eye and head pain. lots of sneezing unsure if related

Release 10 — day 14, dose 3

2021-10-09

Symptoms: Cough and sneezing with headaches

Release 10 — day 21, dose 3

2021-10-15

Symptoms: sinus infection. joint back pain

Release 10 — day 42, dose 3

2021-11-05

Symptoms: joint and muscles pain

Release 10 — 3 months, dose 3

2021-12-26

Symptoms: I continue to have sinus infections and a cough. I get over it and three -4 weeks later it returns. never had this scenario before

Release 11 — day 42, dose 4

2022-05-18

Symptoms: reoccurring fatigue and tiredness

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	Anaphylaxis treatment	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Back pain	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pharyngitis	✓	✓	✓
SD	Pneumonia	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory symptom	✓	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sinusitis	✓	✓	✓
SD	Sneezing	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Back pain	·	·	✓
SRO	Body temperature increased	·	·	✓
SRO	Chills	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Dry skin	·	·	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Eye pain	·	·	✓
SRO	Fatigue	·	·	✓
SRO	Headache	·	·	✓
SRO	Hyperhidrosis	·	·	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Myalgia	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Neck pain	·	·	✓
SRO	Night sweats	·	·	✓
SRO	Pain	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Pruritus	✓	✓	✓
SRO	Pyrexia	·	·	✓
SRO	Self-medication	✓	✓	✓
SRO	Sneezing	✓	✓	✓
SRO	Swelling	✓	✓	✓
SRO	Taste disorder	✓	✓	✓

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