2VS-32910-32792

5 vaccinations 7 coded responses 41 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 688 / NE
Registered: 2021-04-08

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

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-04-07
Dose 1 — Moderna
2021-04-08
Registered in v-safe
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-09
Survey response — days 1–6 daily, dose 1
MedDRA: Constipation — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea

Free text: I feel constipated.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Diarrhoea, Headache — Feeling: Fair · Chills, Headache, Fatigue or tiredness, Diarrhea

Free text: How long will i have headaches and chills? I thought it was causing constipation but i am a little then loose the back the otherway.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 1
MedDRA: Haematochezia — Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Diarrhea

Free text: I pasted blood in stool today. I think i ruptured a fisher. Not sure if i spelled it correctly

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — day 7, dose 1
Feeling: Fair · Chills, Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-21
Survey response — day 14, dose 1
MedDRA: Headache — Feeling: Fair

Free text: Headaches. I cant seem to get over my Headaches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-05
Dose 2 — Moderna
2021-05-05
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Chills, Headache, Joint pains

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Headache, Fatigue or tiredness

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Headache

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-05-12
Health check-in — day 7, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-05-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-09
Survey response — day 35, dose 2
MedDRA: Anal incontinence, Headache, Urinary incontinence — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: I have had headaches every since my first shot. I also am having trouble controlling my kidneys and bowel. I did not have these issues until after i had my shots. Is there a connected?? I am triec of accidents.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-04
Survey response — 3 months, dose 2
MedDRA: Headache, Nausea, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activities

Free text: They put me on nrw diabetic med and i have been nauseated ever since. Also i am having bad headaches and tingling in the left side of my face. I know my diabetes med probably isnt from shot but dont know about headaches and tingling.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-03
Survey response — 6 months, dose 2
MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activities

Free text: Headaches.

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Dose 3 — Moderna
2022-04-10
Dose 4 — Moderna
2022-05-05
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-08
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-15
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-22
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-10
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-03
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-06
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Headache

Adult check-in
2022-10-07
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Headache

Adult check-in
2022-10-08
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-09
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-10
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-17
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-24
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-31
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-07
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-14
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-02
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-04
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Moderna
2	2021-05-05	Moderna
3	2021-12-08	Moderna	No
4	2022-04-10	Moderna	No
5	2022-10-03	Pfizer-BioNTech	Flu

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-09

Systemic reaction (other): I feel constipated.

2021-04-12

Systemic reaction (other): How long will i have headaches and chills? I thought it was causing constipation but i am a little then loose the back the otherway.

2021-04-13

Systemic reaction (other): I pasted blood in stool today. I think i ruptured a fisher. Not sure if i spelled it correctly

Release 7 — day 14, dose 1

2021-04-21

Symptoms: Headaches. I cant seem to get over my Headaches.

Release 9 — day 35, dose 2

2021-06-09

Symptoms: I have had headaches every since my first shot. I also am having trouble controlling my kidneys and bowel. I did not have these issues until after i had my shots. Is there a connected?? I am triec of accidents.

Release 9 — 3 months, dose 2

2021-08-04

Symptoms: They put me on nrw diabetic med and i have been nauseated ever since. Also i am having bad headaches and tingling in the left side of my face. I know my diabetes med probably isnt from shot but dont know about headaches and tingling.

Release 10 — 6 months, dose 2

2021-11-03

Symptoms: Headaches.

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	Anal incontinence	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nausea	✓	·	✓
SD	Paraesthesia	✓	·	✓
SD	Urinary incontinence	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Constipation	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Haematochezia	✓	✓	✓
SRO	Headache	✓	✓	✓

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