443-29074-44491

3 vaccinations 13 coded responses 38 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 488 / MI
Registered: 2021-03-17

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-16
Dose 1 — Moderna
2021-03-17
Registered in v-safe
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Malaise — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Yesterday did feel like Covid all over again

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good

Free text: Just what my doctor says I am long hauler

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: That is from Covid in November

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good

Free text: Nothing from shot just long hauler stuff

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — day 7, dose 1
Feeling: Good · None · Be unable to do your normal daily activities

Adult check-in
2021-03-30
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-07
Survey response — day 21, dose 1
MedDRA: Fatigue, Heart rate increased, Tremor — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Heat rate and pulse were so high I couldnt finish getting groceries. Shaking was uncontrollable. Very fatigued.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Dose 2 — Moderna
2021-04-13
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Anxiety — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: Anxiety really high today Covid in November still off work

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: COVID-19 — Feeling: Good

Free text: Just long hauler stuff from Covid

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-04-20
Health check-in — day 7, dose 2
Feeling: Fair · None

Adult check-in
2021-04-27
Survey response — day 14, dose 2
MedDRA: Fatigue, Heart rate increased, Impaired work ability — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Pulse is higher. Changed meds to see if we can get blood pressure down more. Still very fatigued. Not related to 2nd shot. Still sleeping a lot. After affects from Covid in November. Still not working

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

Adult check-in
2021-05-11
Survey response — day 28, dose 2
MedDRA: Heart rate increased, Hypersomnia, Hypertension, Pre-existing disease, Tremor — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Shaking more and sleeping a lot again. Pulse is still high blood pressure is coming down with change of meds. Had Covid in November.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Survey response — day 35, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Still the same doing pulmonary therapy and just started physical therapy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Survey response — day 42, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Still the same. Working on therapy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-15
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-12
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-02-16
Dose 3 — Moderna
2022-02-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-02-19
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-02-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · None

Adult check-in
2022-02-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · None

Adult check-in
2022-02-22
Survey response — days 1–6 daily, dose 3
MedDRA: Impaired work ability, Malaise — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Still symptoms from Covid 11/20/2020. Not working

MedDRA releases: 2024-11 · check-in free text available
2022-02-23
Health check-in — day 7, dose 3
Feeling: Fair · None

Adult check-in
2022-03-02
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-03-09
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-03-16
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-03-24
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-03-30
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-05-18
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-08-19
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2023-02-16
Survey response — 12 months, dose 3
MedDRA: Fatigue, Pain, Pre-existing disease — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Moderna
2	2021-04-13	Moderna
3	2022-02-16	Moderna	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-18

Systemic reaction (other): Yesterday did feel like Covid all over again

2021-03-19

Systemic reaction (other): Just what my doctor says I am long hauler

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): That is from Covid in November

2021-03-21

Systemic reaction (other): Nothing from shot just long hauler stuff

Release 7 — day 21, dose 1

2021-04-07

Symptoms: Heat rate and pulse were so high I couldnt finish getting groceries. Shaking was uncontrollable. Very fatigued.

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): Anxiety really high today Covid in November still off work

2021-04-17

Systemic reaction (other): Just long hauler stuff from Covid

Release 8 — day 14, dose 2

2021-04-27

Symptoms: Pulse is higher. Changed meds to see if we can get blood pressure down more. Still very fatigued. Not related to 2nd shot. Still sleeping a lot. After affects from Covid in November. Still not working

Release 8 — day 28, dose 2

2021-05-11

Symptoms: Shaking more and sleeping a lot again. Pulse is still high blood pressure is coming down with change of meds. Had Covid in November.

Release 8 — day 35, dose 2

2021-05-18

Symptoms: Still the same doing pulmonary therapy and just started physical therapy

Release 8 — day 42, dose 2

2021-05-25

Symptoms: Still the same. Working on therapy

Release 11 — days 1–6 daily, dose 3

2022-02-22

Systemic reaction (other): Still symptoms from Covid 11/20/2020. Not working

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	Fatigue	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Hypersomnia	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Impaired work ability	✓	✓	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Tremor	✓	✓	✓
SD	Unevaluable event	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	COVID-19	✓	✓	✓
SRO	Impaired work ability	·	·	✓
SRO	Malaise	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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