45M-11289-94750

3 vaccinations 15 coded responses 40 check-ins 14 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 531 / WI
Registered: 2021-02-14

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

2021-02-14
Registered in v-safe
2021-02-14
Dose 1 — Moderna
2021-02-14
Survey response — day 0, dose 1
MedDRA: Contusion — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Burning sensation in my left wrist and ankle same side as shot was administered

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-21
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-28
Survey response — day 14, dose 1
MedDRA: Chills, Headache, Lymphadenopathy, Pain, Pyrexia — Feeling: Good · Be unable to do your normal daily activities

Free text: Day 9 after the 1st immunization... mild fever, chills, aches, enlarged right inguinal lymph node and headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-15
Dose 2 — Moderna
2021-03-15
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Groin pain, Pelvic pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Severe Pelvic/groin pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 2
MedDRA: Inner ear disorder, Neck pain, Pelvic pain, Sinus congestion — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Sore neck, inner ears and sinus drainage. Sore pelvic area.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal stiffness — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Stiff neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal stiffness — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Stiff neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — day 7, dose 2
MedDRA: Chest discomfort, Feeling abnormal, Malaise — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sometimes heaviness in chest. Mentally foggy. Just dont feel right.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — day 14, dose 2
MedDRA: Diarrhoea, Feeling jittery, Groin pain, Headache, Medical counselling, Mental status changes, Pelvic pain, Sleep disorder, Tremor — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pelvic/groin pain. PS 5-10. Constant. Waking me up at night. Uncomfortable all day.Mentalmood changes. Im not my happy self.Mild shakinessjittery hands. Constant headache and looser stools daily since 2nd shot. Moderate today. Doc said its norm

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

Free text: Loose stools

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — day 28, dose 2
MedDRA: Diarrhoea, Groin pain, Pelvic pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Diarrhea, looser stools 2-4x daily. Lower right pelvic/groin pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-14
Survey response — 3 months, dose 2
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sore achy joints- ankles wrists fingers toes shoulders

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-17
Survey response — 6 months, dose 2
MedDRA: Arthralgia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Generalized joint pain throughout body

MedDRA releases: 2024-11 · check-in free text available
2021-09-17
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-20
Call 2 — Left Voicemail
2022-01-20
Dose 3 — Moderna
2022-01-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Chills, Joint pains, Abdominal pain

Adult check-in
2022-01-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2022-01-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2022-01-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains

Adult check-in
2022-01-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-27
Health check-in — day 7, dose 3
Feeling: Good · None

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

Adult check-in
2022-02-10
Survey response — day 21, dose 3
MedDRA: Fatigue — Feeling: Good

Free text: Extreme fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-02-18
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-24
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-03-03
Survey response — day 42, dose 3
MedDRA: Fatigue, Headache, Nausea, Pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Started today Headache. Nausea. Tired. Body aches.

MedDRA releases: 2024-11 · check-in free text available
2022-04-21
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-07-21
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2023-01-21
Survey response — 12 months, dose 3
MedDRA: Abdominal pain lower, Heavy menstrual bleeding — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-01-21
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-23
Call 1 — Left Voicemail
2023-01-23
Call 1 — Left Voicemail
2023-01-23
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-14	Moderna
2	2021-03-15	Moderna
3	2022-01-20	Moderna	No

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-14

Systemic reaction (other): Burning sensation in my left wrist and ankle same side as shot was administered

Release 4 — day 14, dose 1

2021-02-28

Symptoms: Day 9 after the 1st immunization... mild fever, chills, aches, enlarged right inguinal lymph node and headache

Release 5 — days 1–6 daily, dose 2

2021-03-16

Systemic reaction (other): Severe Pelvic/groin pain

2021-03-17

Systemic reaction (other): Sore neck, inner ears and sinus drainage. Sore pelvic area.

2021-03-19

Systemic reaction (other): Stiff neck

Release 6 — days 1–6 daily, dose 2

2021-03-21

Systemic reaction (other): Stiff neck

Release 6 — day 7, dose 2

2021-03-22

Systemic reaction (other): Sometimes heaviness in chest. Mentally foggy. Just dont feel right.

Release 6 — day 14, dose 2

2021-03-29

Symptoms: Pelvic/groin pain. PS 5-10. Constant. Waking me up at night. Uncomfortable all day.Mentalmood changes. Im not my happy self.Mild shakinessjittery hands. Constant headache and looser stools daily since 2nd shot. Moderate today. Doc said its norm

Release 6 — day 21, dose 2

2021-04-05

Symptoms: Loose stools

Release 7 — day 28, dose 2

2021-04-12

Symptoms: Diarrhea, looser stools 2-4x daily. Lower right pelvic/groin pain.

Release 9 — 3 months, dose 2

2021-06-14

Symptoms: Sore achy joints- ankles wrists fingers toes shoulders

Release 9 — 6 months, dose 2

2021-09-17

Symptoms: Generalized joint pain throughout body

Release 11 — day 21, dose 3

2022-02-10

Symptoms: Extreme fatigue

Release 11 — day 42, dose 3

2022-03-03

Symptoms: Started today Headache. Nausea. Tired. Body aches.

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 lower	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Feeling jittery	✓	✓	✓
SD	Groin pain	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heavy menstrual bleeding	·	·	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Medical counselling	✓	✓	✓
SD	Mental status changes	✓	✓	✓
SD	Nausea	·	·	✓
SD	Pain	✓	✓	✓
SD	Pelvic pain	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Sleep disorder	✓	✓	✓
SD	Tremor	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Contusion	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Groin pain	✓	✓	✓
SRO	Inner ear disorder	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pelvic pain	✓	✓	✓
SRO	Sinus congestion	✓	✓	✓

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