3GG-22781-69334

2 vaccinations 5 coded responses 21 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 933 / CA
Registered: 2021-04-06

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

2021-04-06
Registered in v-safe
2021-04-06
Dose 1 — Moderna
2021-04-06
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-15
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-20
Health check-in — day 14, dose 1
Feeling: Poor

Adult check-in
2021-04-27
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-05-04
Survey response — day 28, dose 1
MedDRA: Pre-existing disease — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Caused by my other health problems. I have Fibromyalgia, PMR, Rheumatic issues, Digestive issues, etc.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Dose 2 — Moderna
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-13
Survey response — day 7, dose 2
MedDRA: Cough — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — day 14, dose 2
MedDRA: Abdominal pain upper, Asthenia, Decreased appetite, Fatigue, Headache, Pain, Tremor — Feeling: Poor · Be unable to do your normal daily activities

Free text: No energy, no appetite, shaky, exhausted, all over body pain, headache, stomach pains, etc

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Health check-in — day 21, dose 2
Feeling: Poor

Adult check-in
2021-06-03
Survey response — day 28, dose 2
MedDRA: Asthenia, Decreased appetite, Tremor — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Weakness, shakiness, lack of appetite,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-10
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-17
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-05
Health check-in — 3 months, dose 2
Feeling: Poor

Adult check-in
2022-04-14
Call 1 — Left Voicemail
2022-05-08
Survey response — 12 months, dose 2
MedDRA: Abdominal distension, Abdominal pain, Myalgia, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Deep muscular pain in my right side of back that goes up to shoulder. Feeling bloated and stomach pain, after eating anything all the time. · Healthcare visit (other): No Health Insurance! Medicare Only!

MedDRA releases: 2024-11 · check-in free text available
2022-05-08
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-10
Call 2 — Could Not Reach Participant
2022-05-10
Call 1 — Could Not Reach Participant
2022-05-13
Call 3 — Could Not Reach Participant
2022-05-13
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-06	Moderna
2	2021-05-06	Moderna

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 8 — day 28, dose 1

2021-05-04

Symptoms: Caused by my other health problems. I have Fibromyalgia, PMR, Rheumatic issues, Digestive issues, etc.

Release 8 — day 7, dose 2

2021-05-13

Systemic reaction (other): Coughing

Release 8 — day 14, dose 2

2021-05-20

Symptoms: No energy, no appetite, shaky, exhausted, all over body pain, headache, stomach pains, etc

Release 8 — day 28, dose 2

2021-06-03

Symptoms: Weakness, shakiness, lack of appetite,

Release 11 — 12 months, dose 2

2022-05-08

Symptoms: Deep muscular pain in my right side of back that goes up to shoulder. Feeling bloated and stomach pain, after eating anything all the time.

Healthcare visit (other): No Health Insurance! Medicare Only!

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	Unevaluable event	·	·	✓
SD	Abdominal distension	·	·	✓
SD	Abdominal pain	·	·	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Decreased appetite	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Tremor	✓	✓	✓
SRO	Cough	✓	✓	✓

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