4D3-20883-75286

2 vaccinations 11 coded responses 24 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 191 / PA
Registered: 2021-04-23

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

2021-04-23
Registered in v-safe
2021-04-23
Dose 1 — Moderna
2021-04-23
Health check-in — day 0, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-25
Survey response — days 1–6 daily, dose 1
MedDRA: Fibromyalgia, Irritable bowel syndrome, Pre-existing disease — Feeling: Fair · Chills, Headache, Muscle or body aches, Diarrhea

Free text: I have fibromyalgia and IBS so my symptoms from Friday and today are not unusual but Im not sure if theyre from the vaccine or not

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-29
Survey response — days 1–6 daily, dose 1
MedDRA: Myalgia, Pre-existing disease, Sinus congestion — Feeling: Good · Muscle or body aches

Free text: Bad sinus congestion all day this and the muscle aches might also be due to my fibromyalgia but I wanted to mention them

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-14
Survey response — day 21, dose 1
MedDRA: Condition aggravated, Fatigue, Headache, Limb discomfort, Pre-existing disease, Respiratory tract congestion, Self-medication — Feeling: Fair

Free text: Mild headache when waking took sinus Tylenol for congestion, extreme weariness and fatigue even after 8 hours sleep, felt that way and heaviness in my legs all day today. Could also be a fibromyalgia flare and not from vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Dose 2 — Moderna
2021-05-21
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-05-22
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Hypersomnia — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Slept more than 12 hours, mild headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site rash — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Had a rash on my arm around the injection site after I showered last night. By morning it was gone.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Pain — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Started getting very tired, achy need afternoon its now 7:30 and Im really exhaust

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-28
Survey response — day 7, dose 2
MedDRA: Asthenia, Fatigue, Headache, Somnolence — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Felt okay until around 4 pm when I started to get extremely tired and sleepy, a little weak. Mild headache started 5:30 pm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Survey response — day 14, dose 2
MedDRA: Fatigue, Myalgia — Feeling: Good · Be unable to do your normal daily activities

Free text: It took until Tuesday -11 days after my shot for me to not wake up with muscle aches and extreme fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-18
Survey response — day 28, dose 2
MedDRA: Fatigue, Myalgia, Rhinorrhoea — Feeling: Good

Free text: Muscle aches, some days extreme fatigue, tiredness however I have fibromyalgia so Im not sure if its related to that or the shot. The last two days my nose is been running quite a bit , I know its not a cold, I think it might be allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-20
Survey response — 3 months, dose 2
MedDRA: Abdominal distension, Condition aggravated, Limb discomfort, Muscle spasms, Paraesthesia, Pre-existing disease — Feeling: Good

Free text: Tingling in leg & face, bloating, muscle cramps, heavy feeling in my upper legs. All of these are new since the shot but likely from my IBS & fibromyalgia but wanted to mention esp tingling which I havent had in a long time.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-05-22
Survey response — 12 months, dose 2
MedDRA: Rash — Feeling: Good

Free text: Rash on my legs for over a month and I plan to see a dermatologist.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-23	Moderna
2	2021-05-21	Moderna

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-25

Systemic reaction (other): I have fibromyalgia and IBS so my symptoms from Friday and today are not unusual but Im not sure if theyre from the vaccine or not

Release 8 — days 1–6 daily, dose 1

2021-04-29

Systemic reaction (other): Bad sinus congestion all day this and the muscle aches might also be due to my fibromyalgia but I wanted to mention them

Release 8 — day 21, dose 1

2021-05-14

Symptoms: Mild headache when waking took sinus Tylenol for congestion, extreme weariness and fatigue even after 8 hours sleep, felt that way and heaviness in my legs all day today. Could also be a fibromyalgia flare and not from vaccine.

Release 8 — days 1–6 daily, dose 2

2021-05-22

Systemic reaction (other): Slept more than 12 hours, mild headache

2021-05-23

Systemic reaction (other): Had a rash on my arm around the injection site after I showered last night. By morning it was gone.

2021-05-24

Systemic reaction (other): Started getting very tired, achy need afternoon its now 7:30 and Im really exhaust

Release 8 — day 7, dose 2

2021-05-28

Systemic reaction (other): Felt okay until around 4 pm when I started to get extremely tired and sleepy, a little weak. Mild headache started 5:30 pm.

Release 8 — day 14, dose 2

2021-06-04

Symptoms: It took until Tuesday -11 days after my shot for me to not wake up with muscle aches and extreme fatigue.

Release 9 — day 28, dose 2

2021-06-18

Symptoms: Muscle aches, some days extreme fatigue, tiredness however I have fibromyalgia so Im not sure if its related to that or the shot. The last two days my nose is been running quite a bit , I know its not a cold, I think it might be allergies

Release 9 — 3 months, dose 2

2021-08-20

Symptoms: Tingling in leg & face, bloating, muscle cramps, heavy feeling in my upper legs. All of these are new since the shot but likely from my IBS & fibromyalgia but wanted to mention esp tingling which I havent had in a long time.

Release 11 — 12 months, dose 2

2022-05-22

Symptoms: Rash on my legs for over a month and I plan to see a dermatologist.

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 distension	✓	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Limb discomfort	✓	✓	✓
SD	Muscle spasms	✓	·	✓
SD	Myalgia	✓	✓	✓
SD	Paraesthesia	✓	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rash	·	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Self-medication	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Fibromyalgia	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hypersomnia	✓	✓	✓
SRO	Injection site rash	✓	✓	✓
SRO	Irritable bowel syndrome	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Sinus congestion	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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