4LC-62208-61634

4 vaccinations 7 coded responses 24 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 660 / KS
Registered: 2021-04-13

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-04-13
Registered in v-safe
2021-04-13
Dose 1 — Moderna
2021-04-13
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Swelling, Itching · Chills, Fatigue or tiredness

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 1
MedDRA: Malaise, Pre-existing disease — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, 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 feel like I have Covid all over again

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Nausea

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Headache

Adult check-in
2021-04-19
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Good · Site: Pain, Swelling · Headache, Nausea

Free text: Just some itching all over at times, but that is Mild.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-04
Survey response — day 21, dose 1
MedDRA: Pruritus, Self-medication — Feeling: Good

Free text: I still itch from my last shot, I finally had to start talking something for that. I was itching all over but over the counter meds are taking care of that at this time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Dose 2 — Moderna
2021-05-11
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · 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
2021-05-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Fatigue or tiredness, Nausea

Adult check-in
2021-05-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Nausea

Adult check-in
2021-05-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling, Itching · Fatigue or tiredness, Nausea

Adult check-in
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-05-18
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · Chills, Fatigue or tiredness

Adult check-in
2021-05-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-01
Survey response — day 21, dose 2
MedDRA: Headache, Pruritus — Feeling: Good

Free text: Headaches and itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Survey response — day 28, dose 2
MedDRA: Nausea — Feeling: Fair · Be unable to work

Free text: Nausea I had a lot lately. When I walk its worse. It comes in waves I will feel okay for hour or so then it comes back, lasted almost 2 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Survey response — day 35, dose 2
MedDRA: Brain fog, Headache — Feeling: Fair

Free text: Still having headaches, brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-10
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Nausea, Office visit, Pain, Thinking abnormal — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Just body aches and joint pain off and on and nausea, not every day. Didnt have before Covid.I also dont think as clearly before that part makes me worry. I am still glad I got the shots. My entire family is vaccinated. · Healthcare visit (other): I had to go see a chiropractor

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-10
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-19
Call 1 — Could Not Reach Participant
2021-08-24
Call 2 — Could Not Reach Participant
2022-03-24
Dose 3 — Moderna
2023-02-08
Dose 4 — Moderna
2023-05-16
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-13	Moderna
2	2021-05-11	Moderna
3	2022-03-24	Moderna	No
4	2023-02-08	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-14

Systemic reaction (other): I feel like I have Covid all over again

2021-04-19

Systemic reaction (other): Just some itching all over at times, but that is Mild.

Release 8 — day 21, dose 1

2021-05-04

Symptoms: I still itch from my last shot, I finally had to start talking something for that. I was itching all over but over the counter meds are taking care of that at this time.

Release 8 — day 21, dose 2

2021-06-01

Symptoms: Headaches and itching

Release 8 — day 28, dose 2

2021-06-08

Symptoms: Nausea I had a lot lately. When I walk its worse. It comes in waves I will feel okay for hour or so then it comes back, lasted almost 2 days.

Release 9 — day 35, dose 2

2021-06-15

Symptoms: Still having headaches, brain fog

Release 9 — 3 months, dose 2

2021-08-10

Symptoms: Just body aches and joint pain off and on and nausea, not every day. Didnt have before Covid.I also dont think as clearly before that part makes me worry. I am still glad I got the shots. My entire family is vaccinated.

Healthcare visit (other): I had to go see a chiropractor

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	Office visit	✓	·	✓
SD	Arthralgia	✓	·	✓
SD	Brain fog	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain	✓	·	✓
SD	Pruritus	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Thinking abnormal	✓	·	✓
SRO	Malaise	✓	✓	✓
SRO	Pre-existing disease	·	·	✓
SRO	Pruritus	✓	✓	✓

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