4BV-11908-68537

2 vaccinations 11 coded responses 20 check-ins 11 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 112 / NY
Registered: 2021-02-16

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

2021-02-16
Registered in v-safe
2021-02-16
Dose 1 — Moderna
2021-02-16
Health check-in — day 0, dose 1
Feeling: Poor · Site: Pain, Swelling · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-17
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal discomfort, Arthralgia, Condition aggravated, Diarrhoea, Fatigue, Pre-existing disease — Feeling: Fair · Site: Pain, Swelling · Joint pains, Fatigue or tiredness

Free text: Yesterday-day1, I did not report the following symptoms that eventually occurred: fatigue, upset stomach, diarrhea. It also triggered joint pain and an increase in symptoms of carpal tunnel syndrome, which are gone today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

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

Adult check-in
2021-02-21
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal discomfort, Carpal tunnel syndrome, Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains · Be unable to do your normal daily activities

Free text: Ive still been having mild stomach upset since vaccine but it usually doesnt show up till later, after Ive eaten. Also still have intensified symptoms of carpal tunnel syndrome since vaccine. Had CTS already, but it got worse.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Health check-in — day 7, dose 1
Feeling: Poor · Headache, Joint pains, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-02
Survey response — day 14, dose 1
MedDRA: Abdominal discomfort — Feeling: Fair · Be unable to do your normal daily activities

Free text: Upset stomach. Have had it every day since vaccine. It gets worse at night. Usually I get these vsafe questionnaires in the daytime when I feel better than I do at night.

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

Adult check-in
2021-03-16
Dose 2 — Moderna
2021-03-16
Survey response — day 0, dose 2
MedDRA: Feeling hot, Pain, Peripheral swelling — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Hands & feet achy, hot & swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Good · Site: Pain

Free text: Last night had shortness of breath but thats gone now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain upper, Constipation — Feeling: Fair

Free text: Have had persistent stomach ache & constipation since 1st vaccine, so a little over a month.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — day 14, dose 2
Feeling: Poor

Adult check-in
2021-04-07
Survey response — day 21, dose 2
MedDRA: Abdominal pain upper, Constipation, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Since first vaccination, Feb 16, I have had a stomachache and severe constipation. Some days it is more painful than others, and some hours of the day are worse than others. The point is, Ive had a stomachache daily.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — day 28, dose 2
MedDRA: Abdominal pain upper — Feeling: Fair · Be unable to do your normal daily activities

Free text: Still experiencing bad stomachaches nearly every day since first vaccine, which I got Feb 16. They start about 1.5 hours after my first meal and then I have them for the whole rest of the day/night. I did make an appt w/ a gastroenterologist.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — day 35, dose 2
MedDRA: Abdominal discomfort, Gastric disorder, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Still having stomach trouble since I got 1st vaccine 3 months ago. · Healthcare visit (other): Doctor trying me on a med but cant begin taking it till we find out whether my insurance covers it. Seeing a specialist next week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-28
Survey response — day 42, dose 2
MedDRA: Abdominal pain upper — Feeling: Fair · 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: Continuing daily stomachaches since first vaccine just over 3 months ago. Theres no place in your form for this.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
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)
2021-06-19
Survey response — 3 months, dose 2
MedDRA: Abdominal pain upper, Gastrointestinal disorder, Office visit — Feeling: Fair · 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: Symptoms: Stomachache & GI issues since 1st vaccine. Issues still not resolved or diagnosed. · Healthcare visit (other): CT scan, 3D MRI, colonoscopy, consultation w/ gastroenterologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-19
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-21
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-16	Moderna
2	2021-03-16	Moderna

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-17

Systemic reaction (other): Yesterday-day1, I did not report the following symptoms that eventually occurred: fatigue, upset stomach, diarrhea. It also triggered joint pain and an increase in symptoms of carpal tunnel syndrome, which are gone today.

2021-02-21

Systemic reaction (other): Ive still been having mild stomach upset since vaccine but it usually doesnt show up till later, after Ive eaten. Also still have intensified symptoms of carpal tunnel syndrome since vaccine. Had CTS already, but it got worse.

Release 4 — day 14, dose 1

2021-03-02

Symptoms: Upset stomach. Have had it every day since vaccine. It gets worse at night. Usually I get these vsafe questionnaires in the daytime when I feel better than I do at night.

Release 5 — day 0, dose 2

2021-03-16

Systemic reaction (other): Hands & feet achy, hot & swollen

Release 5 — days 1–6 daily, dose 2

2021-03-18

Systemic reaction (other): Last night had shortness of breath but thats gone now.

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): Have had persistent stomach ache & constipation since 1st vaccine, so a little over a month.

Release 7 — day 21, dose 2

2021-04-07

Symptoms: Since first vaccination, Feb 16, I have had a stomachache and severe constipation. Some days it is more painful than others, and some hours of the day are worse than others. The point is, Ive had a stomachache daily.

Release 7 — day 28, dose 2

2021-04-15

Symptoms: Still experiencing bad stomachaches nearly every day since first vaccine, which I got Feb 16. They start about 1.5 hours after my first meal and then I have them for the whole rest of the day/night. I did make an appt w/ a gastroenterologist.

Release 7 — day 35, dose 2

2021-04-20

Symptoms: Still having stomach trouble since I got 1st vaccine 3 months ago.

Healthcare visit (other): Doctor trying me on a med but cant begin taking it till we find out whether my insurance covers it. Seeing a specialist next week.

Release 8 — day 42, dose 2

2021-04-28

Symptoms: Continuing daily stomachaches since first vaccine just over 3 months ago. Theres no place in your form for this.

Release 9 — 3 months, dose 2

2021-06-19

Symptoms: Stomachache & GI issues since 1st vaccine. Issues still not resolved or diagnosed.

Healthcare visit (other): CT scan, 3D MRI, colonoscopy, consultation w/ gastroenterologist

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	Office visit	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Abdominal discomfort	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Constipation	✓	✓	✓
SD	Gastric disorder	✓	·	✓
SD	Gastrointestinal disorder	✓	✓	✓
SD	Pain	✓	✓	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Carpal tunnel syndrome	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Constipation	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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