4GR-31548-97297

3 vaccinations 13 coded responses 27 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 916 / CA
Registered: 2021-02-19

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

2021-02-19
Registered in v-safe
2021-02-19
Dose 1 — Moderna
2021-02-20
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: I dont feel like doing anything. Im very tired and I had plenty of sleep.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-23
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal distension, Pain in extremity, Tenderness — Feeling: Good · Site: Pain · Abdominal pain

Free text: My stomach has been bloated for 2 or 3 days. My arm still mildly hurts. I didnt mention that for 2 days b/c I wasnt sure if it was that important. It doesnt hurt unless I touch it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-12
Survey response — day 21, dose 1
MedDRA: Arthralgia — Feeling: Good

Free text: My shoulder hurts. I dont have issues with either of my shoulders but for now, the left shoulder hurts where I had the shot. Ive still had tenderness when pressing on the area.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Dose 2 — Moderna
2021-03-19
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Not yet.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 2
MedDRA: Poor quality sleep — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: I barely slept last night. I was up every hour throughout the night.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Malaise, Pain in extremity — Feeling: Good · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness

Free text: When I woke up both calves felt very sore as if I did exercise. It was odd. I didnt do anything to make that happen. Ive been low key Friday & Saturday not feeling well.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Headache — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache

Free text: Just to say that my headache is now gone but I had a low grade headache earlier.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Good · Site: Pain, Swelling, Itching

Free text: Sometimes severe since yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Rash macular — Feeling: Good · Site: Redness

Free text: The redness is still there and blotchy. I was out yesterday when I answered that Q.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — day 7, dose 2
MedDRA: Pruritus — Feeling: Good · Site: Itching

Free text: The itching is intermittent day by day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-11
Survey response — day 21, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Tired all of the time. This has been happening intermittently since my second vaccine but currently daily.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-17
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-06
Dose 3 — Moderna
2022-03-19
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-07
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-07-07
Survey response — 6 months, dose 3
MedDRA: COVID-19, Fatigue, Lacrimation increased — Feeling: Good · 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, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: I got Covid on June 1. My right eye is still watering terribly and I am still very tired. I have to take a nap most days.

MedDRA releases: 2024-11 · check-in free text available
2022-07-07
Report sent to call center — 6 months, 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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-07-08
Call 1 — Left Voicemail
2022-07-11
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-01-06
Survey response — 12 months, dose 3
MedDRA: COVID-19, Gastroenteritis viral — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-19	Moderna
2	2021-03-19	Moderna
3	2022-01-06	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-20

Systemic reaction (other): I dont feel like doing anything. Im very tired and I had plenty of sleep.

2021-02-23

Systemic reaction (other): My stomach has been bloated for 2 or 3 days. My arm still mildly hurts. I didnt mention that for 2 days b/c I wasnt sure if it was that important. It doesnt hurt unless I touch it.

Release 5 — day 21, dose 1

2021-03-12

Symptoms: My shoulder hurts. I dont have issues with either of my shoulders but for now, the left shoulder hurts where I had the shot. Ive still had tenderness when pressing on the area.

Release 5 — day 0, dose 2

2021-03-19

Systemic reaction (other): Not yet.

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): I barely slept last night. I was up every hour throughout the night.

2021-03-21

Systemic reaction (other): When I woke up both calves felt very sore as if I did exercise. It was odd. I didnt do anything to make that happen. Ive been low key Friday & Saturday not feeling well.

2021-03-22

Systemic reaction (other): Just to say that my headache is now gone but I had a low grade headache earlier.

2021-03-23

Systemic reaction (other): Sometimes severe since yesterday.

2021-03-25

Systemic reaction (other): The redness is still there and blotchy. I was out yesterday when I answered that Q.

Release 6 — day 7, dose 2

2021-03-26

Systemic reaction (other): The itching is intermittent day by day.

Release 7 — day 21, dose 2

2021-04-11

Symptoms: Tired all of the time. This has been happening intermittently since my second vaccine but currently daily.

Release 12 — 6 months, dose 3

2022-07-07

Symptoms: I got Covid on June 1. My right eye is still watering terribly and I am still very tired. I have to take a nap most days.

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	Arthralgia	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Gastroenteritis viral	·	·	✓
SD	Lacrimation increased	·	·	✓
SRO	Abdominal distension	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Poor quality sleep	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rash macular	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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