34F-19924-62463

4 vaccinations 16 coded responses 27 check-ins 15 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 908 / CA
Registered: 2021-03-03

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

2021-03-02
Dose 1 — Moderna
2021-03-03
Registered in v-safe
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Body temperature decreased — Feeling: Fair · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Free text: Low temperature 96.9 chills dehydration sever pain woke me up dry mouth and body pain dizzy when I move quickly

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Anxiety, Condition aggravated, Pre-existing disease — Feeling: Good · Site: Swelling · Muscle or body aches · Be unable to do your normal daily activities

Free text: Worried the shot set off my fibromyalgia from long ago.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good

Free text: Wonder about my allergy to colonoscopy solution. The symptoms I had from the first shot of vaccine is what I had from the solution from before. Should I take the second shot of Moderna vaccine ?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-03-09
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Good

Free text: Would like to speak to someone if I should take a second shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-24
Survey response — day 21, dose 1
MedDRA: Fibromyalgia, Pre-existing disease — Feeling: Good

Free text: Fibromyalgia acting up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Dose 2 — Janssen/Johnson & Johnson
2021-08-31
Survey response — 6 months, dose 1
MedDRA: Abnormal sleep-related event, Fatigue, Impaired healing, Laboratory test abnormal, Office visit, Pre-existing disease, Sinusitis, Vitamin B12 decreased, Vitamin D decreased — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: One of my cancer counts are up. The CEA TEST Took 14 weeks for cataract surgery on one eye to heal.Had severe allergy sinus infection. Low in vitamin D and B 12.Heavy sleeping, tired most of the time. · Healthcare visit (other): Visit at doctors offices

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-31
Report sent to call center — 6 months, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-26
Dose 3 — Janssen/Johnson & Johnson
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness

Adult check-in
2021-10-28
Survey response — days 1–6 daily, dose 3
MedDRA: Insomnia — Feeling: Fair · Site: Pain, Itching · Muscle or body aches · Be unable to do your normal daily activities

Free text: Sleepless night

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Abdominal pain

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-02
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-10
Survey response — day 14, dose 3
MedDRA: Diarrhoea, Memory impairment — Feeling: Fair · Be unable to do your normal daily activities

Free text: Forgetful and diarrhea

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Survey response — day 21, dose 3
MedDRA: Dizziness, Headache — Feeling: Fair

Free text: Sharp head pain off and on slight dizziness

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Survey response — day 28, dose 3
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Wear out easily. Heart to be checked next week. Never had heart problems before and not in family either.

MedDRA releases: 2024-11 · check-in free text available
2021-12-01
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-08
Survey response — day 42, dose 3
MedDRA: Cardiac disorder, Fatigue, Office visit — Feeling: Fair · Be unable to do your normal daily activities

Free text: Heart being checked tired a lot and get very tired on walking. Told it is not my lungs but my heart by the doctor

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Call 1 — Left Voicemail
2022-01-25
Survey response — 3 months, dose 3
MedDRA: Dyspnoea, Office visit, Pre-existing disease, Renal pain, Tremor — Feeling: Fair · Be unable to do your normal daily activities

Free text: Back to off and on breathing &shakingvproblems. Had part of a heart check to have more testing next month. It is not the lungs the doctor said so we are working at ruling out the heart. Kidney pain but no infection. Drs think long hauler.

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Survey response — 6 months, dose 3
MedDRA: Hypoaesthesia, Malaise, Nervousness — Feeling: Poor · Be unable to do your normal daily activities

Free text: Numbing in feet, legs, and hands. Nervousness. Not feeling well

MedDRA releases: 2024-11 · check-in free text available
2022-05-18
Dose 4 — Other-Unknown
2022-06-20
Survey response — day 28, dose 4
MedDRA: Fatigue, Palpitations, Pre-existing disease, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities

Free text: Breathing, heart palpitations, tired Did a Test showed I am a long hauler

MedDRA releases: 2024-11 · check-in free text available
2022-06-23
Survey response — day 35, dose 4
MedDRA: Diarrhoea, Weight decreased — Feeling: Fair · Be unable to do your normal daily activities

Free text: Diarrhea back losing weight again.

