2WF-18084-00555

2 vaccinations 6 coded responses 14 check-ins 6 free-text entries 4 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 362 / AL
Registered: 2021-04-21

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

2021-03-18
Dose 1 — Moderna
2021-04-19
Dose 2 — Moderna
2021-04-21
Registered in v-safe
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: I have autoimmune disorder, IIH, CHF, chronic respiratory failure with hypoxia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-26
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-03
Survey response — day 14, dose 2
MedDRA: Bone pain, Chills, Diarrhoea, Dysstasia, Lethargy, Thinking abnormal — Feeling: Poor · Be unable to do your normal daily activities

Free text: I am lethargic, have chills, bones hurt to the point it hurts my feet to stand, it hurts to sit. I feel like I cant think straight , diarrhea,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-24
Survey response — day 35, dose 2
MedDRA: Asthenia, Bone pain, Decreased appetite, Head discomfort, Influenza like illness, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I have these bouts feeling like flu but its not flu. My bones hurt like I took a hard fall, zero energy, zero appetite, my head feels like a bowling ball · Healthcare visit (other): My Pcp

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-31
Survey response — day 42, dose 2
MedDRA: Autoimmune disorder, Brain fog, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: On top of having autoimmune disorder, there is days Ive not gotten out of bed. I feel physically tired all the time and mentally most days Im in a fog. I cant remember a short conversation from the morning to the afternoon. Overall Im not · Healthcare visit (other): Primary Care Physician

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-19
Survey response — 3 months, dose 2
MedDRA: Office visit, Renal impairment, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Low kidney function and PV · Healthcare visit (other): PCP

MedDRA releases: 2024-11 · check-in free text available
2021-07-19
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-24
Call 1 — Left Voicemail
2021-10-18
Survey response — 6 months, dose 2
MedDRA: Office visit, Renal impairment — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Low kidney function · Healthcare visit (other): Pcp

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-20
Call 1 — Left Voicemail
2022-04-19
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Moderna
2	2021-04-19	Moderna

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-21

Systemic reaction (other): I have autoimmune disorder, IIH, CHF, chronic respiratory failure with hypoxia

Release 8 — day 14, dose 2

2021-05-03

Symptoms: I am lethargic, have chills, bones hurt to the point it hurts my feet to stand, it hurts to sit. I feel like I cant think straight , diarrhea,

Release 8 — day 35, dose 2

2021-05-24

Symptoms: I have these bouts feeling like flu but its not flu. My bones hurt like I took a hard fall, zero energy, zero appetite, my head feels like a bowling ball

Healthcare visit (other): My Pcp

Release 8 — day 42, dose 2

2021-05-31

Symptoms: On top of having autoimmune disorder, there is days Ive not gotten out of bed. I feel physically tired all the time and mentally most days Im in a fog. I cant remember a short conversation from the morning to the afternoon. Overall Im not

Healthcare visit (other): Primary Care Physician

Release 9 — 3 months, dose 2

2021-07-19

Symptoms: Low kidney function and PV

Healthcare visit (other): PCP

Release 10 — 6 months, dose 2

2021-10-18

Symptoms: Low kidney function

Healthcare visit (other): Pcp

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
HCVO	Office visit	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Autoimmune disorder	✓	✓	✓
SD	Bone pain	✓	✓	✓
SD	Brain fog	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Decreased appetite	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dysstasia	✓	✓	✓
SD	Head discomfort	✓	✓	✓
SD	Influenza like illness	✓	✓	✓
SD	Lethargy	✓	✓	✓
SD	Renal impairment	·	·	✓
SD	Thinking abnormal	✓	✓	✓
SD	Unevaluable event	·	·	✓
SRO	Pre-existing disease	✓	✓	✓

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