45E-27195-43187

2 vaccinations 11 coded responses 25 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 378 / TN
Registered: 2021-03-09

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

2021-03-09
Registered in v-safe
2021-03-09
Dose 1 — Moderna
2021-03-09
Survey response — day 0, dose 1
MedDRA: Body temperature abnormal — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Free text: Took routine Hydrocodone decrease temp. Normal temp 97.4

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Fibromyalgia, Sjogren's syndrome — Feeling: Fair · Site: Pain, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: I have Fibromyalgia and Sjogrens also normal temp-also on 97.4 usually. On routine dose hydrocodone and Gabapenton

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-16
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-23
Survey response — day 14, dose 1
MedDRA: Chills, Flushing — Feeling: Good

Free text: Not everyday but chills in the afternoon and flushing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-06
Dose 2 — Moderna
2021-04-06
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Norm temp 97.4 take hydrocodone for chronic pain. Arthritis, Fibromyalgia, Sjogrens

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain, Redness, Itching · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Symptoms not as bad as yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Itching · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Muscular weakness — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: For two days weakness legs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain, Itching · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-20
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-28
Survey response — day 21, dose 2
MedDRA: Asthenia, Gait disturbance, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Weakness/off an on difficulty walking. Do not know from what. I have autoimmune issues.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-14
Survey response — day 35, dose 2
MedDRA: Tenderness — Feeling: Good

Free text: Not new but my arm has a very tender area.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-10-05
Survey response — 6 months, dose 2
MedDRA: Chills, Pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Chills body aches

MedDRA releases: 2024-11 · check-in free text available
2022-04-06
Survey response — 12 months, dose 2
MedDRA: Headache, Myalgia, Nausea, Pyrexia — Feeling: Good · Be unable to do your normal daily activities

Free text: Headache, Nausea, muscle aches , low grade fever

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Moderna
2	2021-04-06	Moderna

Free text

Release 5 — day 0, dose 1

2021-03-09

Systemic reaction (other): Took routine Hydrocodone decrease temp. Normal temp 97.4

Release 5 — days 1–6 daily, dose 1

2021-03-11

Systemic reaction (other): I have Fibromyalgia and Sjogrens also normal temp-also on 97.4 usually. On routine dose hydrocodone and Gabapenton

Release 6 — day 14, dose 1

2021-03-23

Symptoms: Not everyday but chills in the afternoon and flushing.

Release 7 — days 1–6 daily, dose 2

2021-04-07

Systemic reaction (other): Norm temp 97.4 take hydrocodone for chronic pain. Arthritis, Fibromyalgia, Sjogrens

2021-04-08

Systemic reaction (other): Symptoms not as bad as yesterday

2021-04-09

Systemic reaction (other): Light headed

2021-04-12

Systemic reaction (other): For two days weakness legs.

Release 8 — day 21, dose 2

2021-04-28

Symptoms: Weakness/off an on difficulty walking. Do not know from what. I have autoimmune issues.

Release 8 — day 35, dose 2

2021-05-14

Symptoms: Not new but my arm has a very tender area.

Release 10 — 6 months, dose 2

2021-10-05

Symptoms: Chills body aches

Release 11 — 12 months, dose 2

2022-04-06

Symptoms: Headache, Nausea, muscle aches , low grade fever

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	Asthenia	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Flushing	✓	✓	✓
SD	Gait disturbance	✓	✓	✓
SD	Headache	·	·	✓
SD	Myalgia	·	·	✓
SD	Nausea	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Tenderness	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Body temperature abnormal	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fibromyalgia	✓	✓	✓
SRO	Muscular weakness	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Sjogren's syndrome	✓	✓	✓

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