47C-92126-84431

2 vaccinations 17 coded responses 24 check-ins 17 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 981 / WA
Registered: 2021-03-06

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

2021-03-05
Dose 1 — Moderna
2021-03-06
Registered in v-safe
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Hyperhidrosis, Hypotension, Nausea, Pre-existing disease, Tachycardia — Feeling: Poor · Site: Pain · Chills, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: My hypotension/tachycardia worse. At 4:30am was faint, sweating and nauseous

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Loss of appetite. Had this and above before today but forgot to check.

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

Free text: Trying to keep separate pain and fatigue from underlying conditions

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite, Diarrhoea, Self-medication — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: No appetite; took Imodium for diarrhea

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

Free text: Some related to underlying issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — day 7, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-19
Health check-in — day 14, dose 1
Feeling: Poor

Adult check-in
2021-03-28
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-02
Dose 2 — Moderna
2021-04-02
Health check-in — day 0, dose 2
Feeling: Poor · None

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease, Unevaluable event — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Underlying conditions affect all.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: Underlying conditions not related

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Underlying conditions

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: Underlying conditions

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: Pre-existing disease — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: Underlying conditions

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — day 7, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: Underlying conditions

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — day 14, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Underlying health conditions bad

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-30
Survey response — day 28, dose 2
MedDRA: Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: Unrelated underlying medical issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — day 35, dose 2
MedDRA: Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities

Free text: Unrelated underlying conditions

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — day 42, dose 2
MedDRA: Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Underlying medical conditions

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-02
Survey response — 3 months, dose 2
MedDRA: Malaise, Surgery — Feeling: Poor · Be unable to work or attend school

Free text: Surgery. Not feeling well.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-01
Survey response — 6 months, dose 2
MedDRA: Pain, Surgery, Urinary tract infection — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: UTI and surgery recovery pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-08
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Moderna
2	2021-04-02	Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-06

Systemic reaction (other): My hypotension/tachycardia worse. At 4:30am was faint, sweating and nauseous

2021-03-08

Systemic reaction (other): Loss of appetite. Had this and above before today but forgot to check.

2021-03-09

Systemic reaction (other): Trying to keep separate pain and fatigue from underlying conditions

2021-03-10

Systemic reaction (other): No appetite; took Imodium for diarrhea

2021-03-11

Systemic reaction (other): Some related to underlying issues

Release 6 — days 1–6 daily, dose 2

2021-04-04

Systemic reaction (other): Underlying conditions affect all.

2021-04-05

Systemic reaction (other): Underlying conditions not related

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Underlying conditions

2021-04-07

Systemic reaction (other): Underlying conditions

2021-04-08

Systemic reaction (other): Underlying conditions

Release 7 — day 7, dose 2

2021-04-09

Systemic reaction (other): Underlying conditions

Release 7 — day 14, dose 2

2021-04-16

Symptoms: Underlying health conditions bad

Release 8 — day 28, dose 2

2021-04-30

Symptoms: Unrelated underlying medical issues

Release 8 — day 35, dose 2

2021-05-07

Symptoms: Unrelated underlying conditions

Release 8 — day 42, dose 2

2021-05-14

Symptoms: Underlying medical conditions

Release 9 — 3 months, dose 2

2021-07-02

Symptoms: Surgery. Not feeling well.

Release 9 — 6 months, dose 2

2021-10-01

Symptoms: UTI and surgery recovery pain

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	Malaise	✓	✓	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Surgery	✓	✓	✓
SD	Unevaluable event	✓	✓	✓
SD	Urinary tract infection	·	·	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Hypotension	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Tachycardia	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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