335-12503-83710

4 vaccinations 11 coded responses 31 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 261 / WV
Registered: 2021-02-14

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

2021-02-13
Dose 1 — Moderna
2021-02-14
Registered in v-safe
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-02-19
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-06
Survey response — day 21, dose 1
MedDRA: Pruritus — Feeling: Fair

Free text: Itching on my back and stomach area, possible other allergies.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Dose 2 — Moderna
2021-03-13
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-20
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-27
Survey response — day 14, dose 2
MedDRA: Abdominal pain upper, Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Unstoppable diarrhea and stomach cramps

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

Adult check-in
2021-04-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-17
Survey response — day 35, dose 2
MedDRA: Diarrhoea — Feeling: Fair

Free text: Diarrhea that has not gone away

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — day 42, dose 2
MedDRA: Pruritus, Urticaria — Feeling: Poor · 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: Broke out all over body with hives (itching intensely)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
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)
2021-06-12
Survey response — 3 months, dose 2
MedDRA: Urticaria — Feeling: Good · 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: Broke out in hives, no known cause.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-12
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-18
Call 1 — Left Voicemail
2021-09-11
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-28
Dose 3 — Moderna
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-02
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 do your normal daily activities

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-11-06
Health check-in — day 7, dose 3
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

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

Adult check-in
2021-11-18
Survey response — day 21, dose 3
MedDRA: Abdominal pain upper, Arthralgia, Back pain, Insomnia, Malaise, Nausea, Pain, Pain in extremity — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Very sick, stomachache, backache, shoulders and arms ache. Feel like throwing up. Can't sleep. All over body aches.

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-02
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-11
Survey response — day 42, dose 3
MedDRA: Angina pectoris, Back pain, Diarrhoea, Nausea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Heart ache, back hurting, nausea and diarrhea

MedDRA releases: 2024-11 · check-in free text available
2022-01-27
Survey response — 3 months, dose 3
MedDRA: Nasopharyngitis, Respiratory tract congestion — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Cold with chest congestion

MedDRA releases: 2024-11 · check-in free text available
2022-01-27
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-28
Call 1 — Left Voicemail
2022-04-19
Dose 4 — Moderna
2022-04-28
Survey response — 6 months, dose 3
MedDRA: Vomiting — Feeling: Fair · Be unable to do your normal daily activities

Free text: Vomiting after most evening meals

MedDRA releases: 2024-11 · check-in free text available
2023-04-21
Survey response — 12 months, dose 4
MedDRA: Rash — Feeling: Fair

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-13	Moderna
2	2021-03-13	Moderna
3	2021-10-28	Moderna	No
4	2022-04-19	Moderna	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-19

Systemic reaction (other): Sore throat

Release 5 — day 21, dose 1

2021-03-06

Symptoms: Itching on my back and stomach area, possible other allergies.

Release 6 — day 14, dose 2

2021-03-27

Symptoms: Unstoppable diarrhea and stomach cramps

Release 7 — day 35, dose 2

2021-04-17

Symptoms: Diarrhea that has not gone away

Release 7 — day 42, dose 2

2021-04-24

Symptoms: Broke out all over body with hives (itching intensely)

Release 9 — 3 months, dose 2

2021-06-12

Symptoms: Broke out in hives, no known cause.

Release 10 — day 21, dose 3

2021-11-18

Symptoms: Very sick, stomachache, backache, shoulders and arms ache. Feel like throwing up. Can't sleep. All over body aches.

Release 10 — day 42, dose 3

2021-12-11

Symptoms: Heart ache, back hurting, nausea and diarrhea

Release 11 — 3 months, dose 3

2022-01-27

Symptoms: Cold with chest congestion

Release 11 — 6 months, dose 3

2022-04-28

Symptoms: Vomiting after most evening meals

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	Abdominal pain upper	✓	✓	✓
SD	Angina pectoris	·	·	✓
SD	Arthralgia	·	·	✓
SD	Back pain	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Insomnia	·	·	✓
SD	Malaise	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Pruritus	✓	✓	✓
SD	Rash	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Urticaria	✓	✓	✓
SD	Vomiting	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓

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