MedDRA releases: 2024-11 · check-in free text available
2022-06-29
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2023-05-19
Survey response — 12 months, dose 4
MedDRA: Abscess, Dental caries, Diarrhoea, Infection, Tooth disorder — Feeling: Poor · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-02	Moderna
2	2021-04-07	Janssen/Johnson & Johnson	No
3	2021-10-26	Janssen/Johnson & Johnson	No
4	2022-05-18	Other-Unknown	No

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-05

Systemic reaction (other): Low temperature 96.9 chills dehydration sever pain woke me up dry mouth and body pain dizzy when I move quickly

2021-03-06

Systemic reaction (other): Worried the shot set off my fibromyalgia from long ago.

2021-03-07

Systemic reaction (other): Wonder about my allergy to colonoscopy solution. The symptoms I had from the first shot of vaccine is what I had from the solution from before. Should I take the second shot of Moderna vaccine ?

Release 5 — day 7, dose 1

2021-03-09

Systemic reaction (other): Would like to speak to someone if I should take a second shot.

Release 6 — day 21, dose 1

2021-03-24

Symptoms: Fibromyalgia acting up

Release 9 — 6 months, dose 1

2021-08-31

Symptoms: One of my cancer counts are up. The CEA TEST Took 14 weeks for cataract surgery on one eye to heal.Had severe allergy sinus infection. Low in vitamin D and B 12.Heavy sleeping, tired most of the time.

Healthcare visit (other): Visit at doctors offices

Release 10 — days 1–6 daily, dose 3

2021-10-28

Systemic reaction (other): Sleepless night

Release 10 — day 14, dose 3

2021-11-10

Symptoms: Forgetful and diarrhea

Release 10 — day 21, dose 3

2021-11-17

Symptoms: Sharp head pain off and on slight dizziness

Release 10 — day 28, dose 3

2021-11-24

Symptoms: Wear out easily. Heart to be checked next week. Never had heart problems before and not in family either.

Release 10 — day 42, dose 3

2021-12-08

Symptoms: Heart being checked tired a lot and get very tired on walking. Told it is not my lungs but my heart by the doctor

Release 11 — 3 months, dose 3

2022-01-25

Symptoms: Back to off and on breathing &shakingvproblems. Had part of a heart check to have more testing next month. It is not the lungs the doctor said so we are working at ruling out the heart. Kidney pain but no infection. Drs think long hauler.

Release 11 — 6 months, dose 3

2022-04-26

Symptoms: Numbing in feet, legs, and hands. Nervousness. Not feeling well

Release 12 — day 28, dose 4

2022-06-20

Symptoms: Breathing, heart palpitations, tired Did a Test showed I am a long hauler

Release 12 — day 35, dose 4

2022-06-23

Symptoms: Diarrhea back losing weight again.

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	Abnormal sleep-related event	✓	·	✓
SD	Abscess	·	·	✓
SD	Cardiac disorder	·	·	✓
SD	Dental caries	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dizziness	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	✓	·	✓
SD	Fibromyalgia	✓	✓	✓
SD	Headache	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Impaired healing	✓	·	✓
SD	Infection	·	·	✓
SD	Laboratory test abnormal	✓	·	✓
SD	Malaise	·	·	✓
SD	Memory impairment	·	·	✓
SD	Nervousness	·	·	✓
SD	Office visit	·	·	✓
SD	Palpitations	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Renal pain	·	·	✓
SD	Sinusitis	✓	·	✓
SD	Tooth disorder	·	·	✓
SD	Tremor	·	·	✓
SD	Unevaluable event	·	·	✓
SD	Vitamin B12 decreased	✓	·	✓
SD	Vitamin D decreased	✓	·	✓
SD	Weight decreased	·	·	✓
SRO	Anxiety	✓	✓	✓
SRO	Body temperature decreased	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Insomnia	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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