3E9-15768-59349

5 vaccinations 8 coded responses 40 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 960 / CA
Registered: 2021-02-28

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

2021-01-30
Dose 1 — Moderna
2021-02-27
Dose 2 — Moderna
2021-02-28
Registered in v-safe
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Area of redness below injection site the size of a softball and there was no redness the day before.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Muscular weakness — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Weakness in legs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-03-13
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-10-28
Dose 3 — Moderna
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Body temperature increased, Nausea — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Temperature is high for me. Nauseous yesterday, not today.

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Rash — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Rash appeared 2nd day after my second vaccine and again now it has appeared again the 2nd day after my booster.

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site pruritus — Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Itching is 6" below injection site.

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Survey response — day 7, dose 3
MedDRA: Cough — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Developed a nagging cough.

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Survey response — day 14, dose 3
MedDRA: Arthralgia, Cough, Diplopia, Fatigue, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extreme fatigue, muscle aches, joint pain, double vision and coughing.

MedDRA releases: 2024-11 · check-in free text available
2021-11-21
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-30
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-03
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-01-30
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-11
Dose 4 — Moderna
2022-04-11
Health check-in — day 0, dose 4
Feeling: Fair · None

Adult check-in
2022-04-12
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-04-13
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-14
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-15
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-17
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-18
Health check-in — day 7, dose 4
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-25
Health check-in — day 14, dose 4
Feeling: Good

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

Adult check-in
2022-05-10
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-16
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-05-23
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-13
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-09-30
Dose 5 — Moderna
2022-10-01
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-02
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-03
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-04
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-05
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-06
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-07
Health check-in — day 7, dose 5
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-14
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-10-21
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-10-28
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-11-04
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2023-03-31
Survey response — 6 months, dose 5
MedDRA: Infected cyst, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-03-31
Report sent to call center — 6 months, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2023-04-04
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-30	Moderna
2	2021-02-27	Moderna
3	2021-10-28	Moderna	No
4	2022-04-11	Moderna	No
5	2022-09-30	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-03-01

Systemic reaction (other): Area of redness below injection site the size of a softball and there was no redness the day before.

2021-03-02

Systemic reaction (other): Weakness in legs.

Release 10 — days 1–6 daily, dose 3

2021-10-30

Systemic reaction (other): Temperature is high for me. Nauseous yesterday, not today.

2021-10-31

Systemic reaction (other): Rash appeared 2nd day after my second vaccine and again now it has appeared again the 2nd day after my booster.

2021-11-02

Systemic reaction (other): Itching is 6" below injection site.

Release 10 — day 7, dose 3

2021-11-04

Systemic reaction (other): Developed a nagging cough.

Release 10 — day 14, dose 3

2021-11-11

Symptoms: Extreme fatigue, muscle aches, joint pain, double vision and coughing.

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	Arthralgia	·	·	✓
SD	Cough	·	·	✓
SD	Diplopia	·	·	✓
SD	Fatigue	·	·	✓
SD	Infected cyst	·	·	✓
SD	Myalgia	·	·	✓
SRO	Body temperature increased	·	·	✓
SRO	Cough	·	·	✓
SRO	Erythema	✓	✓	✓
SRO	Injection site pruritus	·	·	✓
SRO	Muscular weakness	✓	✓	✓
SRO	Nausea	·	·	✓
SRO	Rash	·	·	✓

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