44E-28206-71361

3 vaccinations 15 coded responses 23 check-ins 14 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 276 / NC
Registered: 2022-08-04

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

2022-08-03
Dose 1 — Moderna
2022-08-04
Registered in v-safe
2022-08-04
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain, Injection site swelling, Musculoskeletal stiffness, Pain in extremity, Peripheral swelling — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: My whole left arm to my hand, injection site was very sore, swollen, stiffness down my left arm and hand.

MedDRA releases: 2024-11 · check-in free text available
2022-08-05
Survey response — days 1–6 daily, dose 1
MedDRA: Balance disorder — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I have a little unbalance when I want walk.

MedDRA releases: 2024-11 · check-in free text available
2022-08-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Headache, Joint pains · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-08-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-08-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-08-10
Survey response — day 7, dose 1
MedDRA: Brain fog — Feeling: Good · Site: Itching · Fatigue or tiredness · Be unable to work or attend school

Free text: I have slight brain flog.

MedDRA releases: 2024-11 · check-in free text available
2022-08-17
Survey response — day 14, dose 1
MedDRA: Dizziness, Dizziness postural — Feeling: Good

Free text: Whenever I bend over or stoop down, I feel dizzy and lightheaded standing up for past 2 weeks.

MedDRA releases: 2024-11 · check-in free text available
2022-08-24
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2022-09-07
Dose 2 — Moderna
2022-09-07
Survey response — day 0, dose 2
MedDRA: Brain fog, Chills, Feeling cold — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Joint pains, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Coldness, brain fog, chills

MedDRA releases: 2024-11 · check-in free text available
2022-09-08
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Decreased appetite, Injected limb mobility decreased — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Weakness, no appetit, hard using L arm with injection site

MedDRA releases: 2024-11 · check-in free text available
2022-09-09
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal stiffness — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Stiffness

MedDRA releases: 2024-11 · check-in free text available
2022-09-10
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Balance disorder — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Weakness and unbalance when walking

MedDRA releases: 2024-11 · check-in free text available
2022-09-11
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness postural — Feeling: Fair · Site: Pain, Swelling · Joint pains, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: When I bend or move to fast walking, I feel dizzy.

MedDRA releases: 2024-11 · check-in free text available
2022-09-16
Survey response — day 7, dose 2
MedDRA: Dizziness postural — Feeling: Good · Fatigue or tiredness, Nausea

Free text: A little dizzy when bending or stand up to quickly

MedDRA releases: 2024-11 · check-in free text available
2022-09-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2022-09-28
Survey response — day 21, dose 2
MedDRA: Dizziness, Fatigue — Feeling: Good

Free text: I am very tired and dizzy when I am working on my job.

MedDRA releases: 2024-11 · check-in free text available
2022-10-05
Survey response — day 28, dose 2
MedDRA: Fatigue, Headache — Feeling: Good

Free text: Headache and tiredness

MedDRA releases: 2024-11 · check-in free text available
2022-10-12
Survey response — day 35, dose 2
MedDRA: Fatigue, Headache — Feeling: Good · Be unable to do your normal daily activities

Free text: I have headaches and tiredness everyday.

MedDRA releases: 2024-11 · check-in free text available
2022-10-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-12-07
Survey response — 3 months, dose 2
MedDRA: Fatigue, Full blood count abnormal — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Just being tired all the time. · Healthcare visit (other): My CBC had abnormal result. I was perscribed a Vitamin D everyday.

MedDRA releases: 2024-11 · check-in free text available
2022-12-07
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-12-08
Call 1 — Requested Callback
2022-12-12
Callback requested for
06:00PM ET
2022-12-14
Call 2 — Could Not Reach Participant
2023-04-15
Dose 3 — Pfizer-BioNTech
Co-administered: Tetanus
2023-05-09
Survey response — day 21, dose 3
MedDRA: Decreased interest, Fatigue, Headache — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-05-13
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2023-05-21
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2022-08-03	Moderna	No
2	2022-09-07	Moderna	No
3	2023-04-15	Pfizer-BioNTech	Tetanus

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 12 — days 1–6 daily, dose 1

2022-08-04

Systemic reaction (other): My whole left arm to my hand, injection site was very sore, swollen, stiffness down my left arm and hand.

2022-08-05

Systemic reaction (other): I have a little unbalance when I want walk.

Release 12 — day 7, dose 1

2022-08-10

Systemic reaction (other): I have slight brain flog.

Release 12 — day 14, dose 1

2022-08-17

Symptoms: Whenever I bend over or stoop down, I feel dizzy and lightheaded standing up for past 2 weeks.

Release 12 — day 0, dose 2

2022-09-07

Systemic reaction (other): Coldness, brain fog, chills

Release 12 — days 1–6 daily, dose 2

2022-09-08

Systemic reaction (other): Weakness, no appetit, hard using L arm with injection site

2022-09-09

Systemic reaction (other): Stiffness

2022-09-10

Systemic reaction (other): Weakness and unbalance when walking

2022-09-11

Systemic reaction (other): When I bend or move to fast walking, I feel dizzy.

Release 12 — day 7, dose 2

2022-09-16

Systemic reaction (other): A little dizzy when bending or stand up to quickly

Release 12 — day 21, dose 2

2022-09-28

Symptoms: I am very tired and dizzy when I am working on my job.

Release 12 — day 28, dose 2

2022-10-05

Symptoms: Headache and tiredness

Release 12 — day 35, dose 2

2022-10-12

Symptoms: I have headaches and tiredness everyday.

Release 12 — 3 months, dose 2

2022-12-07

Symptoms: Just being tired all the time.

Healthcare visit (other): My CBC had abnormal result. I was perscribed a Vitamin D everyday.

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	Full blood count abnormal	·	·	✓
SD	Decreased interest	·	·	✓
SD	Dizziness	·	·	✓
SD	Dizziness postural	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SRO	Asthenia	·	·	✓
SRO	Balance disorder	·	·	✓
SRO	Brain fog	·	·	✓
SRO	Chills	·	·	✓
SRO	Decreased appetite	·	·	✓
SRO	Dizziness postural	·	·	✓
SRO	Feeling cold	·	·	✓
SRO	Injected limb mobility decreased	·	·	✓
SRO	Injection site pain	·	·	✓
SRO	Injection site swelling	·	·	✓
SRO	Musculoskeletal stiffness	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Peripheral swelling	·	·	✓

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