3MV-24534-24162

2 vaccinations 7 coded responses 25 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 787 / TX
Registered: 2021-01-04

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

2021-01-04
Registered in v-safe
2021-01-04
Dose 1 — Moderna
2021-01-04
Survey response — day 0, dose 1
MedDRA: Anxiety, Fatigue, Headache, Insomnia, Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: I believe the tiredness and fatigue are due to my lack of sleep and worry, and my headache is most likely due to my number 1 season allergy - cedar fever - the 2nd highest count in recorded history!...not the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-05
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-06
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Headache

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-01-11
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-29
Dose 2 — Moderna
2021-01-29
Survey response — day 0, dose 2
MedDRA: Limb discomfort, Sluggishness — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sluggish, loss of responsiveness in my arm movement....like its weighted down....but no pain, swelling or redness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia, Tinnitus — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Tinnitus is worsened, a lot. I was unable to fall asleep last night, it was so loud. Only had a 2 hour nap, 4-6am, then its remained loud all day. Im hoping it will lessen to normalscale, which is a difficulty, but not something that keeps me from sleeping. On a 1-10 scale, normal is a 2-3; last night and today, a 7-8+.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — days 1–6 daily, dose 2
MedDRA: Hearing aid user, Initial insomnia, Pre-existing disease, Tinnitus — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: I had difficulty getting to sleep for the 2nd night. My tinnitus is raging! Even my high-price hearing aids are unable to filter out or diminish the static/sound when reset to high.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Good · Headache

Free text: The tinnitus problem continues, but now a 5+ (on a 10 scale), slightly lower in intensity

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Good · Headache

Free text: Good news: My tinnitus is back to normal (low)!!!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-29
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-04	Moderna
2	2021-01-29	Moderna

Call center

1 call center case

1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-04

Systemic reaction (other): I believe the tiredness and fatigue are due to my lack of sleep and worry, and my headache is most likely due to my number 1 season allergy - cedar fever - the 2nd highest count in recorded history!...not the vaccine.

Release 1 — days 1–6 daily, dose 1

2021-01-06

Systemic reaction (other): No

Release 3 — day 0, dose 2

2021-01-29

Systemic reaction (other): Sluggish, loss of responsiveness in my arm movement....like its weighted down....but no pain, swelling or redness.

Release 3 — days 1–6 daily, dose 2

2021-01-31

Systemic reaction (other): Tinnitus is worsened, a lot. I was unable to fall asleep last night, it was so loud. Only had a 2 hour nap, 4-6am, then its remained loud all day. Im hoping it will lessen to normalscale, which is a difficulty, but not something that keeps me from sleeping. On a 1-10 scale, normal is a 2-3; last night and today, a 7-8+.

2021-02-01

Systemic reaction (other): I had difficulty getting to sleep for the 2nd night. My tinnitus is raging! Even my high-price hearing aids are unable to filter out or diminish the static/sound when reset to high.

2021-02-02

Systemic reaction (other): The tinnitus problem continues, but now a 5+ (on a 10 scale), slightly lower in intensity

2021-02-03

Systemic reaction (other): Good news: My tinnitus is back to normal (low)!!!

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
SRO	Anxiety	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hearing aid user	○	✓	○
SRO	Initial insomnia	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Sluggishness	✓	✓	✓
SRO	Tinnitus	✓	✓	✓
SRO	Unevaluable event	○	○	○

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