4FS-22286-15914

2 vaccinations 7 coded responses 17 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 907 / CA
Registered: 2021-03-10

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

2021-03-10
Registered in v-safe
2021-03-10
Dose 1 — Moderna
2021-03-10
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Pulmonary pain — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Pain in chest and lungs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Myalgia — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Yesterday muscle aches were bad

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-17
Health check-in — day 7, dose 1
Feeling: Fair · Muscle or body aches, Nausea

Adult check-in
2021-03-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-02
Survey response — day 21, dose 1
MedDRA: Fatigue, Feeling abnormal, Nausea, Pruritus — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Itching around my neck, nausea, brain fog, fatigue

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

Adult check-in
2021-04-10
Dose 2 — Moderna
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-17
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-02
Survey response — day 21, dose 2
MedDRA: Arthralgia, Fatigue, Headache — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Extreme fatigue, pain in joints, headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Survey response — day 35, dose 2
MedDRA: Discomfort, Dizziness, Dyspnoea, Nausea, Pulmonary pain — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Nausea, dizziness and discomfort and pressure in my lungs, shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-12
Survey response — 3 months, dose 2
MedDRA: Abdominal pain, Fatigue, Haematochezia — 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 · Telehealth, virtual health, or email health consultation

Free text: Extreme fatigue, abdominal pain, blood in stool

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-12
Report sent to call center — 3 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)
2021-07-21
Call 1 — Could Not Reach Participant
2021-07-26
Call 2 — Could Not Reach Participant
2021-10-09
Survey response — 6 months, dose 2
MedDRA: Abdominal pain upper, Chest discomfort, Diverticulitis, Dyspnoea, Epstein-Barr virus infection, Fatigue, Myalgia, Pulmonary hypertension, Pulmonary pain — 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 · Telehealth, virtual health, or email health consultation

Free text: I've been diagnosed with pulmonary hypertension, diverticulitis and epstein barr. Symptoms include shortness of breath, fatigue, body/muscle aches, stomach pain, chest tightness and lung pain.

MedDRA releases: 2024-11 · check-in free text available
2021-10-09
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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-12
Call 1 — Could Not Reach Participant
2021-10-15
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Moderna
2	2021-04-10	Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-11

Systemic reaction (other): Pain in chest and lungs

2021-03-12

Systemic reaction (other): Yesterday muscle aches were bad

Release 6 — day 21, dose 1

2021-04-02

Symptoms: Itching around my neck, nausea, brain fog, fatigue

Release 8 — day 21, dose 2

2021-05-02

Symptoms: Extreme fatigue, pain in joints, headaches

Release 8 — day 35, dose 2

2021-05-15

Symptoms: Nausea, dizziness and discomfort and pressure in my lungs, shortness of breath

Release 9 — 3 months, dose 2

2021-07-12

Symptoms: Extreme fatigue, abdominal pain, blood in stool

Release 10 — 6 months, dose 2

2021-10-09

Symptoms: I've been diagnosed with pulmonary hypertension, diverticulitis and epstein barr. Symptoms include shortness of breath, fatigue, body/muscle aches, stomach pain, chest tightness and lung pain.

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	Abdominal pain upper	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Chest discomfort	·	·	✓
SD	Discomfort	✓	✓	✓
SD	Diverticulitis	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Epstein-Barr virus infection	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Haematochezia	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Nausea	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Pulmonary hypertension	·	·	✓
SD	Pulmonary pain	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pulmonary pain	✓	✓	✓

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