2Y9-16886-51344

5 vaccinations 15 coded responses 50 check-ins 15 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 945 / CA
Registered: 2021-04-02

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

2021-03-27
Dose 1 — Moderna
2021-04-02
Registered in v-safe
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-03
Survey response — day 7, dose 1
MedDRA: Dry eye, Paranasal sinus discomfort — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Sinus pressure and dry eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — day 14, dose 1
MedDRA: Diarrhoea, Gastrointestinal sounds abnormal, Nausea, Pain, Pre-existing disease — Feeling: Fair · Be unable to work

Free text: I was sore all over and have been having allergies.. you never asked if I had symptoms after the shot - I did - 52-72 hrs after nausea and explosive diarrhea with gurgle gut

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — day 21, dose 1
MedDRA: Fatigue, Feeling hot, Headache, Pain, Pyrexia — Feeling: Poor · Be unable to work

Free text: Low grade fever, aches and pains, fatigue, overheated, headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Dose 2 — Moderna
2021-04-24
Health check-in — day 0, dose 2
Feeling: Fair · Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · 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
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Anxiety, Feeling hot — Feeling: Fair · Site: Pain · 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

Free text: Overheated, anxiety

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling hot, Pruritus — Feeling: Good · Site: Pain · 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

Free text: Overheated on and off all day - not feverish though.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — day 7, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-24
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-23
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-25
Dose 3 — Moderna
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Joint pains, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-01
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-11-08
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-15
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-22
Survey response — day 28, dose 3
MedDRA: Abdominal pain, Back pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Abdominal cramping and lower back pain

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-06
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-24
Survey response — 3 months, dose 3
MedDRA: Diarrhoea, Pruritus, SARS-CoV-2 test, Vomiting — Feeling: Good · 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: Symptoms: Vomiting & diarrhea for 2 days. My ankles itch - every day. · Healthcare visit (other): Covid testing

MedDRA releases: 2024-11 · check-in free text available
2022-01-24
Report sent to call center — 3 months, dose 3
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)
2022-01-27
Call 1 — Left Voicemail
2022-04-15
Dose 4 — Moderna
2022-04-15
Survey response — day 0, dose 4
MedDRA: Irritability, Neck pain — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Neck ache and grouchiness

MedDRA releases: 2024-11 · check-in free text available
2022-04-16
Survey response — days 1–6 daily, dose 4
MedDRA: Neck pain — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school

Free text: Neck ache

MedDRA releases: 2024-11 · check-in free text available
2022-04-17
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-04-18
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-04-19
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-04-20
Survey response — days 1–6 daily, dose 4
MedDRA: Condition aggravated, Dyspnoea, Fatigue, Pre-existing disease, Wheezing — Feeling: Fair · Site: Pain · Fever · 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: Wheezing & shortness of breath - more so than normal - not drastically but when I lay down to go to bed I notice and it's probably contributing to my fatigue & tiredness. I did have a sinus infection or strep that i took a z pack for the week before

MedDRA releases: 2024-11 · check-in free text available
2022-04-21
Survey response — days 1–6 daily, dose 4
MedDRA: Respiratory tract congestion, Wheezing — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Wheezing and chest congestion

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Survey response — day 7, dose 4
MedDRA: Wheezing — Feeling: Fair · 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: Wheezing

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-06
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-13
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-20
Survey response — day 35, dose 4
MedDRA: Oropharyngeal pain, SARS-CoV-2 test, SARS-CoV-2 test negative — Feeling: Good

Free text: Sore throat. I gave friends a ride home from the airport and both have since tested positive for COVID. I have taken 2 home tests that were both negative at 4 days and 6 days after trip. I also had a PCR test today - 6 days after and await results

MedDRA releases: 2024-11 · check-in free text available
2022-05-27
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-15
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-09-14
Dose 5 — Moderna
Co-administered: Flu
2022-10-09
Survey response — day 21, dose 5
MedDRA: Dyspnoea — Feeling: Fair

Free text: My breathing is a little labored, but that is probably due to my work

MedDRA releases: 2024-11 · check-in free text available
2022-10-12
Survey response — day 28, dose 5
MedDRA: Paranasal sinus discomfort, Sinus pain — Feeling: Fair

Free text: Sinus pain and irritation - maybe allergies

MedDRA releases: 2024-11 · check-in free text available
2022-10-19
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-26
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-14
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-15
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-27	Moderna
2	2021-04-24	Moderna
3	2021-10-25	Moderna	No
4	2022-04-15	Moderna	No
5	2022-09-14	Moderna	Flu

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — day 7, dose 1

2021-04-03

Systemic reaction (other): Sinus pressure and dry eyes

Release 7 — day 14, dose 1

2021-04-10

Symptoms: I was sore all over and have been having allergies.. you never asked if I had symptoms after the shot - I did - 52-72 hrs after nausea and explosive diarrhea with gurgle gut

Release 7 — day 21, dose 1

2021-04-19

Symptoms: Low grade fever, aches and pains, fatigue, overheated, headache

Release 8 — days 1–6 daily, dose 2

2021-04-29

Systemic reaction (other): Overheated, anxiety

2021-04-30

Systemic reaction (other): Overheated on and off all day - not feverish though.

Release 10 — day 28, dose 3

2021-11-22

Symptoms: Abdominal cramping and lower back pain

Release 11 — 3 months, dose 3

2022-01-24

Symptoms: Vomiting & diarrhea for 2 days. My ankles itch - every day.

Healthcare visit (other): Covid testing

Release 11 — day 0, dose 4

2022-04-15

Systemic reaction (other): Neck ache and grouchiness

Release 11 — days 1–6 daily, dose 4

2022-04-16

Systemic reaction (other): Neck ache

2022-04-20

Systemic reaction (other): Wheezing & shortness of breath - more so than normal - not drastically but when I lay down to go to bed I notice and it's probably contributing to my fatigue & tiredness. I did have a sinus infection or strep that i took a z pack for the week before cut off by CDC

2022-04-21

Systemic reaction (other): Wheezing and chest congestion

Release 11 — day 7, dose 4

2022-04-22

Systemic reaction (other): Wheezing

Release 11 — day 35, dose 4

2022-05-20

Symptoms: Sore throat. I gave friends a ride home from the airport and both have since tested positive for COVID. I have taken 2 home tests that were both negative at 4 days and 6 days after trip. I also had a PCR test today - 6 days after and await results

Release 12 — day 21, dose 5

2022-10-09

Symptoms: My breathing is a little labored, but that is probably due to my work

Release 12 — day 28, dose 5

2022-10-12

Symptoms: Sinus pain and irritation - maybe allergies

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	SARS-CoV-2 test	·	·	✓
SD	Abdominal pain	·	·	✓
SD	Back pain	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling hot	✓	✓	✓
SD	Gastrointestinal sounds abnormal	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Paranasal sinus discomfort	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	SARS-CoV-2 test	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinus pain	·	·	✓
SD	Vomiting	·	·	✓
SRO	Anxiety	✓	✓	✓
SRO	Condition aggravated	·	·	✓
SRO	Dry eye	✓	✓	✓
SRO	Dyspnoea	·	·	✓
SRO	Fatigue	·	·	✓
SRO	Feeling hot	✓	✓	✓
SRO	Irritability	·	·	✓
SRO	Neck pain	·	·	✓
SRO	Paranasal sinus discomfort	✓	✓	✓
SRO	Pre-existing disease	·	·	✓
SRO	Pruritus	✓	✓	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Wheezing	·	·	✓

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