4DM-50543-27169

3 vaccinations 10 coded responses 28 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 995 / AK
Registered: 2021-01-10

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

2021-01-08
Dose 1 — Moderna
2021-01-10
Registered in v-safe
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-10
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-11
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Fibromyalgia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-01-15
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-22
Survey response — day 14, dose 1
MedDRA: Bladder operation — Feeling: Fair · Be unable to do your normal daily activities

Free text: Had surgery to replace battery in my interstim device for my bladder. Outpatient procedure.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — day 21, dose 1
MedDRA: Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test, Sneezing — Feeling: Poor · Be unable to do your normal daily activities

Free text: Runny nose sneezing stuffy head came on this morning. Going for test to protect my family.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Dose 2 — Moderna
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work

Adult check-in
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Diarrhoea — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Diarrhea

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse event, Unevaluable event — Feeling: Fair · Diarrhea · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Less severe every day. · Healthcare visit (other): Scheduled appointment with (b)(6)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-11
Health check-in — day 7, dose 2
Feeling: Fair · Diarrhea

Adult check-in
2021-02-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-25
Survey response — day 21, dose 2
MedDRA: Asthenia, Condition aggravated, Diarrhoea, Fatigue, Limb discomfort, Pre-existing disease — 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: My proctitis has flared since my second vaccination. I have had to start on medications to control the diarrhea which is making me very tired and weak. My legs feel heavy to walk. I have little energy.

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
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-06
Survey response — 3 months, dose 2
MedDRA: Hypersensitivity, Induration, Rash — Feeling: Good

Free text: Reactions to mosquito bites is awful!! I have large hard go bumps I have not had this reaction before.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-30
Call 1 — Left Voicemail
2021-05-30
Call 1 — Left Voicemail
2021-08-06
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-04
Dose 3 — Moderna
2022-02-04
Survey response — day 0, dose 3
MedDRA: Exposure to SARS-CoV-2, Fatigue, Impaired work ability, Rhinorrhoea, SARS-CoV-2 test negative, Tension headache, Upper-airway cough syndrome — Feeling: Fair · Be unable to work or attend school

Free text: Family had Covid last week. I tested negative but stayed home from work today because I was exhausted, had a runny nose, strange tightness around forehead and some post nasal drip.

MedDRA releases: 2024-11 · check-in free text available
2022-02-04
Survey response — 12 months, dose 2
MedDRA: Cough, Rhinorrhoea, Tension headache — Feeling: Fair · Be unable to work or attend school

Free text: Runny nose, now cough, not a headache exactly but a tightening across my forehead.

MedDRA releases: 2024-11 · check-in free text available
2022-02-05
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Nasal congestion — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Stuffy nose cough

MedDRA releases: 2024-11 · check-in free text available
2022-02-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-02-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2022-02-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-02-11
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-02-18
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-08	Moderna
2	2021-02-04	Moderna
3	2022-02-04	Moderna	No

Call center

3 call center cases

2 unsuccessful · 1 priority 2/3 (triaged and no follow up)

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-11

Systemic reaction (other): Fibromyalgia

Release 2 — day 14, dose 1

2021-01-22

Symptoms: Had surgery to replace battery in my interstim device for my bladder. Outpatient procedure.

Release 3 — day 21, dose 1

2021-01-29

Symptoms: Runny nose sneezing stuffy head came on this morning. Going for test to protect my family.

Release 3 — days 1–6 daily, dose 2

2021-02-07

Systemic reaction (other): Diarrhea

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Less severe every day.

Healthcare visit (other): Scheduled appointment with (b)(6)

redacted (b)(6)

Release 4 — day 21, dose 2

2021-02-25

Symptoms: My proctitis has flared since my second vaccination. I have had to start on medications to control the diarrhea which is making me very tired and weak. My legs feel heavy to walk. I have little energy.

Release 8 — 3 months, dose 2

2021-05-06

Symptoms: Reactions to mosquito bites is awful!! I have large hard go bumps I have not had this reaction before.

Release 11 — day 0, dose 3

2022-02-04

Systemic reaction (other): Family had Covid last week. I tested negative but stayed home from work today because I was exhausted, had a runny nose, strange tightness around forehead and some post nasal drip.

Release 11 — 12 months, dose 2

2022-02-04

Symptoms: Runny nose, now cough, not a headache exactly but a tightening across my forehead.

Release 11 — days 1–6 daily, dose 3

2022-02-05

Systemic reaction (other): Stuffy nose cough

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	Unevaluable event	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Bladder operation	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Cough	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Induration	✓	✓	✓
SD	Limb discomfort	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	SARS-CoV-2 test	✓	✓	✓
SD	Sneezing	✓	✓	✓
SD	Tension headache	·	·	✓
SRO	Adverse event	✓	✓	✓
SRO	Cough	·	·	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Exposure to SARS-CoV-2	·	·	✓
SRO	Fatigue	·	·	✓
SRO	Fibromyalgia	○	○	○
SRO	Impaired work ability	·	·	✓
SRO	Nasal congestion	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rhinorrhoea	·	·	✓
SRO	SARS-CoV-2 test negative	·	·	✓
SRO	Tension headache	·	·	✓
SRO	Upper-airway cough syndrome	·	·	✓

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