4CZ-22178-58431

3 vaccinations 13 coded responses 26 check-ins 13 free-text entries 12 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 389 / MS
Registered: 2021-01-09

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

2021-01-06
Dose 1 — Moderna
2021-01-09
Registered in v-safe
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-09
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Nausea · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-01-12
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Survey response — day 14, dose 1
MedDRA: Hypoacusis, Increased upper airway secretion, Throat irritation — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Scratchy throat with lots of mucus and trouble hearing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-27
Survey response — day 21, dose 1
MedDRA: Back pain, Cough, Musculoskeletal pain, Productive cough — Feeling: Fair · Be unable to work

Free text: Upper back pain under my shoulder blade, and a wet productive cough.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Dose 2 — Moderna
2021-02-03
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache, Nausea

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Nausea, Abdominal pain · Be unable to work

Adult check-in
2021-02-10
Health check-in — day 7, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Nausea

Adult check-in
2021-02-17
Survey response — day 14, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to work

Free text: Fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — day 21, dose 2
MedDRA: Abdominal pain, Asthenia, Fatigue, Illness, Malaise, Nausea, Pain — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Severe abdominal pain more so to the left radiating around to the back. Nausea and feeling tired. No energy. Eyes feel weak and sick. Malaise.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-25
Call 1 — Left Voicemail
2021-03-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-10
Survey response — day 35, dose 2
MedDRA: Asthenia, Fatigue, Impaired work ability, Rash, Rash erythematous, Swelling — Feeling: Poor · Be unable to work, 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: Fatigue and no energy. I developed a red rash on the back of my neck. It is painful, red, and swollen. I have not worked in 3 days for fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Report sent to call center — day 35, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-18
Survey response — day 42, dose 2
MedDRA: Abdominal pain, Chest pain, Fatigue, Nausea — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Severe fatigue, chest pain, nausea, and abdominal pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Report sent to call center — day 42, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-04
Survey response — 6 months, dose 2
MedDRA: Arteriosclerosis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Arteriosclerosis on chest X-ray and CT

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-04
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-10
Call 1 — Left Voicemail
2021-10-04
Dose 3 — Moderna
2021-10-24
Survey response — day 14, dose 3
MedDRA: Abdominal pain, Diverticulitis, Flank pain, Liver function test increased, Musculoskeletal stiffness, Myalgia, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Diverticulitis- Elevated Liver Function Studies, severe pain on left side/flank and abdomen. Fever and muscle aches. Finger and hand stiffness

MedDRA releases: 2024-11 · check-in free text available
2021-10-24
Report sent to call center — day 14, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2021-10-25
Survey response — day 21, dose 3
MedDRA: Diverticulitis, Hepatic enzyme increased, Neutrophil count increased, Pain, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Elevated liver enzymes, fever, body aches and pain, elevated neutrophils count. Diverticulitis

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Report sent to call center — day 21, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2021-10-26
Call 2 — Left Voicemail
2021-11-03
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-08
Survey response — day 35, dose 3
MedDRA: Chromaturia, Myalgia, Paraesthesia — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Severe muscle pain from my shoulders to toes. Mild intermittent facial tingling. Discolored urine( kind of burnt orange)

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Report sent to call center — day 35, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-10
Call 2 — Left Voicemail
2021-11-15
Survey response — day 42, dose 3
MedDRA: Chest pain, Heart rate irregular — Feeling: Poor

Free text: Chest pain with irregular heart beat

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Survey response — 3 months, dose 3
MedDRA: Arrhythmia, Chest pain — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Irregular heart rhythm and chest pain

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-04
Call 1 — Left Voicemail
2022-04-04
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-10-04
Survey response — 12 months, dose 3
MedDRA: Liver disorder, Pancreatic enzymes — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Pancreatic enzyme and liver issues.

