35U-47552-79378

2 vaccinations 7 coded responses 19 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 068 / CT
Registered: 2021-03-25

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

2021-03-17
Dose 1 — Moderna
2021-03-25
Registered in v-safe
2021-03-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Survey response — day 14, dose 1
MedDRA: Cough, Dyspnoea, Fatigue, Restless legs syndrome — Feeling: Fair · 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: Very tired. Restless leg syndrome much worse since at least Thursday (today's Wednesday). Shortness of breath and cough worse. These are symptoms I had before the vaccine, that are due to tick-borne diseases.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-09
Survey response — day 21, dose 1
MedDRA: Abdominal pain upper, Dyspnoea, Fatigue, Nausea, Night sweats, Office visit, Restless legs syndrome — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Exhaustion, shortness of breath, restless leg syndrome, night sweats, uneasy stomach-sometimes nausea-especially after eating. · Healthcare visit (other): personal office visit with my doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-14
Dose 2 — Moderna
2021-04-14
Survey response — day 0, dose 2
MedDRA: Fatigue, Pre-existing disease — Feeling: Good

Free text: I have 3 tick-borne infections so have fatigue and some other symptoms already.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Pre-existing disease — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Tiredness might be due to tick-borne diseases. I don't feel more tired than usual.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Insomnia, Restless legs syndrome — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Fatigue probably due to lack of sleep because of Reatless Leg Syndrome

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-28
Health check-in — day 14, dose 2
Feeling: Good

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

Adult check-in
2021-05-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-27
Survey response — day 42, dose 2
MedDRA: Cough, Productive cough — Feeling: Good

Free text: Cough worse and brought up a small amount of greenish mucous

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-13
Survey response — 6 months, dose 2
MedDRA: Office visit, Optic neuritis — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Inflammation of optic nerves · Healthcare visit (other): appointment with ophthalmologist, then retina specialist

MedDRA releases: 2024-11 · check-in free text available
2021-10-13
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-14
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-14
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Moderna
2	2021-04-14	Moderna

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 6 — day 14, dose 1

2021-03-31

Symptoms: Very tired. Restless leg syndrome much worse since at least Thursday (today's Wednesday). Shortness of breath and cough worse. These are symptoms I had before the vaccine, that are due to tick-borne diseases.

Release 7 — day 21, dose 1

2021-04-09

Symptoms: Exhaustion, shortness of breath, restless leg syndrome, night sweats, uneasy stomach-sometimes nausea-especially after eating.

Healthcare visit (other): personal office visit with my doctor

Release 7 — day 0, dose 2

2021-04-14

Systemic reaction (other): I have 3 tick-borne infections so have fatigue and some other symptoms already.

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): Tiredness might be due to tick-borne diseases. I don't feel more tired than usual.

2021-04-20

Systemic reaction (other): Fatigue probably due to lack of sleep because of Reatless Leg Syndrome

Release 8 — day 42, dose 2

2021-05-27

Symptoms: Cough worse and brought up a small amount of greenish mucous

Release 10 — 6 months, dose 2

2021-10-13

Symptoms: Inflammation of optic nerves

Healthcare visit (other): appointment with ophthalmologist, then retina specialist

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	Abdominal pain upper	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Night sweats	✓	✓	✓
SD	Optic neuritis	·	·	✓
SD	Productive cough	✓	✓	✓
SD	Restless legs syndrome	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Restless legs syndrome	✓	✓	✓

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