4HS-13388-52268

2 vaccinations 9 coded responses 22 check-ins 9 free-text entries 6 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 957 / CA
Registered: 2020-12-31

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2020-12-30
Dose 1 — Moderna
2020-12-31
Registered in v-safe
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Foggy brain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-31
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

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

1 call case(s)
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-04
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-13
Survey response — day 14, dose 1
MedDRA: Arthralgia, Chills, Fatigue, Feeling abnormal, Headache, Myalgia, Vision blurred — Feeling: Poor · Be unable to work

Free text: Achy joints and muscles. Extreme fatigue. Chills. Headache. Brain fog. Blurred vision since Monday 1/11/21

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Report sent to call center — day 14, dose 1
Be unable to work

1 call case(s)
2021-01-20
Health check-in — day 21, dose 1
Feeling: Poor

Adult check-in
2021-01-27
Dose 2 — Moderna
2021-01-27
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain, Photophobia — Feeling: Poor · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Eye pain and photophobia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Rash on face noticed yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-02-03
Survey response — day 7, dose 2
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Free text: My symptoms are intermittent

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-17
Survey response — day 21, dose 2
MedDRA: Arthralgia, Chills, Fatigue, Feeling of body temperature change, Headache, Loss of personal independence in daily activities — Feeling: Poor · Be unable to do your normal daily activities

Free text: Aching joints all over but especially feet, ankles, and knees. Very fatigued. Hot and cold, chills, sensation. Mild headaches. The type of work that I do allows me to continue but it's hard. At home, I mainly rest and do minimal home activities.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — day 28, dose 2
MedDRA: Arthralgia, Chills, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Not new symptoms. But continue with whole body joint aching. Chills in the evenings.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-10
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-04-28
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Back pain, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Painful joints, feet, ankles, knees. Lower back. Shoulders. Wrists.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-08
Call 1 — Left Voicemail
2021-07-28
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Brain fog, Chills, Fatigue, Headache, Memory impairment — 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 · Outpatient clinic or urgent care clinic visit

Free text: Continue with off and on joint pain all over. Chills. Headaches, usually mild. Occasional fatigue. Brain fog, short term memory problems came back recently.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-28
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

1 call case(s)
2021-08-04
Call 1 — Could Not Reach Participant
2021-08-09
Call 2 — Left Voicemail
2022-01-27
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-01-27	Moderna

Call center

6 call center cases

2 unsuccessful · 4 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-31

Systemic reaction (other): Foggy brain

Release 1 — day 14, dose 1

2021-01-13

Symptoms: Achy joints and muscles. Extreme fatigue. Chills. Headache. Brain fog. Blurred vision since Monday 1/11/21

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Eye pain and photophobia

2021-01-31

Systemic reaction (other): Rash on face noticed yesterday

Release 3 — day 7, dose 2

2021-02-03

Systemic reaction (other): My symptoms are intermittent

Release 4 — day 21, dose 2

2021-02-17

Symptoms: Aching joints all over but especially feet, ankles, and knees. Very fatigued. Hot and cold, chills, sensation. Mild headaches. The type of work that I do allows me to continue but it's hard. At home, I mainly rest and do minimal home activities.

Release 4 — day 28, dose 2

2021-02-24

Symptoms: Not new symptoms. But continue with whole body joint aching. Chills in the evenings.

Release 8 — 3 months, dose 2

2021-04-28

Symptoms: Painful joints, feet, ankles, knees. Lower back. Shoulders. Wrists.

Release 9 — 6 months, dose 2

2021-07-28

Symptoms: Continue with off and on joint pain all over. Chills. Headaches, usually mild. Occasional fatigue. Brain fog, short term memory problems came back recently.

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	Back pain	✓	✓	✓
SD	Brain fog	✓	·	✓
SD	Chills	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Feeling of body temperature change	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Loss of personal independence in daily activities	✓	✓	✓
SD	Memory impairment	✓	·	✓
SD	Myalgia	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Vision blurred	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Photophobia	✓	✓	✓
SRO	Rash	✓	✓	✓

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