MedDRA releases: 2024-11 · check-in free text available
2022-10-04
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-10-05
Call 1 — Left Voicemail
2022-10-05
Call 1 — Left Voicemail
2022-10-05
Call 2 — Left Voicemail
2022-10-05
Call 1 — Left Voicemail
2022-10-05
Call 1 — Left Voicemail
2022-10-05
Call 1 — Left Voicemail
2022-10-05
Call 2 — Left Voicemail
2022-10-05
Call 1 — Left Voicemail
2022-10-05
Call 1 — Left Voicemail
2022-10-05
Call 1 — Left Voicemail
2022-10-05
Call 2 — Left Voicemail
2022-10-05
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Moderna
2	2021-02-03	Moderna
3	2021-10-04	Moderna	No

Call center

12 call center cases

12 unsuccessful

6 waits over 3 months for a first call

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-22

Symptoms: Scratchy throat with lots of mucus and trouble hearing

Release 2 — day 21, dose 1

2021-01-27

Symptoms: Upper back pain under my shoulder blade, and a wet productive cough.

Release 4 — day 14, dose 2

2021-02-17

Symptoms: Fatigue

Release 4 — day 21, dose 2

2021-02-25

Symptoms: Severe abdominal pain more so to the left radiating around to the back. Nausea and feeling tired. No energy. Eyes feel weak and sick. Malaise.

Release 5 — day 35, dose 2

2021-03-10

Symptoms: Fatigue and no energy. I developed a red rash on the back of my neck. It is painful, red, and swollen. I have not worked in 3 days for fatigue

Release 5 — day 42, dose 2

2021-03-18

Symptoms: Severe fatigue, chest pain, nausea, and abdominal pain

Release 9 — 6 months, dose 2

2021-08-04

Symptoms: Arteriosclerosis on chest X-ray and CT

Release 10 — day 14, dose 3

2021-10-24

Symptoms: Diverticulitis- Elevated Liver Function Studies, severe pain on left side/flank and abdomen. Fever and muscle aches. Finger and hand stiffness

Release 10 — day 21, dose 3

2021-10-25

Symptoms: Elevated liver enzymes, fever, body aches and pain, elevated neutrophils count. Diverticulitis

Release 10 — day 35, dose 3

2021-11-08

Symptoms: Severe muscle pain from my shoulders to toes. Mild intermittent facial tingling. Discolored urine( kind of burnt orange)

Release 10 — day 42, dose 3

2021-11-15

Symptoms: Chest pain with irregular heart beat

Release 10 — 3 months, dose 3

2022-01-03

Symptoms: Irregular heart rhythm and chest pain

Release 12 — 12 months, dose 3

2022-10-04

Symptoms: Pancreatic enzyme and liver issues.

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	✓	✓	✓
SD	Arrhythmia	·	·	✓
SD	Arteriosclerosis	✓	·	✓
SD	Asthenia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Chromaturia	·	·	✓
SD	Cough	○	✓	○
SD	Diverticulitis	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Flank pain	·	·	✓
SD	Heart rate irregular	·	·	✓
SD	Hepatic enzyme increased	·	·	✓
SD	Hypoacusis	✓	✓	✓
SD	Illness	✓	✓	✓
SD	Impaired work ability	✓	✓	✓
SD	Increased upper airway secretion	✓	✓	✓
SD	Liver disorder	·	·	✓
SD	Liver function test increased	·	·	✓
SD	Malaise	✓	✓	✓
SD	Musculoskeletal pain	✓	✓	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Myalgia	·	·	✓
SD	Nausea	✓	✓	✓
SD	Neutrophil count increased	·	·	✓
SD	Pain	✓	✓	✓
SD	Pancreatic enzymes	·	·	✓
SD	Paraesthesia	·	·	✓
SD	Productive cough	✓	·	✓
SD	Pyrexia	·	·	✓
SD	Rash	✓	✓	✓
SD	Rash erythematous	✓	✓	✓
SD	Swelling	✓	✓	✓
SD	Throat irritation	✓	✓	✓

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