3SY-34610-90263

4 vaccinations 8 coded responses 22 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 537 / WI
Registered: 2021-04-07

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-02
Dose 1 — Moderna
2021-04-07
Registered in v-safe
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Asthenia, Fatigue, Headache, Myalgia, Pain, Peripheral swelling — Feeling: Good · Joint pains, Muscle or body aches

Free text: I didn't get to this right away after my shot but i had a headache and moderate fatigue on Saturday, April 3rd, then just fatigue on Sunday and Monday. It just felt like my energy crashed in late afternoon early evening, muscle aches and pain and swelling in my arm on Saturday thru yesterday all though it got less every day. Some lingering joint pain is all today really.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-23
Survey response — day 21, dose 1
MedDRA: Fatigue, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Allergies are a bit wonky and some sinus pressure. I have increased allergy medications. Fairly normal when the trees bloom.Mild fatigue also but there is so much going on this week that's heavy emotionally and mentally.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Dose 2 — Moderna
2021-04-30
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · 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: tingling in my hands and feet.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Burning sensation, Paraesthesia — Feeling: Poor · Site: Pain, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: burning tingling in hands, feet, arms, legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Burning sensation, Paraesthesia — Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: periodic burning/tingling in hands and feet

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

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-09
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-14
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — day 21, dose 2
Feeling: Good

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

Adult check-in
2021-06-11
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Survey response — 6 months, dose 2
MedDRA: Fatigue, Pain, Paranasal sinus discomfort, Respiratory tract congestion, Rhinorrhoea, Sinus congestion, Upper-airway cough syndrome — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sinus pressure, sinus and chest congestion, runny nose, post nasal drip, fatigue, soreness.

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Dose 3 — Moderna
Co-administered: Flu
2022-04-04
Dose 4 — Moderna
2022-05-01
Survey response — 12 months, dose 2
MedDRA: Coordination abnormal, Disorientation, Muscular weakness, Vertigo — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Vertigo, muscle weekeness and uncoordinarion, disorientation

MedDRA releases: 2024-11 · check-in free text available
2022-05-01
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-05-04
Call 1 — Left Voicemail
2022-07-06
Survey response — 3 months, dose 4
MedDRA: Diplopia, Muscular weakness, Myalgia, Neuropathy peripheral, Tendonitis, Tenosynovitis stenosans, Vertigo — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Vertigo, muscle weakness and pain, neuropathy, de Quervain's, Achilles tendonitis, double vision

MedDRA releases: 2024-11 · check-in free text available
2022-07-06
Report sent to call center — 3 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-07-07
Call 2 — Left Voicemail
2022-07-07
Call 1 — Left Voicemail
2022-10-03
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-02	Moderna
2	2021-04-30	Moderna
3	2021-11-22	Moderna	Flu
4	2022-04-04	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-08

Systemic reaction (other): I didn't get to this right away after my shot but i had a headache and moderate fatigue on Saturday, April 3rd, then just fatigue on Sunday and Monday. It just felt like my energy crashed in late afternoon early evening, muscle aches and pain and swelling in my arm on Saturday thru yesterday all though it got less every day. Some lingering joint pain is all today really.

Release 7 — day 21, dose 1

2021-04-23

Symptoms: Allergies are a bit wonky and some sinus pressure. I have increased allergy medications. Fairly normal when the trees bloom.Mild fatigue also but there is so much going on this week that's heavy emotionally and mentally.

Release 8 — days 1–6 daily, dose 2

2021-05-02

Systemic reaction (other): tingling in my hands and feet.

2021-05-03

Systemic reaction (other): burning tingling in hands, feet, arms, legs

2021-05-04

Systemic reaction (other): periodic burning/tingling in hands and feet

Release 10 — 6 months, dose 2

2021-10-29

Symptoms: Sinus pressure, sinus and chest congestion, runny nose, post nasal drip, fatigue, soreness.

Release 11 — 12 months, dose 2

2022-05-01

Symptoms: Vertigo, muscle weekeness and uncoordinarion, disorientation

Release 12 — 3 months, dose 4

2022-07-06

Symptoms: Vertigo, muscle weakness and pain, neuropathy, de Quervain's, Achilles tendonitis, double vision

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
SD	Coordination abnormal	·	·	✓
SD	Diplopia	·	·	✓
SD	Disorientation	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Gait disturbance	·	·	○
SD	Muscular weakness	·	·	✓
SD	Myalgia	·	·	✓
SD	Neuropathy peripheral	·	·	✓
SD	Pain	·	·	✓
SD	Paranasal sinus discomfort	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Tendonitis	·	·	✓
SD	Tenosynovitis stenosans	·	·	✓
SD	Upper-airway cough syndrome	·	·	✓
SD	Vertigo	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Burning sensation	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓

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