3XQ-33405-72072

2 vaccinations 11 coded responses 26 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 995 / AK
Registered: 2021-03-04

Relationship: Self
Race: Multiracial
Ethnicity: Hispanic or Latino

Timeline

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

2021-03-04
Registered in v-safe
2021-03-04
Dose 1 — Moderna
2021-03-04
Health check-in — day 0, dose 1
Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Nausea — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Some nausea but not too bad

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Fatigue — Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Really exhausted tired no energy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Fatigue — Feeling: Good · Site: Itching · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Was just really tired and no energy yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Good

Free text: Still experiencing some tiredness but some may be due to my medical conditions

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-31
Dose 2 — Moderna
2021-03-31
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Pain in extremity, Pre-existing disease — Feeling: Poor · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Before my shot yesterday I was having some pain down my arm and into my shoulder idk from what maybe nerve pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Emergency care, Pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Went to er was concerned about extreme pain on my left side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Dizziness — Feeling: Fair · Site: Itching · Fever · Headache, Fatigue or tiredness, Nausea, Diarrhea

Free text: Light headed weak

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-14
Survey response — day 14, dose 2
MedDRA: Pain, Spinal disorder — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Body aches but not due to the vaccine lots pain on left side spinal issues

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

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

Adult check-in
2021-05-05
Survey response — day 35, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: Nothing to do with the vaccine just worsting oh my medical condition of arthritis and spine issues.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-10
Call 1 — Left Voicemail
2021-06-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-29
Survey response — 6 months, dose 2
MedDRA: Cough, Respiratory tract congestion, SARS-CoV-2 test positive — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: I ended up positive for COVID on the 28th congestion cough

MedDRA releases: 2024-11 · check-in free text available
2021-09-29
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2021-10-01
Call 1 — Left Voicemail
2022-03-31
Survey response — 12 months, dose 2
MedDRA: Pre-existing disease — Feeling: Fair

Free text: Have bad sinus's allergies with the changes in weather feeling ok tho no fevers or anything like that I'm good.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-04	Moderna
2	2021-03-31	Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-05

Systemic reaction (other): Some nausea but not too bad

2021-03-08

Systemic reaction (other): Really exhausted tired no energy

2021-03-09

Systemic reaction (other): Was just really tired and no energy yesterday

2021-03-10

Systemic reaction (other): Still experiencing some tiredness but some may be due to my medical conditions

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): Before my shot yesterday I was having some pain down my arm and into my shoulder idk from what maybe nerve pain.

2021-04-02

Healthcare visit (other): Went to er was concerned about extreme pain on my left side

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Light headed weak

Release 7 — day 14, dose 2

2021-04-14

Symptoms: Body aches but not due to the vaccine lots pain on left side spinal issues

Release 8 — day 35, dose 2

2021-05-05

Symptoms: Nothing to do with the vaccine just worsting oh my medical condition of arthritis and spine issues.

Release 9 — 6 months, dose 2

2021-09-29

Symptoms: I ended up positive for COVID on the 28th congestion cough

Release 11 — 12 months, dose 2

2022-03-31

Symptoms: Have bad sinus's allergies with the changes in weather feeling ok tho no fevers or anything like that I'm good.

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	Emergency care	✓	✓	✓
HCVO	Pain	✓	✓	✓
SD	Cough	·	·	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Spinal disorder	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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