4E4-69954-00348

2 vaccinations 6 coded responses 23 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 786 / TX
Registered: 2021-04-28

Relationship: Self
Race: Multiracial
Ethnicity: N/A

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-28
Registered in v-safe
2021-04-28
Dose 1 — Moderna
2021-04-28
Survey response — day 0, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: I pretty much feel this way everyday because of autoimmune hypothyroidism, arthritis, and a ventral hernia mesh failure.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain, Injection site swelling, Lymphadenopathy, Oropharyngeal pain — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: The same health conditions as reported earlier. The pain and swelling at the injection site and lymph nodes under the chin similarly as well as a mild sore throat are all I have to report today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Abdominal pain · Be unable to work

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-05-05
Health check-in — day 7, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-12
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-05-19
Survey response — day 21, dose 1
MedDRA: Decreased appetite, Depression, Fatigue, Headache, Nausea — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Headache, fatigue, loss of appetite, nausea, and depression.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-06-02
Dose 2 — Moderna
2021-06-04
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Pharmacy refill for pain meds

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Report sent to call center — days 1–6 daily, 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)
2021-06-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-06-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-06-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-06-11
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-06-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-30
Survey response — day 28, dose 2
MedDRA: Fatigue, Rash — Feeling: Fair · Be unable to do your normal daily activities

Free text: Rash, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-16
Survey response — day 42, dose 2
MedDRA: Bone pain, Decreased appetite, Fatigue — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Achy bones, exhaustion, and no appetite.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-01
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-07
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-28	Moderna
2	2021-06-02	Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 8 — day 0, dose 1

2021-04-28

Systemic reaction (other): I pretty much feel this way everyday because of autoimmune hypothyroidism, arthritis, and a ventral hernia mesh failure.

Release 8 — days 1–6 daily, dose 1

2021-04-29

Systemic reaction (other): The same health conditions as reported earlier. The pain and swelling at the injection site and lymph nodes under the chin similarly as well as a mild sore throat are all I have to report today.

Release 8 — day 21, dose 1

2021-05-19

Symptoms: Headache, fatigue, loss of appetite, nausea, and depression.

Release 8 — days 1–6 daily, dose 2

2021-06-04

Healthcare visit (other): Pharmacy refill for pain meds

Release 9 — day 28, dose 2

2021-06-30

Symptoms: Rash, fatigue

Release 9 — day 42, dose 2

2021-07-16

Symptoms: Achy bones, exhaustion, and no appetite.

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	Bone pain	✓	·	✓
SD	Decreased appetite	✓	✓	✓
SD	Depression	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Rash	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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