3XX-29645-16178

4 vaccinations 4 coded responses 34 check-ins 4 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 981 / WA
Registered: 2021-02-24

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

2021-02-24
Registered in v-safe
2021-02-24
Dose 1 — Moderna
2021-02-24
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-03-03
Health check-in — day 7, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-20
Dose 2 — Moderna
2021-03-20
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-03
Survey response — day 14, dose 2
MedDRA: Abdominal pain, Eructation, Gastrooesophageal reflux disease, Headache, Nausea, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities

Free text: For 5 days experienced cramping guts, nausea, headache, some acid reflux, frequent belching; cancelled all upcoming appointments (3) and I had a Covid-19 test to rule out if this might be related to the virus. Result was Negative.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-19
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-01
Dose 3 — Moderna
2021-09-18
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-03
Survey response — 3 months, dose 3
MedDRA: Muscle spasticity, Muscle strain, Pain in extremity, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: Pain in calf, right leg; Have been checked and is NOT deep vein thrombosis; suspect muscle strain or increased spasticity due to Multiple Sclerosis condition.

MedDRA releases: 2024-11 · check-in free text available
2022-03-02
Survey response — 6 months, dose 3
MedDRA: Adverse drug reaction, Urinary tract infection — Feeling: Good · 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

Free text: Back-to-back urinary tract infections, with an unexpected sensitivity to all antibiotics prescribed for treatment. During treatment I was often nauseous, tired, and weak.

MedDRA releases: 2024-11 · check-in free text available
2022-03-02
Report sent to call center — 6 months, dose 3
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 · 1 call case(s)
2022-03-03
Call 1 — Left Voicemail
2022-04-09
Dose 4 — Moderna
2022-04-14
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

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

Adult check-in
2022-04-16
Health check-in — day 7, dose 4
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2022-04-23
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-30
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-07
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-14
Survey response — day 35, dose 4
MedDRA: Fatigue, Joint stiffness, Nasal congestion — Feeling: Fair

Free text: Fatigue, stiff joints, stuffy nose.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-24	Moderna
2	2021-03-20	Moderna
3	2021-09-01	Moderna	No
4	2022-04-09	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — day 14, dose 2

2021-04-03

Symptoms: For 5 days experienced cramping guts, nausea, headache, some acid reflux, frequent belching; cancelled all upcoming appointments (3) and I had a Covid-19 test to rule out if this might be related to the virus. Result was Negative.

Release 10 — 3 months, dose 3

2021-12-03

Symptoms: Pain in calf, right leg; Have been checked and is NOT deep vein thrombosis; suspect muscle strain or increased spasticity due to Multiple Sclerosis condition.

Release 11 — 6 months, dose 3

2022-03-02

Symptoms: Back-to-back urinary tract infections, with an unexpected sensitivity to all antibiotics prescribed for treatment. During treatment I was often nauseous, tired, and weak.

Release 11 — day 35, dose 4

2022-05-14

Symptoms: Fatigue, stiff joints, stuffy nose.

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	Abdominal pain	✓	✓	✓
SD	Adverse drug reaction	·	·	✓
SD	Eructation	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Gastrooesophageal reflux disease	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Joint stiffness	·	·	✓
SD	Muscle spasticity	·	·	✓
SD	Muscle strain	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nausea	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Urinary tract infection	·	·	✓

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